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


  Dossier ID: DNS2174973
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Mohammad Rahib
Mother's Name: Ruksana S R
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2002 Nationality: Indian
Place of Birth: Virajpet Personal Identification Mark: Mole of left hand
Blood Group: B + Address for Communication: No 18, Behind GCC Near samuel public school, T C Palya K R Puram
State: Karnataka Country: India
Pin: 560036 City/District: Bangalore
Mobile no: 7625091646 Telephone No. with STD code:
Aadhar Card No:541133222100 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mohammad Rahib Relationship with candidate: Father
Parents Date of Birth: 05 Aug 1969 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: No 18, Behind GCC Near samuel public school, T C Palya K R Puram
Country: India State: Karnataka
City/District: Bangalore Pin: 560036
Tel: 07625091646 Mobile no.: 8792187156
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Karnataka Board: Karnataka
School: Samuel public school School: Sjicpuc
City: Bangalore City: Bangalore
English %: 83 Board Roll No./Seat No.: 920447
Aggregate Percentage: 82 School/College Code: AN514
  Centre code: XC1109
  Address of School/College: Opp kanteerava stadium, Richmond road, corporation
  Pin: 560002
  Contact Nos:
  Aggregate Percentage: 67
Details of Marks Secured in (10+2) Examination -

Physics 100 74 74
Chemistry 100 62 62
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 66.33
English 100 68 68
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
10/2019 400mts hurdles State level Finalist
09/2019 Relay District Level 3rd place
12/2019 Ice breaker Bangalore championship First
How do you intend spending your time after completing class XII Final exams and before joining college ?: I used to wake up at 6 and study for some time and also go to work after i finished my 12th, so that i dont waste time
Why do you wish to join TMI?: TMI is one of the best institute in world, hence the placement record is great in TMI, which is the most important thing required
What are your hobbies?: 1.Love playing cricket and volleyball. 2.cycling 3.jogging
What are your strengths?: My strongest strength is my work ethic and my willingness to step in when needed
What are your weaknesses?: I always try to finish the work which i have started hence i waste some time on it if i dont manage to finish on time but im working hard on it to get into track
How do you intend to meet the expenses of this program?: Own Resources,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.