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: LTE2192562 Name: PRAJWAL GOPAL NEGLOOR
  Address: TOWN POLICE QUARTERS GREEN STREET, KARWAR
Telephone No.: Mobile no: 6362401794
E-mail: prajwalnegloor20@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ )
Transaction Id: 13689447553
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2192562 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: LTE2192562
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: PRAJWAL GOPAL NEGLOOR
Mother's Name: PADMA SHANKAR DEVALI  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 28 Apr 2000 Name as per passport:PRAJWAL GOPAL NEGLOOR
Passport No.: U2621803 Date of Expiry:
Place of Issue: BENGALURU Nationality: INDIA

((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: SIRSI Personal Identification Mark: STITCH MARK ON RIGHT EYEBROW
Blood Group: B + Address for Communication: TOWN POLICE QUARTERS GREEN STREET, KARWAR
State: Karnataka Country: India
Pin: 581301 City/District: KARWAR UTTAR KANNADA
Mobile no: 6362401794 Telephone No. with STD code:
Aadhar Card No:634363246996 E-mail: prajwalnegloor20@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PADMA SHANKAR DEVALI Relationship with candidate: MOTHER
Parents Date of Birth: 11 May 1969 Parent's/Guardian's Occupation/Designation: SUB INSPECTOR OF POLICE
   
Office Address:
   
Address: KUMTA POLICE STATION KUMTA ,UTTAR KANNADA,KARNATAKA
Country: India State: Karnataka
City/District: KUMTA UTTAR KANNADA Pin: 581343
Tel: Mobile no.: 7892181964
Fax: Email: padmadevali1010@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2016 Year of Joining: 2017
Board: Karnataka Year of Passing: 2020
School Name: BALMANDIR HIGH SCHOOL KARWAR Board: Karnataka
City: KARWAR Name of College/Institution: SRI DHARMASTHALA MANJUNATHESHWARA POLYTECHNIC UJIRE
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 80 First year: 55
English: 90 Second year: 60
Address of School/College: BALMANDIR HIGH SCHOOLKARWAR KONEKAR WADA KARWAR, KARNATAKA Third year: 62
Pin: 581301 Aggregate Percentage: 62
Contact Nos:  
Email: karwarbalmandir@gmail.com  
 
Why do you wish to join TMI?: BECAUSE TMI IS ONE AMONG THE MARINE INSTITUTE IN INDIA
What are your hobbies?: PLAYING FOOTBALL
What are your strengths?: LEADERSHIP AND PROBLEM SOLVING
What are your weaknesses?: TAKING TO MANY RESPONSIBILITIES AT ONE TIME
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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