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
Application Summary: Lateral Entry - B.Tech (Marine Engineering)
 
Dossier ID: LTE2065248 Name: Rohan Mohan Randive
  Address: FLAT NO.6, A WING, 2ND FLOOR, SAMRUDDHI ANGAN. DHAYARI GAON, PUNE - 41101
Telephone No.: 8830716708 Mobile no: 8830716708
E-mail: rohanrandive181998@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 344999239
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2065248 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: info@tmi.tolani.edu, Web: www.tolani.edu
Lateral Entry - B.Tech (Marine Engineering)

APPLICATION FOR ADMISSION - 2020
 
Dossier ID: LTE2065248
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Rohan Mohan Randive
Mother's Name: Kunda  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 18 Sep 1998 Name as per passport:Randive Rohan Mohan
Passport No.: Z6112944 Date of Expiry: 04 Aug 2030
Place of Issue: Pune 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: Baramati Personal Identification Mark: Tattoo on right side of neck
Blood Group: B + Address for Communication: FLAT NO.6, A WING, 2ND FLOOR, SAMRUDDHI ANGAN. DHAYARI GAON, PUNE - 41101
State: Maharashtra Country: India
Pin: 411041 City/District: PUNE
Mobile no: 8830716708 Telephone No. with STD code: 8830716708
Aadhar Card No:484837417200 E-mail: rohanrandive181998@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohan Relationship with candidate: Father
Parents Date of Birth: 30 Jul 1972 Parent's/Guardian's Occupation/Designation: Jr. Administration Officer, Z.P.
   
Office Address:
   
Address: Dr Baba Saheb Ambedkar Rd, Camp Pune, Maharashtra 411001
Country: India State: Maharashtra
City/District: Pune Pin: 411001
Tel: Mobile no.: 8551056017
Fax: Email: randive.mohan72@gmail.com
 

Education and Academic Record :
Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2014 Year of Joining: 2017
Board: Maharashtra Year of Passing: 2020
School Name: P. Jog English Medium School Board: Maharashtra
City: Pune Name of College/Institution: Zeal Polytehnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 70 First year: 70
English: 67 Second year: 69
Address of School/College: C /O Jets Pre School, Sinhagad Road-vadgaon Budruk, Pune - 411041, Niranjan Park, Behind Manikbaug Petrol Pump Third year: 70
Pin: 411041 Aggregate Percentage: 70
Contact Nos:  
Email: admin@pjoginstitutes.in  
 
Why do you wish to join TMI?: I got references through many of the experienced people that you should opt TMI as it has good education system and conduct practicals regarding Marine Engineering, also i did heard about good placement of yours and got a lot of positive reviews.
What are your hobbies?: Playing Musical Instrument, Sketching, singing, Photography.
What are your strengths?: Passionate, Ability to face any consequences.
What are your weaknesses?: Stammering, Short Tempered.
How do you intend to meet the expenses of this program?: Bank Loan
 
Declaration

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

Signature of Candidate
 

___________________

Date ________________
 
Print Summary and Application Form