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: LTE2181345 Name: Affan shaikh
  Address: Flat no sf 2 saud manzil Chandrawaddo fatorda Margoa goa
Telephone No.: Mobile no: 7499249474
E-mail: afn04shk@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 432143102
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2181345 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: LTE2181345
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Affan shaikh
Mother's Name: Sajida shaikh  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 01 Apr 2000 Name as per passport:Shaikh Affan Hasan
Passport No.: U4901553 Date of Expiry: 01 May 2031
Place of Issue: Margoa 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: Margoa Personal Identification Mark: None
Blood Group: B + Address for Communication: Flat no sf 2 saud manzil Chandrawaddo fatorda Margoa goa
State: Goa Country: India
Pin: 403602 City/District: South goa
Mobile no: 7499249474 Telephone No. with STD code:
Aadhar Card No:534890825655 E-mail: afn04shk@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Atiqur Rahman shaikh Relationship with candidate: Father
Parents Date of Birth: 15 Jan 1964 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Flat no sf 2 Saud manzil chandwada Fatorda goa
Country: India State: Goa
City/District: Margoa Pin: 403602
Tel: Mobile no.: 9850544859
Fax: Email: atiqurrahman841@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2016 Year of Joining: 2017
Board: Goa Year of Passing: 2020
School Name: Crescent high school Board: Karnataka
City: Margoa Name of College/Institution: Shaikh college of engineering and technology
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 70 First year: 56
English: 77 Second year: 62
Address of School/College: Ambaji road near Jawaharlal Nehru College chandrawaddo fatorda Margoa goa Third year: 66
Pin: 403602 Aggregate Percentage: 62
Contact Nos:  
Email: Crescentschool_44@ymail.com  
 
Why do you wish to join TMI?: Because of the facilities at tmi
What are your hobbies?: Sports, Reading, Swimming
What are your strengths?: I believe in myself
What are your weaknesses?: I have trouble saying no
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 ________________

 
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