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.Sc. Nautical Science
Dossier ID: DEG2195126
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: MUJAWAR AMMAR RIYAZ
Mother's Name: Nazneen
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Nov 2003 Nationality: INDIAN
Place of Birth: Mumbai Personal Identification Mark: None
Blood Group: A +  
Date of Birth (DD/MM/YY): 23 Nov 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: A N homes a wing room no 201 plot no 38/39 sector 23 Nerul Nerul East Navi Mumbai darave 400706
State: Maharashtra Country: India
Pin: 400706 City/District: Thane
Mobile no: 8097666671 Telephone No. with STD code: 08097666671
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Riyaz Abdul Rehman Mujawar Relationship with candidate: Father
Parents Date of Birth: 22 Feb 1971 Parent's/Guardian's Occupation/Designation: Private service
Office Address:
Address: A N homes a wing room no 201 plot no 38/39 sector 23 Nerul Nerul East Navi Mumbai darave 400706
Country: India State: Maharashtra
City/District: Thane Pin: 400706
Tel: 8097666671 Mobile no.: 8097666671
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St.Augustines high school School: St.xaviers high school
City: Nerul City: Nerul
English %: 52 Board Roll No./Seat No.:
Aggregate Percentage: 57 School/College Code:
  Address of School/College: St.xaviers high school sector 3 Nerul East Navi Mumbai
  Centre code:
  Pin: 400706
  Contact Nos: 08097666671
  Aggregate Percentage: 78
Details of Marks Secured in (10+2) Examination -

Physics 100 70 70
Chemistry 100 86 86
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 80.33
English 100 72 72
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Searching for best courses/Academy to fulfill my dream of Merchant Navy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because after completing the course I can get an opportunity to join as an ranked officer and fulfill my dream of wearing the white uniform
Why do you wish to join TMI?: Because TMI is the top most College of India which provides 100 percentage placement
What are your hobbies?: Playing Cricket, Traveling and Reading books
What are your strengths?: Hard working
What are your weaknesses?: Food
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 Class XII marksheet

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

Signature of Candidate



Date ________________