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: LTE2189025 Name: RAJEEV RANJAN
  Address: BHARDWAJ NAGAR WARD NO.41 BEGUSARAI , BIHAR
Telephone No.: Mobile no: 8340440136
E-mail: rajeevranjan8814@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 )
Transaction Id: 441464831
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2189025 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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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: LTE2189025
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: RAJEEV RANJAN
Mother's Name: RITA KUMARI  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 28 Jun 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: BEGUSARAI Personal Identification Mark: A CUT MARK ON NOSE
Blood Group: O + Address for Communication: BHARDWAJ NAGAR WARD NO.41 BEGUSARAI , BIHAR
State: Bihar Country: India
Pin: 851129 City/District: BEGUSARAI
Mobile no: 8340440136 Telephone No. with STD code:
Aadhar Card No:614248514690 E-mail: rajeevranjan8814@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AMARENDRA MISHRA Relationship with candidate: FATHER
Parents Date of Birth: 25 Jan 1967 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: BHARDWAJ NAGAR WARD NO. 41 BEGUSARAI , BIHAR
Country: India State: Bihar
City/District: BEGUSARAI Pin: 851129
Tel: Mobile no.: 8298252306
Fax: Email: monakumari8814@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 years Diploma in Mechanical Engineering Stream (Automobile / Machine Tools & Maintenance/Plant /Production Technology/Production Engineering/Advanced Diploma in Tool & Die making)
Year of Passing: 2016 Year of Joining: 2018
Board: CBSE Year of Passing: 2021
School Name: DAV PUBLIC SCHOOL Board: Other
City: BEGUSARAI Name of College/Institution: SANT LONGOWAL INSTITUTE OF ENGINEERING AND TECHNOLOGY
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 83 First year: 79
English: 85 Second year: 87
Address of School/College: NEAR BMP CAMPUS PO- DUMRI ,BEGUSARAI BIHAR Third year:
Pin: 851117 Aggregate Percentage:
Contact Nos:  
Email: davpublicschoolbgs@gmail.com  
 
Why do you wish to join TMI?: Faculties , workshop and placement of TMI is excellent.
What are your hobbies?: Cricket, Swimming and explore new thing in the world.
What are your strengths?: I can survive in any situation , do my work on time and helpful to others.
What are your weaknesses?: aggressive in nature , trust easily on strangers.
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 ________________

 
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