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) 2021


Application Summary: Lateral Entry - B.Tech (Marine Engineering)
 
Dossier ID: LTE2178513 Name: GOR MANAV KAMLESHBHAI
  Address: 145, Mahavir Nagar, Koday Pull Mandvi-kutch
Telephone No.: Mobile no: 7573826631
E-mail: manavgor45@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ )
Transaction Id: 429437007
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2178513 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute.
Note: Please remember to login and fill in your 3rd year diploma marks (if cleared in 2021) in order to complete your application form.
 

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: LTE2178513
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: GOR MANAV KAMLESHBHAI
Mother's Name: Komalben  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 15 Dec 2003 Name as per passport:MANAV KAMLESHBHAI GOR
Passport No.: U6666131 Date of Expiry: 14 Dec 2030
Place of Issue: Ahmedabad 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: Gandhidham Personal Identification Mark: Tattoo
Blood Group: O - Address for Communication: 145, Mahavir Nagar, Koday Pull Mandvi-kutch
State: Gujarat Country: India
Pin: 370460 City/District: Mandvi kutch
Mobile no: 7573826631 Telephone No. with STD code:
Aadhar Card No:422294745533 E-mail: manavgor45@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kamlesh Laxmidas Gor Relationship with candidate: Father
Parents Date of Birth: 25 Sep 1978 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 145, Mahavir Nagar, Koday Pull Kutch
Country: India State: Gujarat
City/District: Mandvi Kutch Pin: 370460
Tel: Mobile no.: 9879690994
Fax: Email: kamalgor44@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2018 Year of Joining: 2018
Board: Gujarat Year of Passing: 2021
School Name: Archana St Xaviers high school mandvi Board: Gujarat
City: Mandvi kutch Name of College/Institution: Veerayatan Institute of Engineering
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 74 First year: 75
English: 71 Second year: 90
Address of School/College: Sahajanand nagar, Mandvi kutch Third year:
Pin: 370465 Aggregate Percentage:
Contact Nos:  
Email: archanamdv@yahoo.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2016 Handball School level First
12/2016 Football School level Second
02/2017 Dance School level First
 
Why do you wish to join TMI?: It is best college in india with great academic and placement records
What are your hobbies?: Football, cricket
What are your strengths?: Quick learner with best communication skills.
What are your weaknesses?: I can not concentrate on two things at a time.
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 ________________

 
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