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Print Date:09-09-2016 01:54 PM

INDIAN ARMY
Directorate General of Recruiting
SSC(JAG)-18/901151

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JAG Application Details

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IN

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Personal Details
1. Roll No
SSC(JAG)-18/901151
2. Post Applied For
SSC(JAG)-18
3. Candidate's Name (As per Matric
KATAM BHANU
Certificate)
4. Father's Name
KATAM SAMBAIH
5. Mother's Name
KATAM LAKSHMI
6. Date of Birth (As per Matric Certificate)
13-10-1991
7. Nationality
INDIAN
8. Gender
Male
9. Marital Status
Unmarried
10. Mobile No
9505834783
11. Email Address
kbhanu6004@gmail.com
12. Permanent Address
13. Correspondence Address
Address
katam bhanu S/O
Address
katam bhanu S/O
SAMBAIAH Door no:
SAMBAIAH Door no:
3-198-1a, i.p.g
3-198-1a, i.p.g
colony, j.g palem
colony, j.g palem
village, tenali madal,
village, tenali madal,
guntur district,
guntur district,
pin.no:522201
pin.no:522201
andhra pradesh.
andhra pradesh.
City / Town / Village tenali
City / Town / Village tenali
District
Guntur
District
Guntur
State
Andhra Pradesh
State
Andhra Pradesh
PIN
522201
PIN
522201
14. SSB Details
(a) Entry
(b) Location
(c) Year/Month
(d) Result
SSC(JAG)
Bengaluru
September-2016
Screened out

l have never been debarred from appearing at any examination nor have l ever been withdrawn from OTA on disciplinary grounds. Declaration 1. (c) Self attested copy of 12th Class Certificate & Marks sheet.00 1951. prosecuted . (a) (b) (c) (d) (e) JO IN IN DI AN City / Town State District Pin 16. No need to send any hard copy to DG Recruiting. Receipt of multiple applications from the same candidate will result in cancellation of candidature. n. I hereby declare that all the statements made in the application are true to the best of my knowledge and belief. (k) Candidates must submit only one application. ranga reddy district.00 65. (j) The second copy of the printout of online application is to be retained by the candidate for his reference.t.Print Date:09-09-2016 01:54 PM INDIAN ARMY Directorate General of Recruiting SSC(JAG)-18/901151 2016 3000. (d) Self attested copy of graduation Degree/Provisional Degree (in case of three years LLB after graduation). (e) Self attested copy of LLB Degree/Provisional Degree. BAR Council Certificate 17. sarroor nagar mandal. his candidature will be cancelled. (g) Self attested copy of registration with Bar Council of India/State/Certificate from college/University that the LLB Course in the said institution is recognized by Bar Council of India. chithra layout. Originals will be returned after verification at the Service Selection Board itself. (b) Self attested copy of Matriculation or equivalent certificate for age proof. hyderabd Telangana Ranga Reddy 500074 Yes Yes MY Education Details Year of Passing LLB Total Marks Marks Obtained Marks Percentage Obtained Name of College/Institute Address AR 15. (h) All certificates in original.r nagar. Any candidate who does not carry these entire documents for the SSB interview.03 mahatma gandhi law college beside ranga reddy district court. 2. (f) Self attested copy of Marks sheets of all years/Semesters. List of Documents to be taken for SSB:(a) One copy of the Print out of application duly signed and affix photograph self attested. nor have I ever been arrested. Whether Collage/University recognized by Bar Council of India for LLB Course 18.

my candidature be cancelled and I may be debarred permanently from applying for commission in the Armed Force. I undertake not to make any claim or compensation if at any stage of my selection. Any wilful misrepresentation of facts and concealment of information will result in cancellation of my candidature and may also debar me either permanently or for a specified period from applying for future course. or convicted by criminal court or involved in any other case registered by the police. Dept/Short Service Commission and if any duplicate application is detected. it is discovered that any attempt has been made by me to wilfully conceal or misrepresent that facts. AR 3. I also fully understand that if at any stage.Print Date:09-09-2016 01:54 PM INDIAN ARMY Directorate General of Recruiting SSC(JAG)-18/901151 5. This is the only application submitted by me for Judge Advocate General. JO IN IN DI AN 6. I affirm that all information supplied by me as above is true and correct. Place: Date:09-09-2016 Signature of Applicant . my ineligibility for candidature is detected any time my candidature is cancelled as a result thereof. MY 4. my candidature may be summarily rejected or employment terminated.