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: LTE2065075
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Rohan Sanjay Desle
Mother's Name: Sunita  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 16 May 2000 Name as per passport:Rohan
Passport No.: Date of Expiry:
Place of Issue: Nashik 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: Malegaon Personal Identification Mark: Small Black Spot on Tip of Nose
Blood Group: O + Address for Communication: Shrikrushna Nagar, Nampur Road Satana
State: Maharashtra Country: India
Pin: 423301 City/District: Satana
Mobile no: 7507722251 Telephone No. with STD code:
Aadhar Card No:820673235916 E-mail: rohandesale1652@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Shamrao Desale Relationship with candidate: Father
Parents Date of Birth: 23 May 1966 Parent's/Guardian's Occupation/Designation: Buisness
   
Office Address:
   
Address: Shrikrushna Nagar Nampur Road Satana
Country: India State: Maharashtra
City/District: Satana Pin: 42330
Tel: Mobile no.: 9422764636
Fax: Email: rohandesale1652@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2016 Year of Joining: 2016
Board: Maharashtra Year of Passing: 2020
School Name: L.P.D.P.M.E.S Board: Maharashtra
City: Satana Name of College/Institution: Amrutvahini College Of Polytechnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 79 First year: 70
English: 68 Second year: 58
Address of School/College: Nampur Road,Satana Third year: 60
Pin: 423301 Aggregate Percentage: 60
Contact Nos:  
Email: rohandesale1652@gmail.com  
 
Why do you wish to join TMI?: I am Interested in this Field
What are your hobbies?: Trekking
What are your strengths?: Easily Match in Different environment or atmosphere
What are your weaknesses?: Not Easily Understand Mathematics
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
 

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Date ________________