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: LTE2065411 Name: Godwin prakash Goudar
  Address: at kataginahalli Kataginahalli to Guledgudda dt bagalkot
Telephone No.: Mobile no: 9482237292
E-mail: goudargodwin22@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 1200 DD Number: -
Issuing Bank: - Transaction Id: 345831672
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2065411 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: LTE2065411
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Godwin prakash Goudar
Mother's Name: PHILOMENA  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 22 Jul 1998 Name as per passport:GODWIN PRAKASH GOUDAR
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: Guledgudda Personal Identification Mark: right hand finger black mole
Blood Group: B + Address for Communication: at kataginahalli Kataginahalli to Guledgudda dt bagalkot
State: Karnataka Country: India
Pin: 587203 City/District: Bagalkot
Mobile no: 9482237292 Telephone No. with STD code:
Aadhar Card No:430514914045 E-mail: goudargodwin22@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Prakash Relationship with candidate: father
Parents Date of Birth: 10 Oct 1961 Parent's/Guardian's Occupation/Designation: farmer
   
Office Address:
   
Address: at kataginahalli Kataginahalli to Guledgudda
Country: India State: Karnataka
City/District: bagalkot Pin: 587203
Tel: Mobile no.: 9448765546
Fax: Email: goudargodwin22@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2014 Year of Joining: 2017
Board: Karnataka Year of Passing: 2020
School Name: Little flower english medium high school ranganapallke Board: Karnataka
City: Udapi Name of College/Institution: B V V S POLYTECHNIC BAGALKOT
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 63 First year: 65
English: 81 Second year: 65
Address of School/College: Near ranganapallke karkala udapi KARNATAKA Third year: 70
Pin: 574122 Aggregate Percentage: 67
Contact Nos: 9482237292  
Email: goudargodwin22@gmail.com  
 
Why do you wish to join TMI?: I intend and it is good college
What are your hobbies?: reading books ,sports,listening music
What are your strengths?: I will do hard work that is my strength
What are your weaknesses?: nothing
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