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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
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Application Summary: Lateral Entry - B.Tech (Marine Engineering) |
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Dossier ID: LTE2051844 |
Name: prashant butola |
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Address: vill ganashpur shimla by pass dehradun |
Telephone No.: |
Mobile no: 9997144251 |
E-mail: sarojbutola71@gmail.com |
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Application fee payment details: |
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Payment Status: Paid |
Payment Mode: Online |
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) |
DD Number: - |
Issuing Bank: - |
Transaction Id: 309684127 |
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Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2051844 are true and correct. |
Signature of Candidate |
Signature of Parent/Guardian |
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___________________ |
___________________ |
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Date ________________ |
Date ________________ |
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Please quote your dossier id and full name for any future correspondence |
Please ensure that you send the following documents with your application. |
- Write Application for Lateral Entry - Marine Engineering, Dossier ID on the envelope
- Printout of application form along with summary page duly filled and signed wherever indicated
- Three identical recent passport size photographs with name & dossier id written at the back
- Self – attested copies of Class X mark sheet and Pass Certificate
- Self – attested copies of all semester mark sheets and final mark sheet / certificate
- Self – attested copies of school/college leaving certificate / transfer certificate
- Letter from college mentioning AICTE approval number of the course and college
- Copy of Caste Certificate (If any)
- Copy of Migration Certificate
- Copies of sports and extra-curricular activities (Class VIII and above only)
- 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)
- Please keep a copy of the form for your reference for communicating with the Institute
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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
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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
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Applicant's Personal Information: |
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Full Name as on Diploma Marksheet/Pass Certificate: prashant butola |
Mother's Name: saroj butola |
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Marital Status (Single/Married): Single |
Gender (M/F): Male |
Date of Birth (DD/MM/YY): 15 Oct 1998 |
Name as per passport:Prashant Butola |
Passport No.: |
Date of Expiry: |
Place of Issue: |
Nationality: Indian |
(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: dehradun |
Personal Identification Mark: left hand burn lightly |
Blood Group: AB + |
Address for Communication: vill ganashpur shimla by pass dehradun |
State: Uttaranchal |
Country: India |
Pin: 248007 |
City/District: dehradun |
Mobile no: 9997144251 |
Telephone No. with STD code: |
Aadhar Card No:373524546444 |
E-mail: sarojbutola71@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: saroj butola |
Relationship with candidate: mother |
Parents Date of Birth: 11 Mar 1973 |
Parent's/Guardian's Occupation/Designation: teacher |
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Office Address: |
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Address: shimla by pass ganashpur dehradun |
Country: India |
State: Uttaranchal |
City/District: dehradun |
Pin: 248007 |
Tel: |
Mobile no.: 8395095677 |
Fax: |
Email: prashantbutola98@gmail.com |
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Education and Academic Record :
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Class X: - |
Diploma: - Mechanical Engineering |
Year of Passing: 2015 |
Year of Joining: 2017 |
Board: CBSE |
Year of Passing: 2020 |
School Name: G.R.D academy |
Board: Uttaranchal |
City: dehradun |
Name of College/Institution: uttanchal university |
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Percentage of Marks Secured: |
Details of Marks Secured: (in percentage) |
Aggregate: 49 |
First year: 60 |
English: 58 |
Second year: 62 |
Address of School/College: patelnagar dehradun |
Third year: 60 |
Pin: 248001 |
Aggregate Percentage: 62 |
Contact Nos: 9997144251 |
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Email: prashantbutola98@gmail.com |
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Why do you wish to join TMI?: because i want to study the best college of marine. |
What are your hobbies?: playing outdoor games |
What are your strengths?: i want to study in silent place |
What are your weaknesses?: feel tired to sit freely |
How do you intend to meet the expenses of this program?: Bank Loan |
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Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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Date ________________ |
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