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: LTE2060709 Name: JHA ROSHAN PRAKASHCHANDRA
  Address: VIVEK NAGAR VADA NEAR BSNL TELEPHONE EXCHANGE WADA-MANOR HIGHWAY
Telephone No.: Mobile no: 7588728698
E-mail: roshan4865@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 329058325
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2060709 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: LTE2060709
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: JHA ROSHAN PRAKASHCHANDRA
Mother's Name: MANJU PRAKASHCHANDRA JHA  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 24 Dec 2000 Name as per passport:JHA ROSHAN PRAKASH CHANDRA
Passport No.: S2768320 Date of Expiry: 26 Apr 2028
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: VADA Personal Identification Mark: NON
Blood Group: O + Address for Communication: VIVEK NAGAR VADA NEAR BSNL TELEPHONE EXCHANGE WADA-MANOR HIGHWAY
State: Maharashtra Country: India
Pin: 421303 City/District: VADA
Mobile no: 7588728698 Telephone No. with STD code:
Aadhar Card No:218408064726 E-mail: roshan4865@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAKASHCHANDRA UDAYCHANDRA JHA Relationship with candidate: FATHER
Parents Date of Birth: 08 Jan 1973 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: VADA MIDC OPPOSITE TO KAJU FACTORY NEAR VAITARNA RIVER
Country: India State: Maharashtra
City/District: VADA Pin: 421303
Tel: Mobile no.: 9422573971
Fax: Email: prakashchandra.jha39@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2016 Year of Joining: 2018
Board: Maharashtra Year of Passing: 2020
School Name: LITTLE ANGEL ENGLISH MEDIUM SCHOOL Board: Maharashtra
City: VADA Name of College/Institution: VISHWATMAK OM GURUDEV COLLEGE OF ENGINEERING
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 60 First year: 00
English: 52 Second year: 69
Address of School/College: VADA, TAL. VADA, DIST. PALGHAR Third year: 77
Pin: 421303 Aggregate Percentage:
Contact Nos:  
Email: roshan4865@gmail.com  
 
Why do you wish to join TMI?: I AM A DEDICATED STUDENT, I WORK HARD TO ACHIEVE SUCCESS IN MY LIFE AND TMI IS ONE OF THE BEST MARITIME INSTITUTE OF INDIA SO I WOULD LIKE TO PURSUE MY B-TECH MARINE ENGINEERING DEGREE FROM THIS INSTITUTE, WHICH IS DETERMINE TOWARDS THEIR WORK AND NEEDS STUDENTS LIKE ME.
What are your hobbies?: AQUARISTS, EXPLORING NATURE, RIDING BIKES,
What are your strengths?: CREATIVITY, DISCIPLINE, PATIENCE, TRUSTWORTHI, DETERMINATION
What are your weaknesses?: TROUBLE SAYING NO, FOCUS TOO MUCH ON THE DETAIL,
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 ________________

 
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