Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Electro-Technical Officers Course
(Pre-sea Training & Certification for Merchant Ships)

APPLICATION FOR ADMISSION - October 2022

Dossier ID: ETO2199322
 
Full Name (as per Passport) : Prateek Verma
Date of Birth (DD/MM/YY): 18 Jul 1999 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U8308911 Date of Expiry:
Place of Issue: BHOPAL Personal Identification Mark: Mole in left foot between the fingers

(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)

Addresses & Contact Details -

House / Building No.: EH 195 Scheme No. 54
Street /Lane: Vijay Nagar
Village / Post Office / Tehsil: Indore
City / District: Indore
State: Madhya Pradesh
PIN: 452010
Telephone No. with STD code: Mobile: 7477093846
E-mail: prateekverma1899@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: CBSE Board: CBSE
English %: 76 English %: 76
Aggregate Percentage: 76 Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 63 63
Chemistry 100 68 68
Mathematics 100 44 44
English 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 58.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: Medicaps University
Tel. No.: Tel. No.: 07969024444
Email Id.: Email Id.: indore@medicaps.com
Board: University: Medicaps University 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2021 Percentage: 66
Medium of Instruction: Medium of Instruction: English

Note: Diploma/Degree courses must be recognised by any State or Central Government or the AICTE.

Other Qualification, if any -

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? I usually like to participate in different sports activities and I love traveling and exploring new places and with all these I am also involved in drawing and sketching.
What are your strengths ? I consider my leadership skills to be one of my greatest strengths as I am a sportsperson and and I know how to lead the team and then i am very patient and respectful with others which is helping me to build strong relationships with others and then I would like to mention another strenght is that of being versatile.
What are your weaknesses ? My weakness is that I sometimes Lack confidence and another one is, I struggle saying no to others, but I am very focused on turning my weaknesses into strenghts.
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________