Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Lateral Entry - B.Tech (Marine Engineering)


Dossier ID: LTE2185234
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Avishkar Anil Deulkar
Mother's Name: Sneha Anil Deulkar  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 04 Jan 2003 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: Mumbai Personal Identification Mark: No
Blood Group: B + Address for Communication: B.9 jai ambe society Sundar baug lane Kamani kurla west mumbai 400070
State: Maharashtra Country: India
Pin: 400070 City/District: Mumabi
Mobile no: 8080999852 Telephone No. with STD code: 0808 099 9852
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Anil Harishchandra Deulkar Relationship with candidate: Father
Parents Date of Birth: 23 Oct 1962 Parent's/Guardian's Occupation/Designation: Retired
Office Address:
Address: Nil Nil
Country: India State: Maharashtra
City/District: Mumbai Pin: 400005
Tel: Mobile no.: 9867549995
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - Mechanical Engineering
Year of Passing: 2018 Year of Joining: 2018
Board: Maharashtra Year of Passing: 2021
School Name: Holy cross high school Board: Maharashtra
City: Mumbai Name of College/Institution: Government polytechnic mumbai
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 85 First year: 70
English: 72 Second year: 72
Address of School/College: Holy cross high school near phoenix market City kamani kurla west Third year:
Pin: 400070 Aggregate Percentage:
Contact Nos: 8080999852  
Vocational and Training Courses undertaken:
06/2021 Sea cadet corps 4 years
Why do you wish to join TMI?: When I was pursuing sea cadet corps a lieutenant officer motivated me to join merchant navy he use to tell me about his merchant navy life so I got inspired and decided to join merchant navy
What are your hobbies?: Workout, athlete
What are your strengths?: Determination, dedication, discipline
What are your weaknesses?: No
How do you intend to meet the expenses of this program?: Own Resources

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________