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: LTE2066726 Name: Rahul Kumar
  Address: Vill-akbarpur Post-shorampur P.s-naubatpur
Telephone No.: Mobile no: 7481978550
E-mail: kumarrahulapur123@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 1200 DD Number: -
Issuing Bank: - Transaction Id: 350359122
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2066726 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: LTE2066726
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Rahul Kumar
Mother's Name: Kumari Babita Sinha  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 11 May 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: Patna Personal Identification Mark: Mole on nose
Blood Group: O + Address for Communication: Vill-akbarpur Post-shorampur P.s-naubatpur
State: Bihar Country: India
Pin: 801505 City/District: Patna
Mobile no: 7481978550 Telephone No. with STD code:
Aadhar Card No: E-mail: kumarrahulapur123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kashi Nath Relationship with candidate: Father
Parents Date of Birth: 25 Dec 1973 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: Vill-akbarpur Post-shorampur P.s-Naubatpur
Country: India State: Bihar
City/District: Patna Pin: 801505
Tel: Mobile no.: 8210207712
Fax: Email: kashinath9973092725@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2016 Year of Joining: 2017
Board: CBSE Year of Passing: 2020
School Name: Foundation school Board: Other
City: Buxer Name of College/Institution: Tool room and training center patna
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 85 First year: 72
English: 85 Second year: 77
Address of School/College: Gurudas mathiya road buxer Third year: 80
Pin: 802101 Aggregate Percentage: 77
Contact Nos:  
Email: foundation.buxar.07@gmail.com  
 
Why do you wish to join TMI?: Because at present this is best maritime academy in india with maximum placement record and best training institute in india
What are your hobbies?: Reading newspaper and lisining song
What are your strengths?: Discipline and patience
What are your weaknesses?: My greatest weakness is that i some times have a hard time letting go of a project
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