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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG21100970
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Sahir Ahmed
Mother's Name: Shamsun Nisha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Apr 2003 Nationality: Indian
Place of Birth: Assam Personal Identification Mark: A black mole on chin
Blood Group: A +  
Date of Birth (DD/MM/YY): 11 Apr 2003 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: Karim Bazar Padmabil, Gossaigaon
State: Assam Country: India
Pin: 783360 City/District: Kokrajhar
Mobile no: 8876794015 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rizwan Ahmed Relationship with candidate: Father
Parents Date of Birth: 19 Aug 1974 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Karim Bazar Padmabil, Gossaigaon
Country: India State: Assam
City/District: Kokrajhar Pin: 783360
Tel: Mobile no.: 9101199859
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Assam Board: Assam
School: St Anthonys E.M High School School: Ajmal College Of Arts Commerce and Science
City: Kokrajhar City: Hojai
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: Near Vishal Megamart, Hojai
  Centre code:
  Pin: 782435
  Contact Nos:
  Aggregate Percentage: 85
Details of Marks Secured in (10+2) Examination -

Physics 100 89 89
Chemistry 100 89 89
Mathematics 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 88.33
English 100 76 76
IMU CET Application Number: CET21U1012437  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying, Curriculum activities such as Playing Basketball, Research about Marine Engineering.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want to tour whole world and gather different knowledge..
Why do you wish to join TMI?: To become a good Merchant Navy
What are your hobbies?: Playing Basketball
What are your strengths?: I can adapt myself in any environment
What are your weaknesses?: Procrastination
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet

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

Signature of Candidate



Date ________________