Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
(New Admission Diploma in Nautical Science )


  Dossier ID: DNS2172123
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Gaibee Rayyan Mushtak
Mother's Name: Zakira
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Oct 2003 Nationality: Indian
Place of Birth: Chiplun Personal Identification Mark: No
Blood Group: O + Address for Communication: Centre one building kaviltali Chiplun room no 101 near bank of india Nayashi mohalla nayashi
State: Maharashtra Country: India
Pin: 415605 City/District: Ratnagiri
Mobile no: 8668422367 Telephone No. with STD code: +918668422367
Aadhar Card No:593740465558 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Zakira Gaibee Relationship with candidate: Mother
Parents Date of Birth: 27 Oct 1977 Parent's/Guardian's Occupation/Designation: Housewife
Office Address:
Address: Centre one building kaviltali Chiplun room no 101 near bank of india Nayashi mohalla nayashi
Country: India State: Maharashtra
City/District: Ratnagiri Pin: 415605
Tel: 08668422367 Mobile no.: 8668422367
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Christ Jyoti Convent High School School: D. B. J College
City: Chiplun City: Chiplun
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Centre code:
  Address of School/College: S. K Patil Nagar Mumbai Goa Highway near Shalom Hotel
  Pin: 415605
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2018 General knowledge competition District First
10/2016 Role play School First
06/2016 Kabaddi School First
12/2013 Relay School Second
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will spend my leisure time with my family and will also focus on imu cet as well as on mht cet
Why do you wish to join TMI?: TMI is like IIT for merchant Navy aspirants and to start career from here is like cherry on top
What are your hobbies?: Outdoor activities
What are your strengths?: Adaptation to harsh condition,always motivated, sheer determination,optimistic,once thought never step back,dignity of labour,confident
What are your weaknesses?: Straight forward,trust people very easily,always want my hundred percentto be put on
How do you intend to meet the expenses of this program?: Own Resources
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded School leaving 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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.