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: LTE2191157 Name: AVINASH JHA
  Address: H.no.109/387, Bhangar chowk, Madanpur Khadar Sarita Vihar, New Delhi
Telephone No.: Mobile no: 9958796762
E-mail: avijha205@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: ₹ 1200
Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2191157 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: LTE2191157
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: AVINASH JHA
Mother's Name: Anita Devi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 15 Aug 1999 Name as per passport:
Passport No.: Date of Expiry:
Place of Issue: New Delhi 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: Delhi Personal Identification Mark: Operation mark on right hand
Blood Group: O + Address for Communication: H.no.109/387, Bhangar chowk, Madanpur Khadar Sarita Vihar, New Delhi
State: Delhi Country: India
Pin: 110076 City/District: South Delhi
Mobile no: 9958796762 Telephone No. with STD code:
Aadhar Card No:833441406983 E-mail: avijha205@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Madan Jha Relationship with candidate: Father
Parents Date of Birth: 24 Sep 1971 Parent's/Guardian's Occupation/Designation: Supervisor
   
Office Address:
   
Address: B-54, Estocorp Pvt. Ltd. Okhla Phase-1
Country: India State: Delhi
City/District: South Delhi Pin: 110044
Tel: Mobile no.: 9773879835
Fax: Email: avinashjha17jan@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2016 Year of Joining: 2016
Board: CBSE Year of Passing: 2021
School Name: Glory Public School Board: Haryana
City: Delhi Name of College/Institution: Dpg Polytechnic College
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 60 First year: 60
English: 70 Second year: 65
Address of School/College: Glory Public School, Pocket-B, Sarita Vihar Third year: 63
Pin: 110076 Aggregate Percentage: 60
Contact Nos:  
Email: glorypublicschool@gmail.com  
 
Why do you wish to join TMI?: Because I want to pursue my dream of becoming a merchant navy officer
What are your hobbies?: Travelling and singing
What are your strengths?: Flexibility
What are your weaknesses?: Insecure
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

 

___________________

Date ________________

 
Print Summary and Application Form