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: LTE2181551 Name: RAKESH RAMESH PATIL
  Address: NEAR LAXMI GARDEN, BEHIND PATTANSHETTI HOSP. VIJAPUR ROAD, JATH
Telephone No.: Mobile no: 9082985447
E-mail: patilrakesh874@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 432293236
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2181551 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: LTE2181551
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: RAKESH RAMESH PATIL
Mother's Name: RAJSHREE  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 08 Jun 2002 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: ULHASNAGAR Personal Identification Mark: MOLE ON LEFT SHOULDER
Blood Group: O + Address for Communication: NEAR LAXMI GARDEN, BEHIND PATTANSHETTI HOSP. VIJAPUR ROAD, JATH
State: Maharashtra Country: India
Pin: 416404 City/District: JATH
Mobile no: 9082985447 Telephone No. with STD code:
Aadhar Card No:752990193653 E-mail: patilrakesh874@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJSHREE PATIL Relationship with candidate: MOTHER
Parents Date of Birth: 09 Aug 1979 Parent's/Guardian's Occupation/Designation: 12th pass
   
Office Address:
   
Address: NEAR LAXMI GARDEN, BEHIND PATTANSHETTI HOSPITAL VIJAPUR ROAD , JATH
Country: India State: Maharashtra
City/District: JATH Pin: 416404
Tel: Mobile no.: 7385599111
Fax: Email: rajshreepatil1979@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2017 Year of Joining: 2017
Board: Maharashtra Year of Passing: 2020
School Name: SRVM HIGH SCHOOL JATH Board: Maharashtra
City: JATH Name of College/Institution: VJTI MATUNGA
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 96 First year: 75
English: 89 Second year: 68
Address of School/College: SRVM HIGHSCHOOL, OPPOSITE OF BACHAT BHAVAN, NEAR SANGLI ROAD JATH Third year: 88
Pin: 416404 Aggregate Percentage: 77
Contact Nos: 9082985447  
Email: patilrakesh874@gmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2014 NCC SCHOOL LEVEL CADET
09/2016 CRICKET DISTRICT LEVEL PARTICIPATION
02/2020 SCRAP YARD CHALLENGE INTERCOLLEGE PARTICIPATION
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2019 INDUSTRIAL TRAINING 6 WEEKS
10/2020 AUTOCAD COURSE 4 WEEKS
 
Why do you wish to join TMI?: FOR OVERALL PERSONALITY DEVELOPEMENT AND BETTER CAREER IN FUTURE.
What are your hobbies?: READING BOOKS, PLAYING VIDEO GAMES, TRAVELLING
What are your strengths?: FAST UNDERSTANDING, IMAGINATION
What are your weaknesses?: INCOSISTENCY
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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