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: DEG2185252
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Mohammad Zafar
Mother's Name: Johara Begam
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Aug 2004 Nationality: Indian
Place of Birth: Uttarprades Personal Identification Mark: Mole near lips
Blood Group: A +  
Date of Birth (DD/MM/YY): 18 Aug 2004 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: Amoura Ghazipur Seorai Uttarpradesh
State: Uttar Pradesh Country: India
Pin: 232333 City/District: Ghazipur
Mobile no: 7987058305 Telephone No. with STD code:
Aadhar Card No:209918110822 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mohammad Israil Relationship with candidate: Father
Parents Date of Birth: 14 Aug 1978 Parent's/Guardian's Occupation/Designation: Worker
Office Address:
Address: Amoura Ghazipur Seorai Uttarpradesh
Country: India State: Uttar Pradesh
City/District: Ghazipur Pin: 232333
Tel: Mobile no.: 9039489033
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: Madhya Pradesh
School: Shiva Academy English Medium school School: Excellence School Bal Vinay Mandir
City: Indore City: Indore
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Address of School/College: Indore
  Centre code:
  Pin: 454774
  Contact Nos: 09039489033
  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 ?: By study
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It good optiny
Why do you wish to join TMI?: TMI is better than other
What are your hobbies?: My hobbies is to play Karate
What are your strengths?: My strength is my confidence
What are your weaknesses?: My weakness is nervousness
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 ________________