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: LTE2060830 Name: BASAVARAJ BADIGER
  Address: H NO 55/1 KERI ONI UNKAL HUBBALLI
Telephone No.: Mobile no: 8217535639
E-mail: basavarajbadiger525@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: 330030660
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2060830 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: LTE2060830
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: BASAVARAJ BADIGER
Mother's Name: PREMA  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 21 Jan 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: HUBBALLI Personal Identification Mark: SMALL MOLE ON FACE
Blood Group: O + Address for Communication: H NO 55/1 KERI ONI UNKAL HUBBALLI
State: Karnataka Country: India
Pin: 580031 City/District: DHARWAD
Mobile no: 8217535639 Telephone No. with STD code:
Aadhar Card No:445805484434 E-mail: basavarajbadiger525@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BHARATHI BADIGER Relationship with candidate: SISTER
Parents Date of Birth: 15 May 1995 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: CHETAN COLLEGE OF COMMERCE TAJ NAGAR UNKAL HUBBALLI
Country: India State: Karnataka
City/District: DHARWAD Pin: 580031
Tel: Mobile no.: 9535279984
Fax: Email: komalbadiger89@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2017
Board: Karnataka Year of Passing: 2020
School Name: J K EDUCATION SOCIETY ENGLISH MEDIUM HIGH SCHOOL Board: Karnataka
City: HUBBALLI Name of College/Institution: KLE SOCIETY POLYTECHNIC HUBLI
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 71 First year: 65
English: 48 Second year: 69
Address of School/College: SHAKTHI NAGAR HUBBALLI Third year: 62
Pin: 580023 Aggregate Percentage: 65
Contact Nos:  
Email: jkeducationssociety@gmail.com  
 
Why do you wish to join TMI?: ONE OF THE BEST COLLAGE TO ME AS I HAVE SPOKEN TO FEW OF MY GUARDIANS AND GOOD PLACEMENT OVER THEIR ,GOOD TECHNICAL EDUCATION
What are your hobbies?: READING BOOK, PAINTINGS, SPORT
What are your strengths?: GRASPING THE NEW ASPECTS LEADERSHIP QUALITY
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