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: LTE2192599 Name: DEEPAK PATEL
  Address: VILL KARAN PO PACHPOKHARI PS NOKHA DIST ROHTAS VILL KARAN PO PACHPOKHARI PS NOKHA DIST ROHTAS
Telephone No.: Mobile no: 7543043264
E-mail: deepakpatelssm62@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ )
Transaction Id: 13695091867
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2192599 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: LTE2192599
 
Applicant's Personal Information:
 
Full Name as on Diploma Marksheet/Pass Certificate: DEEPAK PATEL
Mother's Name: RIMA KUNWAR  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 20 Feb 2001 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: SASARAM Personal Identification Mark: A MOLE ON CHIN
Blood Group: B + Address for Communication: VILL KARAN PO PACHPOKHARI PS NOKHA DIST ROHTAS VILL KARAN PO PACHPOKHARI PS NOKHA DIST ROHTAS
State: Bihar Country: India
Pin: 802217 City/District: SASARAM
Mobile no: 7543043264 Telephone No. with STD code:
Aadhar Card No: E-mail: deepakpatelssm62@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RIMA KUNWAR Relationship with candidate: MOTHER
Parents Date of Birth: 28 Feb 1974 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: VILL KARAN PO PACHPOKHARI PS NOKHA DIST ROHTAS VILL KARAN PO PACHPOKHARI PS NOKHA DIST ROHTAS
Country: India State: Bihar
City/District: sasaram Pin: 802217
Tel: Mobile no.: 6206284291
Fax: Email: reemakumarisasaram@gmail.com
 

Education and Academic Record :


Class X: - Diploma: - 3 Years Engineering Diploma in Electrical
Year of Passing: 2016 Year of Joining: 2018
Board: CBSE Year of Passing: 2021
School Name: ABR FOUNDATION SCHOOL Board: Bihar
City: SASARAM Name of College/Institution: NETAJI SUBHAS INSTITUTE OF POLYTECHNIC
   
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 77 First year: 82
English: 76 Second year: 80
Address of School/College: ABR FOUNDATION SCHOOL SHANTI NAGAR NEKRA SASARAM BIHAR Third year:
Pin: 821115 Aggregate Percentage:
Contact Nos:  
Email: prithvipalsingh111@yahoo.co.in  
 
Why do you wish to join TMI?: TMI IS ONE OF THE BEST COLLEGE IN MARINE ENGINEERING
What are your hobbies?: PLAYING CRICKET
What are your strengths?: HARD WORKING AND LEADERSHIP QUALITY
What are your weaknesses?: INTROVERT
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 ________________

 
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