APPLICATION FORMAT FOR GRANT OF SHORT SERVICE COMMISSION IN THE INDIAN NAVY UNDER UNIVERSITY ENTRY SCHEME JUN

2013/2014 COURSE (to be filled by candidates who have not submitted online (e-application) for this entry) Application Number (10 Digit) (to be assigned by Naval Recruitment Team)
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1. PERSONAL PARTICULARS AS IN MARTICULATION CERTIFICATE NAME FATHER’S NAME DATE OF BIRTH GENDER 2. ADDRESS CORRESPONDENCE ADDRESS ADDRESS DISTRICT STATE PINCODE MOBILE TELEPHONE EMAIL 3. EDUCATION PARTICULARS (a) Stream of B.Tech/B.E_____________________ (b) SEMESTER Final/Prefinal. (c) AGGREGATE MARKS IN B.TECH/B.E (in %) _____________ (upto 5th semester for final year and upto 3rd semester for pre-final year). (d) Semester wise marks. Semester 1 2 3 DECLARATION 4. I hereby declare that the application form available on the website www.nausena-bharti.nic.in would be filled by me. In case, the application form is not filled and submitted by me, I would be solely responsible for the act, which can also lead to cancellation of my candidature. 5. I, hereby declare that I am unmarried male/female, governed by nationally conditions as laid down by the Government of India and have never been debarred from appearing at any examination I have never been arrested/prosecuted and convicted by a criminal court or involved in any other registered by the police. Place_________________ Date__________________ Signature___________________________ Name of Applicant____________________ Maximum Marks Marks Obtained Semester 4 5 6 Maximum Marks Marks Obtained PERMANENT ADDRESS

NOT APPLICABLE

(Men and Women) .ENGINEERING BE /B TECH .MECH / AERONAUTICAL/ AEROSPACE/ MARINE/ INDUSTRIAL & BRANCH PRODUCTION/METALLURGY/ AUTOMOBILE AND MECHATRONICS (MARINE ENGINEER) FROM RECOGNISED UNIVERSITY WITH MIN 60 % MARKS IN AGGREGATE UP TO VITH SEMESTER FOR FINAL YEAR AND FOURTH SEM FOR PRE-FINAL YEAR (Men) ELECTRICAL BRANCH BE/BTECH-ELECTRICAL/ELECTRONICS/ POWER/ TELE COMMUNICATIONS/ INSTRUMENTATION/INSTRUMENTATIONAND CONTROL/ELECTRONICS AND INSTRUMENTATION / ELECTRONICS AND COMMUNICATIONS/POWER ENGINEERING /CONTROL SYSTEM ENGINEERING/ POWER ELECTRONICS WITH MIN 60 % MARKS IN AGGREGATE UP TO VITH SEMESTER FOR FINAL YEAR AND FOURTH SEM FOR PREFINAL YEAR (Men) NAVAL ARCHITECT BE/BTECH-NAVAL ARCHITECTURE/ MECH/AERONAUTICAL/AEROSPACE/ CIVIL/ METALLURGY WITH MIN 60% MARKS IN AGGREGATE UP TO VITH SEMESTER FOR FINAL YEAR AND FOURTH SEM FOR PRE FINAL YEAR.

MIN 60 % MARKS IN AGGREGATE UP TO VITH SEMESTER FOR FINAL YEAR AND FOURTH SEM FOR PRE FINAL YEAR (Men) B E/B TECH .GENERAL SERVICE(X) B E/B TECH .COMPUTER SCIENCE ENGINEERING / INFORMATION TECHNOLOGY/ COMPUTER ENGINEERING MIN 60 % MARKS IN AGGREGATE UP TO VITH SEMESTER FOR FINAL YEAR AND FOURTH SEM FOR PRE FINAL YEAR (MEN) B E/B TECH .CIVIL AND ARCHITECTURE MIN 60 % MARKS IN AGGREGATE UP TO VITH SEMESTER FOR FINAL YEAR AND FOURTH SEM FOR PRE FINAL YEAR (Men & Women) PILOTS/OBSERVE ANY STREAM OF BE/B’TECH PHY INFORMATION TECHNOLOGY LOGISTICS (WORKS) .MECHANICAL/ MARINE/ AERONAUTICAL/ PRODUCTION/ COMPUTER SCIENCE/ENGINEERING / INFORMATION TECHNOLOGY/ CONTROL / ELECTRICAL / ELECTRONICS/ TELECOMMUNICATION MIN 60 % MARKS IN AGGREGATE UP TO VITH SEMESTER FOR FINAL YEAR AND FOURTH SEM FOR PRE FINAL YEAR (MEN) AND MATHS AT 10+2 LEVEL.

CANDITATURE INVALID WITHOUT SUCCESSFUL ONLINE REGISTRATION (B) FOR ONLINE REGISTRANTS • APPEAR FOR PRELIMINARY SELECTION WITH FOLLOWING DOCUMENTS ON DATES INTIMATED TO PLACEMENT OFFICER • ONLINE REGISTRATION APPLICATION FORM • 10TH(FOR DATE OF BIRTH PROOF ) & 12TH MARKS SHEET • SEMESTER MARKS SHEET .nausena-bharti.) FROM NAVAL TEAM • FILL ONLINE APPLICATION ON NAVAL WEBSITE www.PROCEDURE FOR UES ENTRY (A) FOR CANDIDATES NOT REGISTERED ONLINE • FILL APPLICATION FORM • NAME TO BE FILLED AS PER 10TH CLASS MARKS SHEET • OBTAIN UNIQUE NO. 12TH CLASS AND ENGINEERING MARKS SHEET DULY ATTESTED BY HODS /PRINCIPAL ALSO REQUIRED .in AND HAND OVER ONE PRINTOUT OF ONLINE APPLICATION TO PLACEMENT OFFICER AT THE EARLIEST • PLACEMENT OFFICER TO SEND APPLICATION TO SELECTION CENTRE POSITIVELY AFTER TWO DAYS BY HAND • APPEAR FOR PRELIMINARY SELECTION END SEP WITH SPECIFIED DOCUMENTS (SAME AS FOR ONLINE REGISTRANTS ) • NOTE:.UPTO 6TH SEMESTER (FOR FINAL YEAR STUDENTS) • PHOTOCOPY OF 10TH. (TEN DIGIT NO.UPTO 4TH SEMESTER (FOR PRE.nic.FINAL YEAR STUDENTS) .

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