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: LTE2064156 Name: Manish singh
  Address: 9758237329 98707 36237
Telephone No.: Mobile no: 9368307020
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 1200 DD Number: -
Issuing Bank: - Transaction Id: 341664586
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2064156 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: LTE2064156
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Manish singh
Mother's Name: Meena devi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 27 Apr 2002 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: Dehradun Personal Identification Mark: Birthmark on neck
Blood Group: O + Address for Communication: 9758237329 98707 36237
State: Uttaranchal Country: India
Pin: 248140 City/District: Dehradun
Mobile no: 9368307020 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kuldeep singh Relationship with candidate: Father
Parents Date of Birth: 10 Jul 1976 Parent's/Guardian's Occupation/Designation: Private service
Office Address:
Address: 9758237329 98707 36237
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248140
Tel: Mobile no.: 9870736237
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - Marine Engineering
Year of Passing: 2018 Year of Joining: 2018
Board: CBSE Year of Passing: 2020
School Name: Radiant Public School Board: CBSE
City: Dehradun Name of College/Institution: Radiant Public School
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 74 First year: 85
English: 81 Second year: 81
Address of School/College: Pream nagar,Doiwala ,dehradun Third year:
Pin: 248140 Aggregate Percentage:
Contact Nos:  
Why do you wish to join TMI?: Wants to join merchant navy
What are your hobbies?: Reading and playing
What are your strengths?: Average in every field
What are your weaknesses?: Trusting nature
How do you intend to meet the expenses of this program?: Other - Fatr

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

Signature of Candidate



Date ________________

Print Summary and Application Form