Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Lateral Entry - B.Tech (Marine Engineering) 2021

Application Summary: Lateral Entry - B.Tech (Marine Engineering)
Dossier ID: LTE2199126 Name: Ella bharadwaj
  Address: Bondamunda Rourkela
Telephone No.: Mobile no: 7536916649
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ )
Transaction Id: 13866990099
Declaration: We hereby declare that all the statements made in application form against Dossier ID LTE2199126 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:, Web:
Lateral Entry - B.Tech (Marine Engineering)


Dossier ID: LTE2199126
Applicant's Personal Information:
Full Name as on Diploma Marksheet/Pass Certificate: Ella bharadwaj
Mother's Name: Ella uma  
Marital Status (Single/Married): Single Gender (M/F): Male
Date of Birth (DD/MM/YY): 27 Mar 1999 Name as per passport:Ella bharadwaj
Passport No.: SOO46842 Date of Expiry: 03 Jun 2028
Place of Issue: Bhubaneswar 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: Hyderabad Personal Identification Mark: Black mole on left hand
Blood Group: O + Address for Communication: Bondamunda Rourkela
State: Orissa Country: India
Pin: 770032 City/District: Sundargarh
Mobile no: 7536916649 Telephone No. with STD code:
Aadhar Card No:945721109781 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Ella kameshwar rao Relationship with candidate: Son
Parents Date of Birth: 10 Apr 1967 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Bondamunda Rourkela
Country: India State: Orissa
City/District: Rourkela Pin: 770032
Tel: Mobile no.: 9178933363
Fax: Email:

Education and Academic Record :

Class X: - Diploma: - 3 years Diploma in Mechanical Engineering Stream (Automobile / Machine Tools & Maintenance/Plant /Production Technology/Production Engineering/Advanced Diploma in Tool & Die making)
Year of Passing: 2015 Year of Joining: 2018
Board: CBSE Year of Passing: 2021
School Name: ST Arnolds school Board: Andhra Pradesh
City: Rourkela Name of College/Institution: Sanketika polytechnic College
Percentage of Marks Secured: Details of Marks Secured: (in percentage)
Aggregate: 66 First year: 81
English: 76 Second year: 79
Address of School/College: Bondamunda Rourkela Third year: 00
Pin: 770032 Aggregate Percentage: 00
Contact Nos: 2660365  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
01/2017 Running race School level Three times 3rd position in 1500m running
Vocational and Training Courses undertaken:
08/2018 PGDCA 1year
Why do you wish to join TMI?: This college is very good for learning new inovative ideas
What are your hobbies?: Playing cricket and listening music
What are your strengths?: Trustworthiness, creativity
What are your weaknesses?: Stammering
How do you intend to meet the expenses of this program?: Own Resources

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

Signature of Candidate



Date ________________

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