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: LTE2052411 Name: DASARI BHAGAWAN TRINATH
  Address: 301SAI RAM CHS,PLOT NO -75,SEC-31 VASHI,NAVIMUMBAI.
Telephone No.: Mobile no: 9821893991
E-mail: dasari.bhagawan@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 311359766
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2052411 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: LTE2052411
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: DASARI BHAGAWAN TRINATH
Mother's Name: GANGAMAA  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 20 Sep 1996 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: MAKARJHOLA Personal Identification Mark: MOLE ON NOSE
Blood Group: A + Address for Communication: 301SAI RAM CHS,PLOT NO -75,SEC-31 VASHI,NAVIMUMBAI.
State: Maharashtra Country: India
Pin: 400703 City/District: NAVIMUMBAI
Mobile no: 9821893991 Telephone No. with STD code:
Aadhar Card No: E-mail: dasari.bhagawan@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: TRINATH DASARI Relationship with candidate: FATHER
Parents Date of Birth: 01 Apr 1971 Parent's/Guardian's Occupation/Designation: GOVT SERVICE
   
Office Address:
   
Address: naval dockyard mumbai .
Country: India State: Maharashtra
City/District: mumbai Pin: 400023
Tel: Mobile no.: 9773867746
Fax: Email: dasiri.lingraj@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2012 Year of Joining: 2012
Board: Maharashtra Year of Passing: 2015
School Name: MODERN SCHOOL Board: Maharashtra
City: NAVIMUMBAI Name of College/Institution: A.R.KALSEKAR POLYTECHNIC
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 76 First year: 83
English: 52 Second year: 65
Address of School/College: MODERN SCHOOL , VASHI Third year: 73
Pin: 400703 Aggregate Percentage: 73
Contact Nos:  
Email: na@na.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2013 Javelin Throw Zonal Level 2nd
03/2016 Technical Paper Presentation National Level 1st
02/2016 Technical Poster Presentation National Level 2nd
01/2018 Technical Paper Presentation National Level 1st
 
Why do you wish to join TMI?: Because TMI is the best maritime education and training provider in the industry meeting the highest global standards.
What are your hobbies?: Singing,internet browsing
What are your strengths?: leadership,communication,Teamwork
What are your weaknesses?: Focus
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