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


Dossier ID: LTE2188662
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Pavunya P
Mother's Name: Rajathi P  
Marital Status (Single/Married): Single Gender (M/F): Female
Date of Birth (DD/MM/YY): 01 Jan 1970 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: Pudukkottai Personal Identification Mark: Right hand mole
Blood Group: B - Address for Communication: 1/88, mayiladikadu Pudukkottai
State: Tamil Nadu Country: India
Pin: 622201 City/District: Pudukkottai
Mobile no: 9677490621 Telephone No. with STD code: 09677490621
Aadhar Card No:353929727575 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Panneer Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Former
Office Address:
Address: 1/88, mayiladikadu Pudukkottai
Country: India State: Tamil Nadu
City/District: Pudukkottai Pin: 622201
Tel: Mobile no.: 9751468674
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - 3 Years Engineering Diploma in Electrical & Electronics
Year of Passing: 2014 Year of Joining: 2016
Board: Tamil Nadu Year of Passing: 2018
School Name: GHSS Vennavalkudi Board: Other
City: Pudukkottai Name of College/Institution: Sudharsan polytechnic college sathiyamangalam
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 81 First year: 79.21
English: 60 Second year:
Address of School/College: GHSS Vennavalkudi Third year:
Pin: 622201 Aggregate Percentage: 78
Contact Nos: 09677490621  
Vocational and Training Courses undertaken:
09/2015 HDCA Tally 1 year
Why do you wish to join TMI?: Good college of other state
What are your hobbies?: Travel
What are your strengths?: Nill
What are your weaknesses?: Nill
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 ________________