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: LTE2191127 Name: Mithun kumar
  Address: No.33 Maalaikovil street Virudhunagar
Telephone No.: Mobile no: 7010534771
E-mail: mithunkumar00051@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ )
Transaction Id: 13611797345
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2191127 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: LTE2191127
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: Mithun kumar
Mother's Name: Kavitha  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 04 Oct 2002 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: Nationality: Indian

((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: Vellore Personal Identification Mark: Mole on left eyebrow
Blood Group: A + Address for Communication: No.33 Maalaikovil street Virudhunagar
State: Tamil Nadu Country: India
Pin: 626001 City/District: Virudhunagar
Mobile no: 7010534771 Telephone No. with STD code:
Aadhar Card No:485884876280 E-mail: mithunkumar00051@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kavitha Relationship with candidate: Mother
Parents Date of Birth: 03 Sep 1980 Parent's/Guardian's Occupation/Designation: Yoga Teacher
   
Office Address:
   
Address: No.33 Maalaikovil street Virudhunagar
Country: India State: Tamil Nadu
City/District: Virudhunagar Pin: 626001
Tel: Mobile no.: 8870227753
Fax: Email: udhayakavi71@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2018 Year of Joining: 2018
Board: Tamil Nadu Year of Passing: 2021
School Name: K.V.S Matric Hr Sec school Board: Tamil Nadu
City: Virudhunagar Name of College/Institution: V.S.V.N Polytechnic college
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 63 First year: 75
English: 62 Second year: 79
Address of School/College: K.V.S Matric Hr Sec School Collectorate post Virudhunagar Third year:
Pin: 626002 Aggregate Percentage:
Contact Nos: 04562252727  
Email: Kvsmatnvr@gmail.com  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
07/2016 Swimming District 3
08/2019 Yoga State 1
02/2017 Yoga District 2
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
11/2019 Industrial automation 4 days
11/2018 AutoCAD 7 days
12/2019 Multicopter design and piloting 2day
 
Why do you wish to join TMI?: I like marine Native studied there
What are your hobbies?: Swimming
What are your strengths?: Focusing towards my ambition
What are your weaknesses?: No weakness
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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