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: LTE2188970 Name: Gairik Biswas
  Address: HOUSE NO -449,WARD 19 NEWTOWN PARA JALPAIGURI HOUSE NO -449,WARD 19 NEWTOWN PARA JALPAIGURI
Telephone No.: Mobile no: 9332881884
E-mail: gairikbiswas123@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ )
Transaction Id: 441442719
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2188970 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: LTE2188970
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Gairik Biswas
Mother's Name: Suparna Biswas  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 26 Apr 2000 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: JALPAIGURI Personal Identification Mark: Mol on right side between eyebrows
Blood Group: O + Address for Communication: HOUSE NO -449,WARD 19 NEWTOWN PARA JALPAIGURI HOUSE NO -449,WARD 19 NEWTOWN PARA JALPAIGURI
State: West Bengal Country: India
Pin: 735101 City/District: JALPAIGURI
Mobile no: 9332881884 Telephone No. with STD code:
Aadhar Card No: E-mail: gairikbiswas123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Goutam Biswas Relationship with candidate: Father
Parents Date of Birth: 11 Jan 1965 Parent's/Guardian's Occupation/Designation: Government employee
   
Office Address:
   
Address: Nawab bari court ,Merchant road Jalpaiguri Nawab bari court ,Merchant road Jalpaiguri
Country: India State: West Bengal
City/District: JALPAIGURI Pin: 735101
Tel: Mobile no.: 9474844750
Fax: Email: goutambiswas.jpg123@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2016 Year of Joining: 2018
Board: ISCE Year of Passing: 2021
School Name: Saint Anthonys school Board: West Bengal
City: JALPAIGURI Name of College/Institution: Adyapeath Annada Polytechnic College
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 87 First year: 76
English: 80 Second year: 78
Address of School/College: Devnagar, Jalpaiguri Third year:
Pin: 735101 Aggregate Percentage:
Contact Nos:  
Email: info@saintanthonysschool.in  
 
Why do you wish to join TMI?: I have always heard the name of TMI ,when it comes to best institute in terms of practical training and placements
What are your hobbies?: Swimming , trekking and long bike rides
What are your strengths?: Determined, solution oriented mindset, teamwork and leadership
What are your weaknesses?: Basically I trust people very easily, and overthinking
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

 

___________________

Date ________________

 
Print Summary and Application Form