Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Lateral Entry - B.Tech (Marine Engineering)


Dossier ID: LTE2196251
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Manohar Singh
Mother's Name: Arundhati Devi  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 25 Oct 1997 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: Mirzapur Personal Identification Mark: cut of right hand finger
Blood Group: AB + Address for Communication: Gogahara, Jamalpur, Mirzapur Friends colony Muradnagar, Ghaziabad
State: Uttar Pradesh Country: India
Pin: 231302 City/District: Mirzapur
Mobile no: 8077825219 Telephone No. with STD code:
Aadhar Card No:692846539270 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Arundhati Devi Relationship with candidate: Mother
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Gogahara, Jamalpur, Mirzapur Friends colony Muradnagar, Ghaziabad
Country: India State: Uttar Pradesh
City/District: Mirzapur Pin: 231302
Tel: Mobile no.: 9005831963
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - 3 Years Engineering Diploma in Mechanical
Year of Passing: 2012 Year of Joining: 2015
Board: Uttar Pradesh Year of Passing: 2017
School Name: smt Deokali Inter College Board: CBSE
City: Mirzapur Name of College/Institution: Arunachal University of Studies
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 78 First year: 65
English: 74 Second year: 64
Address of School/College: Gogahara, Jamalpur, Mirzapur Friends colony Muradnagar, Ghaziabad Third year: 00
Pin: 231302 Aggregate Percentage: 65
Contact Nos:  
Why do you wish to join TMI?: good future
What are your hobbies?: playing cricket, reading
What are your strengths?: ability to cope up with different situations
What are your weaknesses?: not determined
How do you intend to meet the expenses of this program?: Bank Loan

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________