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


Dossier ID: LTE2187328
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: RAHUL CHAUHAN
Mother's Name: RAJDEVI  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 15 Feb 2002 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: 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: MAU Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: A + Address for Communication: VILL-KOTIYA, POST - SURAJPUR DIST - MAU, UP
State: Uttar Pradesh Country: India
Pin: 276306 City/District: MAU
Mobile no: 9569479420 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: RAMAWADH CHAUHAN Relationship with candidate: FATHER
Parents Date of Birth: 23 Jul 1985 Parent's/Guardian's Occupation/Designation: AGRICULTURE
Office Address:
Country: India State: Uttar Pradesh
City/District: MAU Pin: 276306
Tel: Mobile no.: 9935977915
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2014 Year of Joining: 2015
Board: Uttar Pradesh Year of Passing: 2018
School Name: B K I C B D MAU Board: Uttar Pradesh
City: MAU Name of College/Institution: GOVT. POLY. LKO.
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 89 First year: 74
English: 96 Second year: 70
Address of School/College: BAKHARIA DEWARA ,MAU ,UP Third year: 70
Pin: 271601 Aggregate Percentage: 71
Contact Nos:  
Why do you wish to join TMI?: I have interested in this institute because I research and find more facilities and practical knowledge about machinery
What are your hobbies?: I have interested in practical about machine and I I also interested in traveling tour with your friends .
What are your strengths?: Handle your responsibility , liding to people , focus on your work, continuous learning, creativity
What are your weaknesses?: Too sensitive towards your work, I do work hard, I default to believing that I can solve any problem on my own
How do you intend to meet the expenses of this program?: Bank Loan

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

Signature of Candidate



Date ________________