Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )


Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Mohamed yusuf
Mother's Name: Mugeeba Begam
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Nov 2002 Nationality: Indian
Place of Birth: Sirkali Personal Identification Mark: Mole on right hand
Blood Group: A +  
Date of Birth (DD/MM/YY): 13 Nov 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
Address for Communication: 1/63A pallivasal street pudupattinam post. Sirkali taluk, nagapattinam district. Tamilnadu
State: Tamil Nadu Country: India
Pin: 609101 City/District: Sirkazhi
Mobile no: 6383325249 Telephone No. with STD code:
Aadhar Card No:291404255937 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mugeeba Begam Relationship with candidate: Mither
Parents Date of Birth: 06 Jun 1978 Parent's/Guardian's Occupation/Designation: Nurse
Office Address:
Address: 1/63A pallivasal street pudupattinam post. Sirkali taluk mayiladuhurai district
Country: India State: Tamil Nadu
City/District: Sirkali Pin: 609101
Tel: Mobile no.: 9486667754
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Tamil Nadu Board: Tamil Nadu
School: Vivekananda matric higher secondary school School: Vivekananda matric hr sec school
City: Sirkazhi City: Sirkazhi
English %: 96 Board Roll No./Seat No.:
Aggregate Percentage: 98 School/College Code:
  Address of School/College: Thenpathi,sirkazhi
  Centre code:
  Pin: 609111
  Contact Nos:
  Aggregate Percentage: 82
Details of Marks Secured in (10+2) Examination -

Physics 100 70 70
Chemistry 100 67 67
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 74
English 100 80 80
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I prepare neet for one year.Before two days I was covid positive.So,I choose to join
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: My alternate option
Why do you wish to join TMI?: My dream college
What are your hobbies?: Scrolling mobile
What are your strengths?: Friends
What are your weaknesses?: Sensitive
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth 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 ________________