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: LTE2061322 Name: Krishna Kumar Mishra
  Address: EA 234 ADA colony naini Allahabad Uttar Pradesh EA 234 ADA colony naini Allahabad Uttar Pradesh
Telephone No.: Mobile no: 8218510725
E-mail: mishraanupam255@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 333279430
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2061322 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: LTE2061322
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Krishna Kumar Mishra
Mother's Name: Sushma Mishra  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 19 Mar 1998 Name as per passport:Krishna Kumar Mishra
Passport No.: T2560595 Date of Expiry: 31 Jul 2029
Place of Issue: Lucknow 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: Allahabad Personal Identification Mark: Mole on neck
Blood Group: AB + Address for Communication: EA 234 ADA colony naini Allahabad Uttar Pradesh EA 234 ADA colony naini Allahabad Uttar Pradesh
State: Uttar Pradesh Country: India
Pin: 211008 City/District: Allahabad
Mobile no: 8218510725 Telephone No. with STD code:
Aadhar Card No:222192366834 E-mail: mishraanupam255@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anil Kumar Mishra Relationship with candidate: Father
Parents Date of Birth: 07 Jan 1968 Parent's/Guardian's Occupation/Designation: Government service
   
Office Address:
   
Address: EA 234 ADA colony naini Allahabad Uttar Pradesh EA 243 ADA colony naini Allahabad Uttar Pradesh
Country: India State: Uttar Pradesh
City/District: Allahabad Pin: 211008
Tel: Mobile no.: 7080136352
Fax: Email: mishraanupam255@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2015 Year of Joining: 2015
Board: CBSE Year of Passing: 2018
School Name: ST MARY CONVENT SCHOOL GHOORPUR ALLAHABAD UTTAR PRADESH Board: Uttar Pradesh
City: Allahabad Name of College/Institution: KITE GROUP OF INSTITUTIONS
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 76 First year: 77
English: 76 Second year: 76
Address of School/College: Near glass factory GHOORPUR ALLAHABAD UTTAR PRADESH Third year: 80
Pin: 212111 Aggregate Percentage: 78
Contact Nos:  
Email: mishraanupam255@gmail.com  
 
Why do you wish to join TMI?: Getting best of Marine Life
What are your hobbies?: Drawing, painting
What are your strengths?: Self confidence
What are your weaknesses?: Planning
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan,Other - Education loan
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form