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: LTE2054981 Name: FERNANDES JOSTON SEBASTIAN
  Address: SS1, ROOM NO.- 80 ,SECTOR 1, KOPARKHAIRANE NAVI MUMBAI
Telephone No.: Mobile no: 9137402719
E-mail: jostonernandes@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 316669553
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2054981 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: LTE2054981
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: FERNANDES JOSTON SEBASTIAN
Mother's Name: JOSPHINE FERNANDES  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 15 Jan 2001 Name as per passport:JOSTON JERALD FERNANDES
Passport No.: T7979788 Date of Expiry: 28 Aug 2029
Place of Issue: MUMBAI Nationality: INDIAN

(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: VASHI Personal Identification Mark: SMALL MOLE ON RIGHT THIGH
Blood Group: B + Address for Communication: SS1, ROOM NO.- 80 ,SECTOR 1, KOPARKHAIRANE NAVI MUMBAI
State: Maharashtra Country: India
Pin: 400709 City/District: THANE
Mobile no: 9137402719 Telephone No. with STD code:
Aadhar Card No:853346406940 E-mail: jostonernandes@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JERALD FERNANDES Relationship with candidate: FATHER
Parents Date of Birth: 23 Dec 1958 Parent's/Guardian's Occupation/Designation: TAILOR
   
Office Address:
   
Address: E2 SHOP NO.4 SECTOR 4 VASHI NAVI MUMBAI
Country: India State: Maharashtra
City/District: THANE Pin: 400703
Tel: Mobile no.: 9820959315
Fax: Email: fernandes.joyrin1997@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: SACRED HEART HIGH SCHOOL Board: Maharashtra
City: NAVI MUMBAI Name of College/Institution: AGNEL POLYTECHNIC
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 58 First year: 72
English: 54 Second year: 62
Address of School/College: Sector 4, Vashi, Mumbai, Maharashtra 400703 Third year:
Pin: 400703 Aggregate Percentage:
Contact Nos: 02227824704  
Email: sacredheartvashi1982@gmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
09/2019 TECHNOCRATZ QUIZ COMPETATION STATE LEVEL SECOND PLACE
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2019 MANUFACTURING DEPARTMENT 1MONTH 11DAYS
 
Why do you wish to join TMI?: BECAUSE I WOULD LIKE TO DEVELOP AND WORK ON MY SKILLS.
What are your hobbies?: BASKETBALL
What are your strengths?: STRAIGHT FORWARD
What are your weaknesses?: STAGE FEAR
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