(Write Course Ser No.

as mentioned in the Advertisement)

1. Entry: (Put mark)

UES (PFY) UES (FY) TGC/PG SSC(T) SSCW(T) TES (10+2) SSCW (PG) NCC (Women)

2.

Sex (Put 3. Nationality:

(Put mark)

mark)

4. Marital Status:
Unmarried -01 Married 02 Widow - 03 Issueless Divorcee -04

Affix Self attested Photograph

Male: Female: 5.

Indian: Others:

NCC (Men) JAG

Roll Number : (For Office Use only)

6.

(a) Candidates full Name (CAPITAL LETTERS) as in Matric certificate (Leave a box blank

between two parts of name) :

(b)

Fathers Name (Leave a box blank between two parts of name):

7. Date of Birth (as in Matric Certificate.)

Day Month Year

8. Educational Qualification
10+2 Graduate B.E/B/Tech Post Graduation 01 02 03 04

9. Whether ward of Battle Casualty Yes 01 No - 02

10. No. of Attempts already made in SSB: Allahabad Bhopal Bangalore

11. TES Entry Write exact percentage of 10+2 (PCM only) In the Box
Note Percentage has to be to the nearest decimal. The practical marks obtained are to be included.

12. For UES Entry Date of Joining Engg College Probable month and year of conduct of examination:(a) Pre-final Year : Month (b) Final Year/ : Month Final Semester Year Year

Education Board CBSE-01, ICSE-02, State - 03 13. For JAG Entry (Write aggregate % of marks obtained in LLB)

(c) College & University____________________________

Note :- UES Candidates should get the certificate at the end of the form signed by VC/ Head of the Institution/ Principal of the Engineering College.

14. For AEC & MF (TGC Entry) Army Edn Corps - 01 Military Farms - 02 15. For NCC (SPL) Entry (a) NCC C Certificate Grade (Write A or B) (b) Aggregate % of Marks in Degree
(for NCC Entry)

16. For Engineering Branch SSCW (T), SSC(T) ,UES & TGC
Civil - 01 Mechanical 02 Electrical 03 Electronics 04 Computer Science- 05 Information Technology 06 Elect & Comn/Tele comm. 07 Industrial/Production/Mfg 08 Architecture 09 Chemical 10 Any Other Branch 11
Note: - Attach attested photocopies of
matric certificate (for verification of Date of Birth) and all other relevant certificates and mark sheets.

Whether you meet the eligibility for enrolment as advocate in Bar Council

Yes - 01 No - 02

17. For widows of Defence Personnel with 04 years upper age limit relaxation Graduate in any discipline 01 BE/B.Tech in streams as notified - 02

18.

Address : Write your complete present & permanent address including name in CAPITAL letters.

Present Address (Address for Communication) :. .... .District... State :PIN.....Tele/(M)......Fax ... Permanent Address: ...... .... .District... State :PIN...Tele/(M)...... ..Fax ...... E.mail : 19. Declaration
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. I have read and understood the instructions and undertake to abide by them. I hereby declare that all statements made in the application are correct and true. I undertake not to have any objections in the event of my final selection on allotment of any Arms/Service in the interest of the organisation. I have never been debarred from appearing in any examination or UPSC and nor have I been arrested or convicted by a criminal court or involved in any other case registered by Police. I undertake not to make any claim or compensation if at any stage of selection, my ineligibility is detected and my candidature is cancelled as a result thereof. This is the only application submitted for this course and any duplicate application if detected, my candidature be cancelled. Any misinterpretation and wrong declaration/concealment of information in the application will render my candidature to be cancelled and I may be debarred from this course. I have never been withdrawn from NDA, IMA or OTA or any service training academy on disciplinary grounds. I am employed with ______________________________________________________ & I have informed my employer in writing that I am applying for commission in the Army. In the eventuality of being recommended by SSB I will have no objection to be medically examined by board of Male/Female doctors, provided a lady medical officer is present (applicable only to lady cadets) I undertake to be debarred & my candidature be cancelled, if at any stage of selection I indulge in any violation of local orders concerning discipline aspects. I undertake to join any other parallel entry i.e. from TGC/UES to SSC (T), subject to availability of vacancies and agree to the terms and conditions of that entry. (Applicable to TGC and UES Entries only). I undertake not to marry till I complete the full training at the training academy, in case inducted. I also understand that in case of my final selection, my appointment will be provisional subject to satisfactory police and educational verification. In case of withdrawn from Academy cost of training @ Rs.7075 per week will be paid by me.

14.

Place : Date : Signature of Applicant Signature of Parent/Guardian (Only for TES Entry Applicants)

(FOR UNIVERSITY ENTRY SCHEMES (UES) CANDIDATES ONLY)

CERTIFICATE BY THE VICE CHANCELLOR OR REGISTRAR/DEAN OF CONCERNED FACULTY IN CASE OF UNIVERSITY STUDENTS/PRINCIPAL/HEADS OF THE TECHNICAL INSTITUTIONS

Certified that Shri_______________________________________ is studying in this University/College/Institute and that the details furnished by him in coulumn 7 and 12 of the Application Form have been checked with references to relevant records and found correct. Certified that his character so far as known to me is good. He is suitable for selection as an officer in Technical Arm/Service of the Indian Army. Place : _____________ Date : ______________ Seal Signature ________________ Designation ______________

Note : Certificate signed by Heads of Departments will not be acceptable.

INSTRUCTIONS/GUIDELINES FOR FILLING UP THE APPLICATION FORM

General Instructions
1. Candidates applying for 10+2 TES/UES/JAG/SSCW (T)/SSC(T)/NCC SPECIAL ENTRY/TGC may down load the application form from the Indian Army Website http://www.joinindianarmy.gov.in/. Before filling up the application form candidate should carefully read the respective advertisement. 2. 3. 4. The Application Form must be filled in by the candidates in their own handwriting with blue or black ink. Candidate should write the Course Ser No. as mentioned in the respective advertisement of Employment News. Candidate should affix a self attested passport size photograph.

5. Entries in the boxes will be treated as authentic and final therefore, candidate should make these entries very carefully and accurately. 6. No change in the entries made in original application will be allowed under any circumstances.

7. The candidates are advised in their own interest to ensure that the applications reach ADG Recruiting, AGs Branch Integrated HQ of Ministry of Defence (Army), West Block-III, RK Puram, New Delhi-110066 on or before the closing dates for the respective entries. Applications received after the closing date will not be considered. For UES entry, the applications should be addressed to respective Command HQrs (Refer advertisement for UES Entry as published in Employment News).

Instructions for filling up the Application Form

Column 1: Put in the respective column of Entry for which the candidate is applying. (Only one choice is applicable except UES applicants). UES Entry applicants should enter their order of preference (1, 2, 3) of entries (UES, TGC, SSC(T)) Column 2 & 3: Put in the respective box. Column 4: Write the code number in the Box. Column 5: For office use only Column 6 (a): Write in the boxes your full name in CAPITAL LETTERS as recorded in your Matric certificate (Leave a box blank between two parts of the name). Column 6(b): Write your fathers Name in CAPITAL LETTERS (Leave a box blank between two parts of the name). Column 7: Date of Birth in the format DDMMYYYY (As in Matric Certificate. Attach duly attested copy of Date of Birth Certificate, Matric Certificate as proof of Date of Birth). Column 8: Write the code number in the Box. Refer advertisement of the respective COURSE (Attach attested copy of acquired Educational Qualification). Column 9: Write the correct code number in the box Column 10: The candidate should write the number of attempts they already made in SSB centre wise. Column 11: Write exact percentage of 10+2 (PCM) inclusive of practical marks in the box. No rounding off is permitted. Percentage has to be to the nearest decimal. Write the correct code number for the Education Board from which the candidate had passed 10+2 exam. Write exact percentage obtained at the top of the covering envelope. Column 12: UES candidates should mention date of joining engineering college and probable month and year of conduct of Pre-final & Final Year examination. UES candidates should attach a certificate from the VC/Principal/Head of the Engineering College in which they are studying as mentioned in the advertisement. Column 13: Write aggregate percentage of marks to the nearest decimal also write the code number in the Box. Column 14: Write the correct code number in the box. (Applicable for Candidates of Army Education Corps & Military Farms). Column 15: (Applicable for NCC Special Entry) (a) Write A or B in the Box (b) Write aggregate percentage of marks obtained in degree, in nearest decimal place, in the box. Column 16: Write discipline code number in the Box of your Engineering Branch. Column 17: Write the correct code number in the box Column 18: Write your complete present & permanent address with Name in CAPITAL letters. Column 19: The candidate must put their signature. For TES Entry applicants, Parents/Guardians signature is required. NOTE : Application Form for all entries should be submitted in A4 size white paper only. Other wise application would be rejected.

ABBREVIATIONS: TES - TECHNICAL ENTRY SCHEME, UES - UNIVERSITY ENTRY SCHEME, JAG - JUDGE ADVOCATE GENERAL (LAW BARANCH), SSCW(T) - SHORT SERVICE COMMISSION WOMEN (TECH), SSC (T) - SHORT SERVICE COMMISSION (TECH), SSCW(PG) SHORT SERVICE COMMISSION WOMEN (POST GRADUATES) , AEC - ARMY EDUCATION CORPS, MF- MILITARY FARMS, TGC - TECHNICAL GRADUATE COURSE, PG - POST GRADUATE ENTRIES.