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


  Dossier ID: DNS2178119
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: MUHAMED NASIL PS
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Mar 2003 Nationality: Indian
Place of Birth: Thrissur Personal Identification Mark: Birthmark on right side of the face
Blood Group: A + Address for Communication: Puthiyaveetil house thalikulam kacheripady Nediyaparambil house edamutam palapety
State: Kerala Country: India
Pin: 680569 City/District: Thrissur
Mobile no: 9744399819 Telephone No. with STD code:
Aadhar Card No:780049869347 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: NASARATH SAHEER Relationship with candidate: Mother
Parents Date of Birth: 14 Apr 1980 Parent's/Guardian's Occupation/Designation: House wife
Office Address:
Address: 114, THALIKULAM Puthiyaveetil house thalikulam
Country: India State: Kerala
City/District: THALIKULAM Pin: 680569
Tel: 9744399819 Mobile no.: 8606669227
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: Lemer public school School: Chenthrapini Higher secondary school
City: Thriprayar City: Thissur
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: Chenthrapini Higher secondary school P.O chenthrapini edathiruthy
  Pin: 680687
  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 ?: I am preparing for IMU CET
Why do you wish to join TMI?: I wish to join TMI because it is one of the top marine Colleges in India
What are your hobbies?: Reading Books and travelling
What are your strengths?: My parents and my friends are my strengths
What are your weaknesses?: Emotional feelings
How do you intend to meet the expenses of this program?: Bank Loan
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card 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.