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: LTE2056442 Name: NAVEEN ROCKY HENRY
  Address: THEEYASSERIL VEEDU PATHIRAPALLY , ALAPPUZHA
Telephone No.: Mobile no: 9961389128
E-mail: naveentheeyasseril@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: 318731140
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2056442 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: LTE2056442
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: NAVEEN ROCKY HENRY
Mother's Name: KATHARINE GRACE  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 17 Jul 1999 Name as per passport:NAVEEN ROCKY HENRY
Passport No.: U5182276 Date of Expiry: 10 Feb 2030
Place of Issue: COCHIN 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: ALAPPUZHA Personal Identification Mark: A BLACK MOLE ON LEFT SMALL FINGER
Blood Group: A + Address for Communication: THEEYASSERIL VEEDU PATHIRAPALLY , ALAPPUZHA
State: Kerala Country: India
Pin: 688521 City/District: ALAPPUZHA
Mobile no: 9961389128 Telephone No. with STD code:
Aadhar Card No:387028535838 E-mail: naveentheeyasseril@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HENRY Relationship with candidate: FATHER
Parents Date of Birth: 18 Jul 1962 Parent's/Guardian's Occupation/Designation: ESO COIR BOARD
   
Office Address:
   
Address: Regional Office Coir Board No.3A,Peenya Industrial Area, Near TVS Cross
Country: India State: Karnataka
City/District: BANGALORE Pin: 560058
Tel: Mobile no.: 9497731378
Fax: Email: t.henry.grace@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2015 Year of Joining: 2017
Board: CBSE Year of Passing: 2020
School Name: LITTLE FLOWER PUBLIC SCHOOL KALAVOOR Board: Kerala
City: ALAPPUZHA Name of College/Institution: GOVERNMENT POLYTECHNIC COLLEGE CHERTHALA
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 98 First year: 77
English: 90 Second year: 65
Address of School/College: LITTLE FLOWER PUBLIC SCHOOL KALAVOOR ALAPPUZHA Third year:
Pin: 688522 Aggregate Percentage:
Contact Nos:  
Email: lfpskalavoor@gmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2016 5000 M RUNNING SUB DISTRICT SECOND
11/2016 4x400 M RELAY SUB DISTRICT FIRST
11/2015 5000 M RUNNING SUB DISTRICT THIRD
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2017 AUTOMOTIVE ENGINE REPAIR TECHNICIAN 2 MONTHS
 
Why do you wish to join TMI?: I want to pursue Marine Engineering from best institute in India ,so i wish to join TMI
What are your hobbies?: Cycling, Surfing social media, Watching Autobobile reviews
What are your strengths?: I am able to perform my duties in any tough situations
What are your weaknesses?: My handwritting
How do you intend to meet the expenses of this program?: Own Resources
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form