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: LTE2180670 Name: MUKESH HARIVANSH PRAJAPATI
  Address: LIG 2 SEC 1 ROOM NO B 13 KALAMBOLI,NAVI MUMBAI Sawan heritage sec 15 kalamboli
Telephone No.: Mobile no: 9324079929
E-mail: MUKESHPRAJAPATI9820@GMAIL.COM  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 431586422
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2180670 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 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: LTE2180670
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: MUKESH HARIVANSH PRAJAPATI
Mother's Name: BEDAVATI  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 01 Jan 1970 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: Nationality:

((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: NANDGAV Personal Identification Mark: I AM HAVING BLACK TILL ON MY STOMACHE
Blood Group: O + Address for Communication: LIG 2 SEC 1 ROOM NO B 13 KALAMBOLI,NAVI MUMBAI Sawan heritage sec 15 kalamboli
State: Maharashtra Country: India
Pin: 410218 City/District: NAVI MUMBAI
Mobile no: 9324079929 Telephone No. with STD code:
Aadhar Card No: E-mail: MUKESHPRAJAPATI9820@GMAIL.COM
 
Guardian's Particulars:
 
Name of Parent/Guardian: HARIVANSH Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: SMALL BUSINESS MAN
   
Office Address:
   
Address: KHARGHAR, NAVI MUMBAI KHARGHAR , NAVI MUMBAI
Country: India State: Maharashtra
City/District: NAVI MUMBAI Pin: 410210
Tel: Mobile no.: 9820473340
Fax: Email: MUKESHPRAJAPATI9820@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: NEW ENGLISH SCHOOL Board: Maharashtra
City: NAVIMUMBAI Name of College/Institution: PILLAI HOC POLTECHNIC
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 59 First year: 81
English: 68 Second year: 57
Address of School/College: KALAMBOLI, NAVI MUMBAI Third year: 84
Pin: 410218 Aggregate Percentage:
Contact Nos:  
Email: MUKESHPRAJAPATI9820@GMAIL.COM  
 
Why do you wish to join TMI?: I LOOK MYSELF SUITABEL FOR THIS COLLEGE, AND THE QUALITY OF THE EDUCATION OR THE FACILITIES ABOUT THE SPORTS AND MANY THINGS
What are your hobbies?: SWIMMING,CRICKET,TENNES BALL AND GAMING
What are your strengths?: I AM GOOD IN THE COMMUNICATION SKILLL AND LEADERSHIP SKLL
What are your weaknesses?: I AM LITTILE MENTALLY WEAK
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

 

___________________

Date ________________

 
Print Summary and Application Form