Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering) 2020


Application Summary: Lateral Entry - B.Tech (Marine Engineering)
 
Dossier ID: LTE2051017 Name: SHWETA ASHOK CHUTE
  Address: AT PO HARDOLI TH LAKHANDUR DIST BHANDARA
Telephone No.: Mobile no: 7887696126
E-mail: shwetachute12@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308176919
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2051017 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please ensure that you send the following documents with your application.
  1. Write Application for Lateral Entry - Marine Engineering, Dossier ID on the envelope
  2. Printout of application form along with summary page duly filled and signed wherever indicated
  3. Three identical recent passport size photographs with name & dossier id written at the back
  4. Self – attested copies of Class X mark sheet and Pass Certificate
  5. Self – attested copies of all semester mark sheets and final mark sheet / certificate
  6. Self – attested copies of school/college leaving certificate / transfer certificate
  7. Letter from college mentioning AICTE approval number of the course and college
  8. Copy of Caste Certificate (If any)
  9. Copy of Migration Certificate
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. A non-refundable Demand Draft of Rs. 1200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  12. Please keep a copy of the form for your reference for communicating with the Institute

Send Duly filled application forms to:

Admissions Cell Lateral Entry - B.Tech (Marine Engineering)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering)

APPLICATION FOR ADMISSION - 2020

 
Dossier ID: LTE2051017
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: SHWETA ASHOK CHUTE
Mother's Name: MANGALA ASHOK CHUTE  
Marital Status (Single/Married): Single Gender (M/F): Female
Date of Birth (DD/MM/YY): 12 Sep 2000 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: Nationality:

(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)

Place of Birth: HARDOLI Personal Identification Mark: MOLE ON LEFT EYEBROW
Blood Group: O + Address for Communication: AT PO HARDOLI TH LAKHANDUR DIST BHANDARA
State: Maharashtra Country: India
Pin: 441805 City/District: BHANDARA
Mobile no: 7887696126 Telephone No. with STD code:
Aadhar Card No:350004445965 E-mail: shwetachute12@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ASHOK GANAPAT CHUTE Relationship with candidate: FATHER
Parents Date of Birth: 03 Feb 1965 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: AT PO HARDOLI TH LAKHANDUR DIST BHANDARA
Country: India State: Maharashtra
City/District: BHANDARA Pin: 441805
Tel: Mobile no.: 8975502048
Fax: Email: shwetachute12@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2017
Board: Maharashtra Year of Passing: 2020
School Name: NUTAN KANYA SHALA Board: Maharashtra
City: BHANDARA Name of College/Institution: GOVT. POLYTECHNIC SADAR NAGPUR
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 81 First year: 59
English: 75 Second year: 84
Address of School/College: DR MUKHARJEE WARD BAJRANG CHOWK BHANDARA Third year:
Pin: 441904 Aggregate Percentage:
Contact Nos:  
Email: principalnk@rediffmail.com  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2019 VOCATIONAL TRAINING 7DAYS
 
Why do you wish to join TMI?: AT PRESENT BEST WITH MAXIMUM TRAINING, KNOWLEDGE AND PLACEMENT PERCENTAGE
What are your hobbies?: POETRY RECITATION
What are your strengths?: DEDICATION, READING
What are your weaknesses?: SENSITIVE
How do you intend to meet the expenses of this program?: Bank Loan
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form