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: LTE2178726 Name: Shubham Kumar
  Address: Bariyatu road ranchi jharkhand Rameshwaram coloney near shayama appartment bariyatu road ranchi.
Telephone No.: Mobile no: 8789859372
E-mail: shubhamkumarcip@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 429634338
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2178726 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: LTE2178726
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Shubham Kumar
Mother's Name: Baby Devi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 02 Oct 2000 Name as per passport:Shubham kumar
Passport No.: U3500294 Date of Expiry: 28 Jul 2030
Place of Issue: Ranchi 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: Ranchi Personal Identification Mark: Mole Mark in to middle of the chest
Blood Group: O + Address for Communication: Bariyatu road ranchi jharkhand Rameshwaram coloney near shayama appartment bariyatu road ranchi.
State: Jharkhand Country: India
Pin: 834009 City/District: Ranchi
Mobile no: 8789859372 Telephone No. with STD code:
Aadhar Card No:263633138862 E-mail: shubhamkumarcip@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Deepak kumar singh Relationship with candidate: Father
Parents Date of Birth: 14 Feb 1973 Parent's/Guardian's Occupation/Designation: civil Contractor
   
Office Address:
   
Address: Bariyatu road ranchi jharkhand Rameshwaram coloney near shayama appartment bariyatu road ranchi
Country: India State: Jharkhand
City/District: Ranchi Pin: 834009
Tel: Mobile no.: 8789891141
Fax: Email: shubhamkumarcip@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2017
Board: Jharkand Year of Passing: 2020
School Name: St John High School Board: Jharkand
City: Ranchi Name of College/Institution: Cambridge Institute of Polytechnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 70 First year: 67
English: 65 Second year: 63
Address of School/College: line tank road karbala chownk main road Ranchi Third year: 60
Pin: 834001 Aggregate Percentage: 63
Contact Nos: 9431116218  
Email: principalsjcran@gmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
07/2015 Cricket District U16 Runner up
06/2015 National Yoga Day Participation district School Level Through NCC Participant
03/2012 Speech competition School level First
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
11/2019 Industrial Training one month
 
Why do you wish to join TMI?: Because of the good infrastructure and good placement ratio.
What are your hobbies?: playing cricket and watching movies
What are your strengths?: i am hardworking and dedicated personality.
What are your weaknesses?: i have always trouble saying No
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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