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: LTE2178922 Name: FERNANDO SAMSON AROKIA RAJ
  Address: ROOM NO.-402, 4TH FLOOR ASHIRWAD APARTMENT, KALYANWADI MAHIM EAST
Telephone No.: Mobile no: 9930087495
E-mail: asamfernando@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ )
Transaction Id: 429825803
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2178922 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: LTE2178922
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: FERNANDO SAMSON AROKIA RAJ
Mother's Name: SELVA REENA  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 02 Oct 2001 Name as per passport:FERNANDO SAMSON
Passport No.: S0135733 Date of Expiry: 20 Feb 2028
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: MOLE ON THE RIGHT SIDE FOREHEAD
Blood Group: O + Address for Communication: ROOM NO.-402, 4TH FLOOR ASHIRWAD APARTMENT, KALYANWADI MAHIM EAST
State: Maharashtra Country: India
Pin: 400017 City/District: MUMBAI
Mobile no: 9930087495 Telephone No. with STD code:
Aadhar Card No:873820346417 E-mail: asamfernando@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AROKIA RAJ FERNANDO Relationship with candidate: SON
Parents Date of Birth: 29 Jan 1971 Parent's/Guardian's Occupation/Designation: MERCHANT NAVY/ 2ND ENGINEER
   
Office Address:
   
Address: EASTERN PACIFICSHIPPING INDIA, PRIVATE LTD, INIZIO BUILDING UNIT NO.-402, CARDINAL GRACIOUS ROAD, CHAKALA, ANDHERI EAST
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400099
Tel: Mobile no.: 9920640239
Fax: Email: arokiaF@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2019
Board: Maharashtra Year of Passing: 2021
School Name: OUR LADY OF GOOD COUNCEL HIGH SCHOOL Board: Tamil Nadu
City: MUMBAI Name of College/Institution: SCAD POLYTECHNIC COLLEGE
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 81 First year: 75
English: 65 Second year: 84
Address of School/College: OUR LADY OF GOOD COUNCEL HIGH SCHOOL, NEAR SION STATION, SION WEST, MUMBAI Third year:
Pin: 400022 Aggregate Percentage:
Contact Nos: 02224076273  
Email: principal@olgchighschool.com  
 
Why do you wish to join TMI?: TO BECOME A MARINE ENGINEER
What are your hobbies?: ATHETICS
What are your strengths?: SELF LEARNING, WILL POWER TO DO ANYTHING
What are your weaknesses?: NOTHING
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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