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: LTE2185510 Name: PATIL PRANAY PRAKASH
  Address: HOUSE NO 38/A NEAR MARUDEVI TEMPLE,KHARGHAT,AT PO.GADAB PEN
Telephone No.: Mobile no: 9370721364
E-mail: pranaypatil5122@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 )
Transaction Id: 439962579
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2185510 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: LTE2185510
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: PATIL PRANAY PRAKASH
Mother's Name: MINAKSHI  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 23 Mar 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: GADAB PEN Personal Identification Mark: MOLE UNDER LEFT CHEEK
Blood Group: B + Address for Communication: HOUSE NO 38/A NEAR MARUDEVI TEMPLE,KHARGHAT,AT PO.GADAB PEN
State: Maharashtra Country: India
Pin: 402107 City/District: PEN RAIGAD
Mobile no: 9370721364 Telephone No. with STD code:
Aadhar Card No:398714170360 E-mail: pranaypatil5122@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAKASH S PATIL Relationship with candidate: FATHER
Parents Date of Birth: 24 Aug 1972 Parent's/Guardian's Occupation/Designation: CONTRACTOR
   
Office Address:
   
Address: HOUSE NO 38/A NEAR MARUDEVI TEMPLE,KHARGHAT,AT PO.GADAB PEN
Country: India State: Maharashtra
City/District: PEN RAIGAD Pin: 402107
Tel: Mobile no.: 9960535610
Fax: Email: prakashpatil7939@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2018 Year of Joining: 2018
Board: Maharashtra Year of Passing: 2021
School Name: S.S.V.D.M VIDYALAYA PEN Board: Maharashtra
City: PEN Name of College/Institution: GOVERMENT POLYTECHNIQUE PEN
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 87 First year: 71
English: 86 Second year: 66
Address of School/College: MHADA COLONY,KHUMDHAR ALI,PEN Third year:
Pin: 402107 Aggregate Percentage:
Contact Nos:  
Email: svdeosec@yahoo.in  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2017 RUNNING STATE LEVEL FOURTH
 
Why do you wish to join TMI?: I WISH TO BE A PART OF MODERN SHIPPING INDUSTRY VIA TMI
What are your hobbies?: SWIMMING, RUNNING
What are your strengths?: KEEN TO LEARN
What are your weaknesses?: CURIOUS
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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