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


  Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: MUHAMMED SHIBIL N
Mother's Name: NAFEESA P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Feb 2003 Nationality: Indian
Place of Birth: VAZHAKKAD Personal Identification Mark: Black mole on nose
Blood Group: A + Address for Communication: 9946741711 Vattakhandathil house, ozhukur p.o malappuram kerala 673642
State: Kerala Country: India
Pin: 673642 City/District: Malappuram
Mobile no: 9946741711 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: SULAIMAN N Relationship with candidate: Son
Parents Date of Birth: 18 Apr 1984 Parent's/Guardian's Occupation/Designation: Driver
Office Address:
Address: 9946741711 Vattakhandathil house ozhukur p.o mongam via malappuram kerala 673642
Country: India State: Kerala
City/District: Malappuram Pin: 673642
Tel: Mobile no.: 9946741711
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Crescent h s s ozhukur School: Crescent h s s ozhukur
City: Malappuram City: Malappuram
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 98 School/College Code:
  Centre code:
  Address of School/College: Crescent h s s ozhukur Ozhukur p.o Kondotty sub.dist Malappuram Kerala
  Pin: 673642
  Contact Nos:
  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 ?: Research and Study about Marine couses and find opportunity
Why do you wish to join TMI?: I think tmi is the one of the best institute in india
What are your hobbies?: Swimmimg, play foodball, reading.. Etc
What are your strengths?: Leadership quality, self determination, discipline... Etc
What are your weaknesses?: I do not know what is my 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 ________________

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