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: LTE2065002 Name: Bandiwadekar Varad Jayant
  Address: 17/904,Bwing, Tilak Nagar, Chembur Mumbai, Maharashtra
Telephone No.: 02225234770 Mobile no: 7045418949
E-mail: bandiwadekarvarad@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: 345636529
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2065002 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: LTE2065002
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Bandiwadekar Varad Jayant
Mother's Name: Poonam Jayant Bandiwadekar  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 20 Sep 2001 Name as per passport:Bandiwadekar Varad Jayant
Passport No.: U2532561 Date of Expiry: 12 Dec 2029
Place of Issue: Mumbai Nationality: India

(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: Dombivili Personal Identification Mark: Mole on left arm
Blood Group: O + Address for Communication: 17/904,Bwing, Tilak Nagar, Chembur Mumbai, Maharashtra
State: Maharashtra Country: India
Pin: 400089 City/District: Mumbai
Mobile no: 7045418949 Telephone No. with STD code: 02225234770
Aadhar Card No:664822335889 E-mail: bandiwadekarvarad@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jayant Bandiwadekar Relationship with candidate: Father
Parents Date of Birth: 27 Dec 1973 Parent's/Guardian's Occupation/Designation: Service-Sr DGM
   
Office Address:
   
Address: Larsen and Toubro Realty ltd, gate no 7, Saki vihar. Powai, Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400072
Tel: 02225234770 Mobile no.: 9819988758
Fax: Email: forjayant@rediffmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2018
Board: Maharashtra Year of Passing: 2020
School Name: Swami Vivekanand High School Board: Maharashtra
City: Mumbai Name of College/Institution: K J Somaiya Polytechnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 93 First year: 81
English: 79 Second year: 83
Address of School/College: Rd Number 2, Sindhi Society, Chembur, Mumbai, Maharashtra Third year:
Pin: 400071 Aggregate Percentage:
Contact Nos:  
Email: svhsjc@rediffmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2020 Cricket Zonal level League stage
01/2019 Athletics Zonal level League stage
11/2016 Cricket Inter school League stage
11/2015 Cricket Inter school League stage
 
Why do you wish to join TMI?: TMI is one of the best institutions for marine engineering andiwell reputed.
What are your hobbies?: Playing cricket, reading books and playing tabla,travelling and trekking
What are your strengths?: Quick learning skills and good decision making skills.
What are your weaknesses?: sometimes get stressed out due to things which are not so important
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