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Office Use

Office Use

Office Use

Registration No
16023390994

1.Candidate Name

4.Date Of Birth

NAMAN KUMAR 2.Parent Name

ANANTPAL

SINGH

SINGH

10-08-2000

3.Nationality

Indian

5.Marital Status

Un Married

6.Qualification

Intermediate EPM

7.Intermediate/Voca 88

8.Name of

Diploma

9.Matric Board

UP Board of

tional/Diploma

Intermediate/vocatio

Higher School &

English %

nal/Diploma

Intermediate
Education

10.Matric Roll No

3136519

11.Aggregate

82

12.Mobile No

13.EMail Id

arpit.singh273@g

14.SOAFP

No

15.Discharged from No

mail.com
16.Stream Applied

19.Exam Center

Group-Y

ASC-3 Kanpur

Choice 1

Forces
17.Identification

BLACK MOLE

mark

ON CHEST

20.Exam Center

ASC-2 New Delhi

Choice 2

21.Exam Center

Address

UR,SINGHPUR,A Address

UR,SINGHPUR,A group XY candidate

zamgarh,Uttar

zamgarh,Uttar

Pradesh,276126,

Pradesh,276126,
26.Waist Size

ASC-10 Patna

Choice 3

RAMPUR,RAMP

82 Inch

23.Communication

18.Candidate Height 164.0cm

22.Permanent

25.Chest Size

8744909769

RAMPUR,RAMP

32 Inch

24.Preference for

Not Applicable

only

27.Shoe Size

8 No.(Bata)

DECLARATION BY THE CANDIDATE


I hereby declare that all statements made in this application are correct.I understand that I am
liable to be disqualified at any stage, if the information given is found to be
incorrect/incomplete/false. I undertake to produce all original certificates and statement of marks
and three photocopies of each, duly attested by a Gazetted Officer, at the time of appearing in the
Selection test. I am willing to undergo physical and medical test, at my own risk and will not be
entitled for compensation for injuries if any, sustained during such test. I am aware that the
decision by President, CASB will be final and binding on me.

Paste your
photograph

Signature of the candidate

Left Hand Thumb


impression
-------------------------

Signature of parent/guardian
(If candiddate below 18 yrs on the day of filling application)

Name(Gaurdian if applicable ) :
Place:

60233 90994

Date:

-----------------------Tear off and Paste on Envelope------------------- -----------------------Tear off and Paste on Envelope-------------------

To,
President
Central Airmen Selection Board
PO Box: 11807
New Delhi-110010

16023390994

60233 90994

DIPLOMA
Group-Y

82

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