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: LTE2188322 Name: Sujit kumar
  Address: Pwd colony near quarter no.1 jail chowk sakchi jamshedpur Pwd colony near quarter no.1 jail chowk sakchi jamshedpur jharkhand Pwd colony near quarter no.1 jail chowk sakchi jamshedpur jharkhand
Telephone No.: Mobile no: 9334003306
E-mail: sujitkumar02021999@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 441037630
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2188322 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: LTE2188322
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Sujit kumar
Mother's Name: Gita devi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 02 Feb 1999 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: Jamshedpur Personal Identification Mark: Mole on stomach
Blood Group: O + Address for Communication: Pwd colony near quarter no.1 jail chowk sakchi jamshedpur Pwd colony near quarter no.1 jail chowk sakchi jamshedpur jharkhand Pwd colony near quarter no.1 jail chowk sakchi jamshedpur jharkhand
State: Jharkhand Country: India
Pin: 831001 City/District: East singhbhum
Mobile no: 9334003306 Telephone No. with STD code:
Aadhar Card No: E-mail: sujitkumar02021999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Surendra tiwary Relationship with candidate: Father
Parents Date of Birth: 25 Jun 1996 Parent's/Guardian's Occupation/Designation: Bussiness
   
Office Address:
   
Address: Pwd colony near quarter no.1 jail chowk sakchi jamshedpur Pwd colony near quarter no.1 jail chowk sakchi jamshedpur jharkhand Pwd colony near quarter no.1 jail chowk sakchi jamshedpur jharkhand
Country: India State: Jharkhand
City/District: Jamshedpur Pin: 831001
Tel: Mobile no.: 9472768886
Fax: Email: sujitkumar02021999@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2014 Year of Joining: 2016
Board: Jharkand Year of Passing: 2019
School Name: Adl society high school Board: Jharkand
City: Jamshedpur Name of College/Institution: Cambridge Institute of polytechnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 72 First year: 76
English: 70 Second year: 70
Address of School/College: Sakchi Third year: 72
Pin: 831001 Aggregate Percentage: 73
Contact Nos:  
Email: sujitkumar02021999@gmail.com  
 
Why do you wish to join TMI?: For maritime studies one of the best college
What are your hobbies?: Play basketball
What are your strengths?: Discipline
What are your weaknesses?: Being straight forward
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

 

___________________

Date ________________

 
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