FORM –III

NATIONAL CADET CORPS

APPLICATION FOR APPOITMENT AS AN OFFICER
(See Rule 17, 18 & 21)

1. What is your Full Name(in Block Capital) ? :

2. What is/was your father’s name & address ? :

3. Are you citizen of India or subject of Nepal? :

4. What is your village,Tehsil/Taluk & Distt ? :
5. What is your Post Office ? :
6. What is your Rly Station ? :
7. What is your Educational Qualification ? :
8. What is your Date of Birth :
9. What is present appointment ? :
10. Have you ever served in the Indian Armed :
Forces the Reserve, Indian Territorial
Force, Territorial Army, the Indian State
Forces or the Nepal State Army, if so state
in which the period of service and the
course of discharge?
11. Have you ever been convicted by a :
criminal court and if so in which
circumstances and what was the sentence
12. Are you willing to be appointed under :
National Cadet Corps Act 1948 ?
13. In which unit you desire to be appointed ? :
14. Are you willing to undergo service training :
as specified in the Act and the rules made
there under?
15. Are you willing to serve in the National :
Cadet Corps until discharged as provided in
Act ?
16. Have you ever previously applied for :
appointment under the Act and if so with
what result ?
17. Have you ever been discharged from the :
National Cadet Corps. The Territorial
Army or the Indian Armed Forces ?
18. Are you willing to obey the order of :
officers placed in a command over you and
laid down by the Commanding Officer
when you undergo training with an Armed
Forces unit as specified in sub Rule 3 of
Rule 21 ?

Signature of Applicant and date…………

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QUESTIONS TO BE ANSWERED BY THE PRINCIAL OR

HEADMASTER TO WHOM AN APPLICATION IS MADE

1. How long have you know the applicant :

2. (i) Is the applicant a permanent member of :
your teaching staff?
(ii) Since how long has he been on your :
teaching staff ?
3. What is his present job in the college/school? :
4. Has he ever served in the University
Officer’s Training Corps or national Cadet
Corps ?
(a) As a cadet :
(b) As an Officer :
(c) If in the National Cadet Corps state :
certificate obtained whilst as a cadet ?
5. What games does he play and what is his :
proficiency at them?
6. Has he the requisite physical qualifications? :
7. Do you recommend for commission in the :
National Cadet Corps?
(a) If so in whose place the officer cadet has
been selected?
(b) Has the predecessor been relinquished, if :
so indicate the DG NCC letter No and date

Signature of the Principal/Headmaster

Name of the College/School
(Town/ District)
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DECLARATION ON ACCEPTANCE OF APPLICATION

1. I solemnly declare that the answers I have given to the question in this form are true and that
no part of them is false and that I am willing to fulfill the engagement made.

2. I undertake that in case after having been commission in the corps, I desire to leave the
college/school in which is located the unit to which I am posted under Rule 23, I shall give 6
months/3 months notice in writing to the principal of my college / Headmaster of my school of my
intention to leave the college/school.

3. I understand I have no service liability.

Signature of the applicant

Certified that the applicant understands and agree to the conditions of appointment.

Signature of the Presiding Officer

Selection Board

Date
Stamp

TO BE COMPLETED BY MEDICAL OFFICER

I have examined Name_________________________________ on

date__________________ and consider him fit/unfit for employment as an officer in the National
Cadet Corps.

Signature_________________
Designation (Medical Officer)
Stamp

RECOMMENDATION OF THE CO, UNIT

 PERMANENCY CERTIFICATE

Certified that Shri__________________________________, Asst Teacher of this

College/School in borne on the strength of teaching staff and his service will continue for another
three years.

Stn: Signature of the Principal/Headmaster

Date: Name of the College/School
With stamp