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


  Dossier ID: DNS2174959
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Muhammed Dhanish p
Mother's Name: Shabna m v
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jul 2003 Nationality: Indian
Place of Birth: Kottakadavu Personal Identification Mark: A wound scar under the right eye
Blood Group: AB - Address for Communication: Charamvalappil house neerolpalam Thenhipalam p.o Malappuram
State: Kerala Country: India
Pin: 673636 City/District: Malappuram
Mobile no: 7034101419 Telephone No. with STD code:
Aadhar Card No:335175134698 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Abdul saleem p Relationship with candidate: Father
Parents Date of Birth: 29 May 1978 Parent's/Guardian's Occupation/Designation: Driver
Office Address:
Address: Charamvalappil house neerolpalam Thenhipalam p.o Malappuram
Country: India State: Kerala
City/District: Malappuram Pin: 673636
Tel: Mobile no.: 9349973129
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: V P K M M H S S PUTHUR PALLIKAL School: G M H S S calicut university
City: Malappuram City: Malappuram
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Charamvalappil house neerolpalam Thenhipalam p.o Malappuram
  Pin: 673636
  Contact Nos: 09349973129
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 200
Chemistry 200
Mathematics 200
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 spent my time to any small job
Why do you wish to join TMI?: TMI is a good shipping maritime company
What are your hobbies?: Football, cricket and reading some books etc
What are your strengths?: My confidence
What are your weaknesses?: My care less is the weakness
How do you intend to meet the expenses of this program?: Bank Loan
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.