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

APPLICATION FOR ADMISSION - 2021

 
Dossier ID: LTE2178092
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: SAMAL SPANDAN BABU
Mother's Name: Banita Babu Samal  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 25 Apr 2002 Name as per passport:SAMAL SPANDAN BABU
Passport No.: U4217567 Date of Expiry: 10 Feb 2031
Place of Issue: Mumbai Nationality: Indian

((Note: If you do not have passport, you may apply for it as early as possible as passport is mandatory at the time of admission.)

Place of Birth: Mumbai Personal Identification Mark: No
Blood Group: B + Address for Communication: Flat No-08, Bldg No-J1, Phase -1, Happinest near Eklavya High School, Kambalgaon, Betegaon Boisar East, Palghar.
State: Maharashtra Country: India
Pin: 401506 City/District: Palghar
Mobile no: 7410799938 Telephone No. with STD code:
Aadhar Card No:522168508055 E-mail: spandansamal02@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Babu Trinath Samal Relationship with candidate: Father
Parents Date of Birth: 08 Apr 1971 Parent's/Guardian's Occupation/Designation: Job/Factory Manager
   
Office Address:
   
Address: Plot No-G18/3, Delta Cotton LLP near Lalit Hotel, Sattar Bangla Road, MIDC, Boisar
Country: India State: Maharashtra
City/District: Palghar Pin: 401506
Tel: Mobile no.: 8806818387
Fax: Email: babusamal@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2017
Board: Maharashtra Year of Passing: 2020
School Name: Shri Vidya English Medium School Board: Maharashtra
City: Boisar Name of College/Institution: Theem College Of Engineering
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 72 First year: 71
English: 56 Second year: 66
Address of School/College: P-202, MIDC, SARAVALI, BOISAR Taluka Palghar, Dist-Palghar Third year: 81
Pin: 401501 Aggregate Percentage: 81
Contact Nos:  
Email: shrividya2012@yahoo.com  
 
Why do you wish to join TMI?: Because of the recommendation by my relatives
What are your hobbies?: Playing Volleyball
What are your strengths?: Believe in Hardwork
What are your weaknesses?: Swimming
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

 

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Date ________________