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


Dossier ID: LTE2189402
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Kolli Charan
Mother's Name: Kolli Chandravathi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 03 Jul 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: Visakhapatn Personal Identification Mark: A Mole on right hand
Blood Group: AB + Address for Communication: Door no. 274, Block no. 5 Port quarters, Visakhapatnam
State: Andhra Pradesh Country: India
Pin: 530024 City/District: Visakhapatnam
Mobile no: 9502127965 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Kolli Surya Prakash Relationship with candidate: Father
Parents Date of Birth: 28 Feb 1996 Parent's/Guardian's Occupation/Designation: Govt employee
Office Address:
Address: Visakhapatnam port Visakhapatnam port
Country: India State: Andhra Pradesh
City/District: Visakhapatnam Pin: 530024
Tel: Mobile no.: 9640278228
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - 1st year from the Engineering College in Mechanical Stream
Year of Passing: 2017 Year of Joining: 2019
Board: Andhra Pradesh Year of Passing: 2020
School Name: Sri Venkateswara English medium school Board: Andhra Pradesh
City: Visakhapatnam Name of College/Institution: Mvgr college of engineering
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 95 First year: 81
English: 95 Second year: 0
Address of School/College: Thatichetlapalem Third year:
Pin: 530016 Aggregate Percentage:
Contact Nos:  
Why do you wish to join TMI?: For good education standards and placements
What are your hobbies?: Listening melody songs
What are your strengths?: Confidence
What are your weaknesses?: Over confidence
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 ________________