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: LTE2054016 Name: Jain Kalpesh Nayanchand
  Address: Sai siddhi apartment, near vitthal mandir Kasar ali, shahapur
Telephone No.: Mobile no: 9075358565
E-mail: jayshreejain931@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 315314981
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2054016 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: LTE2054016
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Jain Kalpesh Nayanchand
Mother's Name: Jayshree  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 22 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: Shahapur Personal Identification Mark: Mole above the right eyebrow
Blood Group: A + Address for Communication: Sai siddhi apartment, near vitthal mandir Kasar ali, shahapur
State: Maharashtra Country: India
Pin: 421601 City/District: Thane
Mobile no: 9075358565 Telephone No. with STD code:
Aadhar Card No:781378571044 E-mail: jayshreejain931@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jayshree jain Relationship with candidate: Mother
Parents Date of Birth: 30 Sep 1966 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: At post office shahapur, opposite savant plaza Old Agra road, shahapur
Country: India State: Maharashtra
City/District: Thane Pin: 421601
Tel: Mobile no.: 9271691379
Fax: Email: jayshreenjain@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: P. S. DESHMUKH. ENGLISH. MEDIUM. SCHOOL Board: Maharashtra
City: Shahapur Name of College/Institution: GOVERNMENT POLYTECHNIC VIKRAMGAD
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 88 First year: 69
English: 73 Second year: 71
Address of School/College: At post office shahapur, opposite savant plaza Old Agra road, shahapur Third year:
Pin: 421601 Aggregate Percentage:
Contact Nos:  
Email: p_sedeshmukh@rediffmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2020 Annual gathering and sports College GENERAL SECRETARY
09/2014 Intermidiate grade drawing examination State level A grade
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2019 Industrial training 6 weeks
 
Why do you wish to join TMI?: Due to college facilities and placement which would help to grow more knowledge and would be challenging for me
What are your hobbies?: Cooking, adventures
What are your strengths?: Stronge catching power, one set mind
What are your weaknesses?: Height
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