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: LTE2060188 Name: PANGE SHREERAJ SACHIN
  Address: 16, Shree Ganesh Housing Society Genda Mal Naka Shahupuri Satara.
Telephone No.: 02162250133 Mobile no: 8459789155
E-mail: shripange.007@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 327441039
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2060188 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: LTE2060188
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: PANGE SHREERAJ SACHIN
Mother's Name: Sayali Sachin Pange  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 25 Apr 2001 Name as per passport:SHREERAJ SACHIN PANGE
Passport No.: U4689968 Date of Expiry: 15 Mar 2030
Place of Issue: PUNE 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: SATARA Personal Identification Mark: NO
Blood Group: B + Address for Communication: 16, Shree Ganesh Housing Society Genda Mal Naka Shahupuri Satara.
State: Maharashtra Country: India
Pin: 415002 City/District: Satara
Mobile no: 8459789155 Telephone No. with STD code: 02162250133
Aadhar Card No:597799420075 E-mail: shripange.007@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sachin Rajaram Pange Relationship with candidate: Father
Parents Date of Birth: 08 Sep 1976 Parent's/Guardian's Occupation/Designation: Graduate
   
Office Address:
   
Address: Same As Above Same As Above
Country: India State: Maharashtra
City/District: Satara Pin: 415002
Tel: 02162250133 Mobile no.: 9730090086
Fax: Email: sachpange.007@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: Abhinav Madyamik Vidyalay Board: Maharashtra
City: Satara Name of College/Institution: K.B.P. Polytechnic Satara.
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 68 First year: 63
English: 68 Second year: 60
Address of School/College: Shahupuri Satara. Third year:
Pin: 415002 Aggregate Percentage:
Contact Nos:  
Email: amvshahupurisatara@gmail.com  
 
Why do you wish to join TMI?: First when i decide to join Merchant Navy then istart to search first about proper and reputed institutes. From source as friends, internet and my college teachers, friends who are passed and studying the mrchant navy. There I get the information about TMI. The Ship In Campus,personal attention on each and every student. The best quality of hostel and mess. Well educated and experienced teaching faculty and many more. Hence I decide to join TMi.
What are your hobbies?: Playing Cricket
What are your strengths?: I m good in mathamatics.
What are your weaknesses?: -
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