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: LTE2187358
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Rohan Baliram Deshmukh
Mother's Name: Sangita  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 22 Oct 2002 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: At Rajegaon Post Kawatha 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: Rajegaon Personal Identification Mark: Black mark on neck
Blood Group: B + Address for Communication: Near Vitthal Mandir Main road Rajegaon Tq Lohara dist osmanabad
State: Maharashtra Country: India
Pin: 413606 City/District: Osmanabad
Mobile no: 9373716605 Telephone No. with STD code:
Aadhar Card No:530835827120 E-mail: rd937371@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Baliram Raosaheb Deshmukh Relationship with candidate: Father
Parents Date of Birth: 19 Jan 1970 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Near Vitthal Mandir Main road Rajegaon Tq Lohara dist osmanabad
Country: India State: Maharashtra
City/District: Osmanabad Pin: 413606
Tel: Mobile no.: 9096504004
Fax: Email: rd937371@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: Sharad Pawar vidyalaya Rajegaon Board: Maharashtra
City: Rajegaon Name of College/Institution: Puranmal Lahoti Government polytechnic institute Latur
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 93 First year: 75
English: 89 Second year: 72
Address of School/College: At Rajegaon TQ Lohara DIST osmanabad Third year:
Pin: 413606 Aggregate Percentage: 87
Contact Nos:  
Email: sharadpawarvidhyalay12@gmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2018 Collage activity Class level CR class representative
01/2019 Chase Zonal leval First prize
 
Why do you wish to join TMI?: I have heard a lot about Tolani. I have gathered a lot of information from which I can understand that Tolani is perfect for me.
What are your hobbies?: Tracking, photography, traveling, swimming
What are your strengths?: Self confidence, believe in own personality, my parents also my strength. I can handle every types of problems.
What are your weaknesses?: Nothing to say
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 ________________