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: LTE2186552 Name: KUTTIRAJ K
  Address: 1/224 KITCHANAICKENPATTI, VILAMPATTI, MARANERI, SIVAKASI SIVAKASI, VIRUDHUNAGAR DISTRICT TAMILNADU
Telephone No.: 6374051809 Mobile no: 7339089432
E-mail: rajkutti899@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 )
Transaction Id: 438886838
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2186552 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: LTE2186552
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: KUTTIRAJ K
Mother's Name: JAYALAKSMI K  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 24 May 2003 Name as per passport:KUTTIRAJ KARPAGARAJ
Passport No.: U8818929 Date of Expiry: 07 Mar 2031
Place of Issue: MADURAI 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: KOVILPATTI Personal Identification Mark: MOLE ON RIGHT FRONT SIDE NECK
Blood Group: O + Address for Communication: 1/224 KITCHANAICKENPATTI, VILAMPATTI, MARANERI, SIVAKASI SIVAKASI, VIRUDHUNAGAR DISTRICT TAMILNADU
State: Tamil Nadu Country: India
Pin: 626124 City/District: VIRUDHUNAGAR DISTRICT
Mobile no: 7339089432 Telephone No. with STD code: 6374051809
Aadhar Card No:470280024147 E-mail: rajkutti899@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KARPAGARAJ Relationship with candidate: FATHER
Parents Date of Birth: 10 Sep 1980 Parent's/Guardian's Occupation/Designation: FIRE WORKS - DAILY LABOUR
   
Office Address:
   
Address: 1288, NRT 4TH STREET, SITHURAJAPURAM SIVAKASI VIRUDHUNAGAR DIST
Country: India State: Tamil Nadu
City/District: VIRUDHUNAGAR Pin: 626123
Tel: Mobile no.: 6374051809
Fax: Email: rkutti66@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2018 Year of Joining: 2018
Board: Tamil Nadu Year of Passing: 2021
School Name: SRI KALAIVANI MATRICULATION HIGHER SECONDARY SCHOOL Board: Tamil Nadu
City: THIRUVENGADAM Name of College/Institution: PSR POLYTECHNIC COLLEGE
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 72 First year: 70
English: 72 Second year: 80
Address of School/College: SRI KALAIVANI MATRICULATION HIGHER SECONDARY SCHOOL, THIRUVENGADAM Third year: 93
Pin: 627719 Aggregate Percentage: 95
Contact Nos:  
Email: kalaivanimatric@gmail.com  
 
Why do you wish to join TMI?: BECAUSE OF TEACHING AND INFRASTRUCTURE AND EQUIPMENT OFFERED
What are your hobbies?: READING BOOKS
What are your strengths?: SELF CONFIDENT
What are your weaknesses?: SHORT TEMPER
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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