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:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: hameem muthassir
Mother's Name: mohaideen banu
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Sep 2002 Nationality: Indian
Place of Birth: tamil nadu Personal Identification Mark: a black mole on the left thigh
Blood Group: AB -  
Date of Birth (DD/MM/YY): 24 Sep 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: 21/11 big street kadayanallur-627751 tenkasi district tamil nadu
State: Tamil Nadu Country: India
Pin: 627751 City/District: tenkasi
Mobile no: 6379537986 Telephone No. with STD code: 0916379537986
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: buhari Relationship with candidate: father
Parents Date of Birth: 19 Aug 1974 Parent's/Guardian's Occupation/Designation: librarian
Office Address:
Address: 21/11 big street kadayanallur-627751 tenkasi district tamil nadu
Country: India State: Tamil Nadu
City/District: tenkasi Pin: 627751
Tel: 06379537986 Mobile no.: 6379537986
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Tamil Nadu Board: Tamil Nadu
School: sri jayendra swamigal silver jubli matric hr sec school School: sri jayendra swamigal silver jubilee matric hr sec school
City: tirunelveli City: tirunelveli
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: 21/11 big street kadayanallur-627751 tenkasi district tamil nadu
  Centre code:
  Pin: 627751
  Contact Nos: 06379537986
  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 reading novals
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i like travelling around theship
Why do you wish to join TMI?: yes
What are your hobbies?: travelling
What are your strengths?: friends
What are your weaknesses?: studies
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 ________________