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: LTE2061530 Name: Raghvendra chauhan
  Address: 88/2 lane no-4,teg bahadur road dalanwala,dehradun
Telephone No.: Mobile no: 8192944266
E-mail: raghavchauhandun@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 335141368
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2061530 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: LTE2061530
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Raghvendra chauhan
Mother's Name: Ritu chauhan  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 30 Aug 1998 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: Dhampur Personal Identification Mark: mole on right cheek
Blood Group: AB + Address for Communication: 88/2 lane no-4,teg bahadur road dalanwala,dehradun
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 8192944266 Telephone No. with STD code:
Aadhar Card No: E-mail: raghavchauhandun@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ravendra kumar chauhan Relationship with candidate: Father
Parents Date of Birth: 30 Jun 1967 Parent's/Guardian's Occupation/Designation: Goverment employee
   
Office Address:
   
Address: Secretariat Subhash road,Dehradun
Country: India State: Uttaranchal
City/District: dehradun Pin: 248001
Tel: Mobile no.: 9927699014
Fax: Email: raghavchauhandun@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2014 Year of Joining: 2017
Board: CBSE Year of Passing: 2020
School Name: Priyanka modern Sr.Sec schoool Board: Other
City: Dhampur Name of College/Institution: Uttaranchal university
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 57 First year: 73
English: 57 Second year: 70
Address of School/College: Moradabad road,dhampur Third year:
Pin: 246761 Aggregate Percentage: 0
Contact Nos:  
Email: raghavchauhandun@gmail.com  
 
Why do you wish to join TMI?: Tmi is one of the best institution for marine engineering studies .
What are your hobbies?: Reading and watching technical knowledge,travelling etc
What are your strengths?: knowledge,patience,discipline and determination.
What are your weaknesses?: allows emotion to show,does not like conflict and stuborn.
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