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Career Air Force-India (Candidate Section)

APPLICATION FORM
AFCAT No. Candidate ISHAN Name Mobile / 7737252688, Phone Date of Birth 23 Feb 1991 Gender Postal Address Father Name Male 14/302, MADAN MOHAN GATE, AGRA UTTAR PRADESH, UTTAR PRADESH, 282002 SUDHIR CHANDRA Permanent Address Mother Name Nearest Railway Station 14/302, MADAN MOHAN GATE, AGRA UTTAR PRADESH RAJNI AGRA CANT

Primary Mark of CUT MARK NEAR RIGHT EYE Identification Pecentage Marks in Maths Marks in Physics 78 92 84

10+2 DETAILS

QUALIFICATION DETAILS Graduate College University Marks in Maths Marks in Physics Discipline Passout Date Pecentage Backlogs BIRLA INSTITUTE OF TECHNOLOGY, JAIPUR CAMPUS BIRLA INSTITUTE OF TECHNOLOGY, MESRA N/A N/A All 5/31/2014 70 0 SUBJECTS STUDIED Graduate (L 01) Physics / Engineering Physics
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Post Graduate

Post Graduate

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Career Air Force-India (Candidate Section)

(L 02) Mathematics / Engineering Mathematics (L 03) Engineering Graphics / Engineering Drawing (L 04) Electrical Engineering / Electrical technology (L 06) Microprocessors (L 07) Digital Electronics / Basic Electronic (L 08) Computer Networks (L 18) Electronic Devices COURSE'S IN ORDER OF PREFFERENCE [1] 57 SSC AE (L), [2] 85 AEC AE (L) CHOICE OF AFCAT CENTER IN ORDER OF PREFFERENCE [1] Jaipur, [2] Agra, [3] Delhi, [4] Jodhpur, [5] Chandigarh CHOICE OF AFSB CENTER [1] 1 AFSB (Dehradun) DECLARATION 1. I hereby declare that all the statements made in the applications are true to the best of my knowledge and belief. 2. I have never been debarred from appearing in any examination nor, have I ever been withdrawn from Defence training Establishments on disciplinary grounds, nor have I ever been arrested ,Prosecuted or convicted by criminal court or Involved in any other case registered by the police. 3. I undertake not to make any claim for compensation if at any stage of my selection, my ineligibility for candidature is detected and my candidature is cancelled as a result thereof. 4. This is the only application submitted by me. 5. Any willful misrepresentation of facts and concealed of information will result in the cancellation of the candidature and may debar permanently or for a specified period from applying for future courses 6. Certified that I have read and understood the advertisement and fulfill the stipulated eligibility criteria. I understand that my candidature is liable to be cancelled at any stage in case any discrepancy is noticed.

Place :- ---Date :- ----

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