Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Lateral Entry - B.Tech (Marine Engineering) 2020

Application Summary: Lateral Entry - B.Tech (Marine Engineering)
Dossier ID: LTE2051844 Name: prashant butola
  Address: vill ganashpur shimla by pass dehradun
Telephone No.: Mobile no: 9997144251
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309684127
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



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:, Web:
Lateral Entry - B.Tech (Marine Engineering)


Dossier ID: LTE2051844
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: prashant butola
Mother's Name: saroj butola  
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:
Guardian's Particulars:
Name of Parent/Guardian: saroj butola Relationship with candidate: mother
Parents Date of Birth: 11 Mar 1973 Parent's/Guardian's Occupation/Designation: teacher
Office Address:
Address: shimla by pass ganashpur dehradun
Country: India State: Uttaranchal
City/District: dehradun Pin: 248007
Tel: Mobile no.: 8395095677
Fax: Email:

Education and Academic Record :

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
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  
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

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________

Print Summary and Application Form