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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
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Applicant's Personal Information: |
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Full Name as on Diploma Marksheet/Pass Certificate: TEJAS VASANT GUNJAL |
Mother's Name: DAMINI |
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Marital Status (Single/Married): Single |
Gender (M/F): Male |
Date of Birth (DD/MM/YY): 14 Sep 2001 |
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: belhe |
Personal Identification Mark: permanent black spot on forhead |
Blood Group: B + |
Address for Communication: at ranmala ,post belhe, tal junnar, dist pune at ranmala ,post belhe, tal junnar, dist pune |
State: Maharashtra |
Country: India |
Pin: 412410 |
City/District: belhe |
Mobile no: 7720865414 |
Telephone No. with STD code: |
Aadhar Card No:947488630258 |
E-mail: tejasgunjal16@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: VASANT GUNJAL |
Relationship with candidate: FATHER |
Parents Date of Birth: 11 May 1976 |
Parent's/Guardian's Occupation/Designation: FARMER |
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Office Address: |
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Address: at.ranmalawadi,post.belhe,tal.junnar,dist.pune at ranmala ,post belhe, tal junnar, dist pune |
Country: India |
State: Maharashtra |
City/District: belhe |
Pin: 412410 |
Tel: |
Mobile no.: 9730620779 |
Fax: |
Email: tejasgunjal16@gmail.com |
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Education and Academic Record :
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Class X: - |
Diploma: - Mechanical Engineering |
Year of Passing: 2017 |
Year of Joining: 2017 |
Board: CBSE |
Year of Passing: 2020 |
School Name: MODERN ENGLISH SCHOOL |
Board: Maharashtra |
City: BELHE |
Name of College/Institution: SAMARTH POLYTECHNIC BELHE |
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Percentage of Marks Secured: |
Details of Marks Secured: (in percentage) |
Aggregate: 77 |
First year: 67 |
English: 72 |
Second year: 64 |
Address of School/College: ap. belhe ,tal.junnar,dist.pune |
Third year: 72 |
Pin: 412410 |
Aggregate Percentage: 75 |
Contact Nos: |
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Email: moderneschool@gmail.com |
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Why do you wish to join TMI?: My ambition is to be a CAPTAIN OF SHIP so I choose a right Institute to Achieve it. |
What are your hobbies?: swimming, riding bicycle ,learing new ideas in mechanical. |
What are your strengths?: I can understand and speak english better, |
What are your weaknesses?: I am not having weakness as I now. |
How do you intend to meet the expenses of this program?: Own Resources |
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Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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Date ________________ |
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