Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science )


  Dossier ID: DNS2176241
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Koustav Dey
Mother's Name: Archana Dey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 2000 Nationality: Indian
Place of Birth: Siliguri Personal Identification Mark: A mole on the face
Blood Group: A + Address for Communication: Damdim More Po Damdim DIst Jalapaiguri
State: West Bengal Country: India
Pin: 735209 City/District: Jalpaiguri
Mobile no: 7908424305 Telephone No. with STD code: 7908424305
Aadhar Card No:359559804348 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kishore Bandhu Dey Relationship with candidate: Father
Parents Date of Birth: 22 Oct 1966 Parent's/Guardian's Occupation/Designation: Self Employed ,Business Man
Office Address:
Address: Damdim More Po Damdim DIst Jalapaiguri
Country: India State: West Bengal
City/District: Jalpaiguri Pin: 735209
Tel: 07001151375 Mobile no.: 9733115468
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: Don Bosco School Oodlabari School: Caesar School
City: Malbazar City: Malbazar
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: Anandapally ,Malbazar Pin 735221 Dist Jalpaiguri
  Pin: 735221
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2018 Sprinting Fully Dedicated First
12/2019 Sprinting Fully Dedicated Second
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to dedicate this time to my health and fitness and during this exams period I was unable to participate in sports activity like sprinting everyday and body weight exercises.I would also help my father in his business as he has news paper agency.I will also help my mother in her household work like cooking ,washing dishes etc.Overall I would make the best use of this time,As time flies by very fast.
Why do you wish to join TMI?: wish to join TMI by looking at its rich and glorious past record.I came across various cadets who are passout of TMI.One Day I would like to see myself in a frame similar to theirs.
What are your hobbies?: My hobbies is to exercise and stay fit.
What are your strengths?: I can tolarate anything to my worst.
What are your weaknesses?: Being too much honest and truthful.
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.