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: LTE2057165 Name: Shaurya Gurung
  Address: 21063, Salwood, Mahagun Mywoods Sec 16C, Greater Noida West Gautam Budh Nagar
Telephone No.: Mobile no: 9312247197
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 320404633
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2057165 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: LTE2057165
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Shaurya Gurung
Mother's Name: Sangeeta Gurung  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 02 Jul 2001 Name as per passport:Shaurya Gurung
Passport No.: N9692076 Date of Expiry: 01 Jul 2019
Place of Issue: Ghaziabad 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: Black spot within the left eye
Blood Group: AB - Address for Communication: 21063, Salwood, Mahagun Mywoods Sec 16C, Greater Noida West Gautam Budh Nagar
State: Uttar Pradesh Country: India
Pin: 201306 City/District: Gautam Budh Nagar
Mobile no: 9312247197 Telephone No. with STD code:
Aadhar Card No:438823741524 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Sher Bahadur Gurung Relationship with candidate: Father
Parents Date of Birth: 28 Aug 1969 Parent's/Guardian's Occupation/Designation: Sr. Business Analyst
Office Address:
Address: Jacobs Engineering, Plot No. 184, Platinum Tower Udyog Vihar Phase I, Gurugram
Country: India State: Haryana
City/District: Gurugram Pin: 122016
Tel: Mobile no.: 9899246206
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2017
Board: CBSE Year of Passing: 2020
School Name: Indirapuram Public School Board: Other
City: Ghaziabad Name of College/Institution: Amity University
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 62 First year: 67
English: 70 Second year: 64
Address of School/College: Indirapuram Public School, Indirapuram 6, Nyaya Khand - I Ghaziabad Uttar Pradesh Pin 201301 Third year:
Pin: 201301 Aggregate Percentage: 65
Contact Nos: 9560994651  
Why do you wish to join TMI?: Help fulfill my long term dream of joining Merchant Navy and get best placements. Tolani, as I hear, has the best infrastructure.
What are your hobbies?: Photography and music
What are your strengths?: Flexibility and adaptability
What are your weaknesses?: Sharing my work
How do you intend to meet the expenses of this program?: Own Resources

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

Signature of Candidate



Date ________________

Print Summary and Application Form