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: LTE2190369 Name: Kanjariya Mohit purshottam
  Address: 304, Chandan park, 1 building Opp to tjs bank Anjurphata Bhiwandi
Telephone No.: Mobile no: 7972345123
E-mail: mohitkanjariya304@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ )
Transaction Id: 13534077057
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2190369 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: LTE2190369
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Kanjariya Mohit purshottam
Mother's Name: Ramila  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 16 Mar 2003 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: Bhiwandi Personal Identification Mark: Mole on left leg
Blood Group: B + Address for Communication: 304, Chandan park, 1 building Opp to tjs bank Anjurphata Bhiwandi
State: Maharashtra Country: India
Pin: 421302 City/District: Bhiwandi
Mobile no: 7972345123 Telephone No. with STD code:
Aadhar Card No:607661942574 E-mail: mohitkanjariya304@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Purshottam ravji kanjariya Relationship with candidate: Son
Parents Date of Birth: 19 Jun 1975 Parent's/Guardian's Occupation/Designation: Textile industry
   
Office Address:
   
Address: Kejal textiles Agarwal industrial estate Kariwali Bhiwandi
Country: India State: Maharashtra
City/District: Bhiwandi Pin: 421301
Tel: Mobile no.: 9320306212
Fax: Email: kejalkanjariya2233@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2018 Year of Joining: 2018
Board: Maharashtra Year of Passing: 2021
School Name: Shree halari visa oswal Vidyalaya Board: Maharashtra
City: Bhiwandi Name of College/Institution: Sandip polytechnic
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 83 First year: 88
English: 77 Second year: 88
Address of School/College: Opp to atlanta tower Anjurphata Bhiwandi Third year:
Pin: 421301 Aggregate Percentage:
Contact Nos:  
Email: oswalsikshan@gamil.com  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2020 Training course at seva automotive Worked for 3 weeks
 
Why do you wish to join TMI?: Tmi is reputated institute for marine engineering,and their faculty were good in theory as well as practical knowledge.
What are your hobbies?: to read books, to play badminton ,and to work on machines
What are your strengths?: Have good leadership skills, always positive attitude and can work hard
What are your weaknesses?: I may sometimes overhtink and can easily trust on anyone
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 ________________

 
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