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: LTE2189167
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: SRUSHTI JITENDRA SALE
Mother's Name: RANJITA JITENDRA SALE  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 20 May 2002 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: MUMBAI Personal Identification Mark: BLACK MOLE ON RIGHT SIDE OF CHIN
Blood Group: A + Address for Communication: ROW HOUSE NO.16,HARI VAIBHAV ROWHOUSES,JACHAK NAGAR ,JAI BHAVANI ROAD,NASHIK ROAD.NASHIK MAHARASTRA 422101 ROW HOUSE NO.16,HARI VAIBHAV ROWHOUSES,JACHAK NAGAR ,JAI BHAVANI ROAD,NASHIK ROAD.NASHIK MAHARASTRA 422101 ROW HOUSE NO.16,HARI VAIBHAV ROWHOUSES,JACHAK NAGAR ,JAI BHAVANI ROAD,NASHIK ROAD.NASHIK MAHARASTRA 422101
State: Maharashtra Country: India
Pin: 422101 City/District: NASHIK
Mobile no: 7558373081 Telephone No. with STD code:
Aadhar Card No: E-mail: srushtisale@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JITENDRA MARUTI SALE Relationship with candidate: FATHER
Parents Date of Birth: 16 May 1971 Parent's/Guardian's Occupation/Designation: GOVERNMENT SERVANT
   
Office Address:
   
Address: ROW HOUSE NO.16,HARI VAIBHAV ROWHOUSES,JACHAK NAGAR ,JAI BHAVANI ROAD,NASHIK ROAD.NASHIK MAHARASTRA 422101 ROW HOUSE NO.16,HARI VAIBHAV ROWHOUSES,JACHAK NAGAR ,JAI BHAVANI ROAD,NASHIK ROAD.NASHIK MAHARASTRA 422101 ROW HOUSE NO.16,HARI VAIBHAV ROWHOUSES,JACHAK NAGAR ,JAI BHAVANI ROAD,NASHIK ROAD.NASHIK MAHARASTRA 422101
Country: India State: Maharashtra
City/District: NASHIK Pin: 422101
Tel: Mobile no.: 9423801585
Fax: Email: ranjitasale30@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2018 Year of Joining: 2019
Board: CBSE Year of Passing: 2021
School Name: KENDRIYA VIDYALAYA ISP NEHRU NAGAR NASHIK ROAD Board: Maharashtra
City: NASHIK Name of College/Institution: GURU GOBIND SINGH POLYTECHNIC
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 69 First year: 73
English: 80 Second year: 81
Address of School/College: KENDRIYA VIDYALAYA ISP NEHRU NAGAR NASHIK ROAD Third year:
Pin: 422101 Aggregate Percentage:
Contact Nos:  
Email: principalkvisp@gmail.com  
 
Why do you wish to join TMI?: TO BECOME A SUCESSFUL MARINE ENGINEER
What are your hobbies?: SPENDING TIME WITH FRIENDS
What are your strengths?: LEADERSHIP QUALITY
What are your weaknesses?: COMMUNICATION SKILLS
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

 

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Date ________________