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.Tech. Marine Engineering
Dossier ID: DEG2168255
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Collin Xavier Mulloor
Mother's Name: Shanthi Maria
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Mar 2003 Nationality: India
Place of Birth: Kerala Personal Identification Mark: Adhaar card
Blood Group: A -  
Date of Birth (DD/MM/YY): 21 Mar 2003 Nationality: India
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: Shalom pragathi nagar Chanthar Village nandi hill Brahmavar, udupu
State: Karnataka Country: India
Pin: 576213 City/District: Brahmavar Udupi
Mobile no: 6364336593 Telephone No. with STD code:
Aadhar Card No:807156462613 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: xavier mulloor Relationship with candidate: father
Parents Date of Birth: 07 Sep 1949 Parent's/Guardian's Occupation/Designation: rtd naval officer
Office Address:
Address: shalom pragathi nagar nandi hill brahmavar
Country: India State: Karnataka
City/District: brahmavar Pin: 576213
Tel: Mobile no.: 9663595898
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Karnataka
School: G M vidhyaniketan public school School: Christ King college
City: brahmavar City: karkala
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Address of School/College: Gandhi Maidan, Karkala,
  Centre code:
  Pin: 574104
  Contact Nos: 08258231553
  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
12/2019 athletic school level 2
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would like to get more knowledge about current affairs by reading some books newspapers etc. i will keep my body healthy and fit always.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: because i am good at physics and my aim was towards taking a course in nautical science
Why do you wish to join TMI?: good quality education
What are your hobbies?: listening to music, playing piano
What are your strengths?: curious
What are your weaknesses?: Nervousness about public speaking.
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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 ________________