APPLICATIONFROMUNMARRIEDMALECANDIDATEFORSELECTIONASANAIRMANINTHE GROUPX(TECHNICAL)TRADESOFINDIANAIRFORCE Regd.No.

(Forofficialuseonly)
PASTEPHOTOGRAPHAS SPECIFIEDINPARA16(a)

FILLALLCOLUMNSINBLOCKCAPITALLETTERS 1. Choice of three Examination Centre in order of preference (CASBreservestherighttoallotaCentreotherthanpreferred) 2.NameoftheCandidate(asinMatriculationCertificate): I II III

3.FathersName(asinMatriculationCertificate): 4.DateofBirth(asinMatriculationCertificate: Day Month Year

5.MatriculationCertificateNo....Board/University..... 6.AreyousonofaservingorretiredordeceasedOfficer/Airman/NC(E)/AirForceUnitCadreCivilian?IfYES,attachproofand mentionfollowingdetails(inredink): ServiceNo/PANo Rank Name UnitServing/Lastserved

7.EducationalQualifications: ExamPassed 10+2/EquivalentExamwithPCM&EnglishOR Diploma(03Yrsin.)(NameoftheCourse) 8.Height 9.IdentificationMarks 10 . (i) (ii) 11..PermanentHomeAddress Cms YearofPassing Aggregate%ofmarksobtained %

Addressforcorrespondence

PIN 12.Nationality 13.Areyoumarried?(TickYESorNO) Yes No

PIN

14.HaveyoubeendischargedfromtheIndianAirForce/IndianArmy/IndianNavyordismissedfromanygovernmentorganisation. StateYesorNo.Ifyesgivedetails. ..
15.Declaration:(a)Iherebydeclarethatallstatementsmadeintheapplicationarecorrect.(b)IunderstandthatIamliabletobedisqualifiedat anystageiftheinformationgivenaboveisfoundtobeincorrect/incomplete/false.(c)Iundertaketoproduceallmyoriginalcertificatesandstatement ofmarksandthreephotocopiesofeach,dulyattestedbyaGazettedOfficer,atthetimeofappearingintheSelectionTest.(d)Iamwillingtoundergo physicalandmedicaltests,atmyownriskandwillnotbeentitledforanycompensationforinjuries,ifany,sustainedduringsuchtests.(e)Iamaware thatthedecisionbythePresident,CentralAirmenSelectionBoardwillbefinalandbindingonme.

Place: Date:

.. SignatureoftheCandidate ThumbImpressionhere SignatureofParent/Guardian (Name:...............)