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: DEG2170140
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Affan M
Mother's Name: Sajeena Malik
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Apr 2001 Nationality: Indian
Place of Birth: Trivandrum Personal Identification Mark: A black mole on chin
Blood Group: O +  
Date of Birth (DD/MM/YY): 13 Apr 2001 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: Al-marjaan , VARA-133,Arappura road Vattiyoorkavu
State: Kerala Country: India
Pin: 695013 City/District: Trivandrum
Mobile no: 8281561833 Telephone No. with STD code: 04712369833
Aadhar Card No:252877587047 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Malic Mohammad M Relationship with candidate: Father
Parents Date of Birth: 15 May 1966 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Vysakh Traders, Shopping Complex Vattiyoorkavu
Country: India State: Kerala
City/District: Trivandrum Pin: 695013
Tel: 04712360833 Mobile no.: 9349010210
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Abdul Salam Rafi Residential School School: St Thomas Central School
City: Trivandrum City: Trivandrum
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: Kuravankonam - Maruthoor Rd, Mukkolakkal, Thiruvananthapuram, Kerala 695044
  Centre code:
  Pin: 695044
  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:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would like to spend my time preparing for my entrance exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think it is a good option because it is my passion to became a marine engineering
Why do you wish to join TMI?: i came to know that the TMI is one of the best college and i would like to join for my further studies
What are your hobbies?: playing football
What are your strengths?: my confidence and dedication
What are your weaknesses?: 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 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 ________________