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: LTE2067030 Name: GAURAV MADHAVRAO MISTARY
  Address: Parijat nagar juna saikhede road Lokhande mala Jail road nashik road Nashik 422102
Telephone No.: Mobile no: 8329357923
E-mail: gauravmistari1999@gmail.con  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 1200 DD Number: -
Issuing Bank: - Transaction Id: 351148916
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2067030 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: LTE2067030
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: GAURAV MADHAVRAO MISTARY
Mother's Name: JAYASHRI  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 23 Sep 1999 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: Nandra Personal Identification Mark: Mole on middle finger of right hand
Blood Group: A + Address for Communication: Parijat nagar juna saikhede road Lokhande mala Jail road nashik road Nashik 422102
State: Maharashtra Country: India
Pin: 422101 City/District: Nashik
Mobile no: 8329357923 Telephone No. with STD code:
Aadhar Card No:448150238220 E-mail: gauravmistari1999@gmail.con
 
Guardian's Particulars:
 
Name of Parent/Guardian: Chetan madhavrao mistari Relationship with candidate: Brother
Parents Date of Birth: 02 Apr 1995 Parent's/Guardian's Occupation/Designation: Be computer
   
Office Address:
   
Address: Parijat nagar juna saikhede road Lokhande mala Jail road nashik road Nashik
Country: India State: Maharashtra
City/District: Nashik Pin: 422101
Tel: Mobile no.: 8698163236
Fax: Email: chetanmistari3236@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2015 Year of Joining: 2017
Board: Maharashtra Year of Passing: 2019
School Name: Purushottam English school Nashik road Board: Maharashtra
City: Nashik Name of College/Institution: Guru gobind Singh college of polytechnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 65 First year: 57
English: 61 Second year: 59
Address of School/College: Nashik road Third year: 60
Pin: 422101 Aggregate Percentage: 61
Contact Nos:  
Email: gauravmistari1999@gmail.con  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2019 Cnc operater 6 months
 
Why do you wish to join TMI?: For better placement
What are your hobbies?: Playing cricket
What are your strengths?: Communication skills
What are your weaknesses?: Stage confidence
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