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: LTE2060738 Name: Vishal suresh kumbhar
  Address: A/p vijay chowak akluj,solapur Akluj Akluj
Telephone No.: 02185 Mobile no: 8408928419
E-mail: kumbharvishal7058661636@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 1200 DD Number: -
Issuing Bank: - Transaction Id: 331206488
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2060738 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: LTE2060738
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Vishal suresh kumbhar
Mother's Name: Rani  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 10 Aug 2001 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: Alagoan Personal Identification Mark: Mole on hand
Blood Group: B + Address for Communication: A/p vijay chowak akluj,solapur Akluj Akluj
State: Maharashtra Country: India
Pin: 413101 City/District: Solapur
Mobile no: 8408928419 Telephone No. with STD code: 02185
Aadhar Card No:983351842138 E-mail: kumbharvishal7058661636@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Suresh uttam kumbhar Relationship with candidate: Son
Parents Date of Birth: 21 Feb 1976 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: A/p akluj , solapur Akluj,solapur Akluj solapur
Country: India State: Maharashtra
City/District: Solapur Pin: 413101
Tel: 02185 Mobile no.: 8766768471
Fax: 02185 Email: kumbharvishal7058661636@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2016 Year of Joining: 2017
Board: Maharashtra Year of Passing: 2020
School Name: Gulmohar English medium school Board: Maharashtra
City: solapur Name of College/Institution: Vidya prithstan polytechnic college
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 71 First year: 68
English: 58 Second year: 62
Address of School/College: Mailnagar ,dist solapur Third year: 74
Pin: 413101 Aggregate Percentage: 69
Contact Nos:  
Email: sureshkumbhar8408@gmail.com  
 
Why do you wish to join TMI?: To compete my dreams
What are your hobbies?: Watching movies
What are your strengths?: Sport
What are your weaknesses?: Noting
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