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: LTE2185264 Name: Avishkar Anil Deulkar
  Address: B.9 jai ambe society sundar baug lane Kamani kurla west mumbai 400070
Telephone No.: Mobile no: 8080999852
E-mail: deulkaravishkar@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 436714942
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2185264 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: LTE2185264
 
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: Mumbai
Mobile no: 8080999852 Telephone No. with STD code:
Aadhar Card No: E-mail: deulkaravishkar@gmail.com
 
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: 400070
Tel: Mobile no.: 9867549995
Fax: Email: anildeulkar9995@gmail.com
 

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: 65
English: 74 Second year: 65
Address of School/College: Main Building, Fr. Peter Pereira Road, opposite Kohinoor City Mall, Kamani, Kurla West, Kurla, Mumbai, Maharashtra 400070 Third year:
Pin: 400070 Aggregate Percentage:
Contact Nos:  
Email: holycrosshskurla@gmail.com  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
02/2014 Sea cadet corps 4 years
 
Why do you wish to join TMI?: As tmi is one of the best college it is my dream to join this college and pass out
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
 
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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