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Tele/Fax: 0821-2526621 (Tuesday-Friday from 0730h to 1400h)

E-Mail ID: afsb.1964@nic.in


2 Air Force Selection Board
CV Complex
Mysore-570011

2 AFSB/3513/6/CALLUP 20 Jul 2021

UPSC No- ……………….


Name …………………….
Batch No. M-NDA(M)/…....

CALL LETTER FOR SELECTION IN 147 NDA COURSE


COMMENCING IN JAN 2022

Dear Candidate,

1. Please refer your application for the above mentioned course.

2. You are required to report at 0630 h (Morning) on your scheduled SSB date. This Call Letter along with your
Admit Card would be the authority for you to report to 2 Air Force Selection Board (2 AFSB) for Testing. The same
is to be handed over to the Board on arrival. You must report for the interview on the date, time allotted to you. Late
comers, on any account (inclusive of late running of trains/buses/airplane) will not be admitted for test. You would
be required to show your admit card, call letter and identity proof (preferably AADHAR Card) at the reporting point
(In front of Main Gate of 2 Air Force Selection Board (Mysuru), Chamundi Vihar Complex, Near Nandini Milk
Dairy, Siddhartha Nagar (PO) Mysuru-570011), keep them handy. The first day consists of Phase-II testing which
may last upto 2030hrs. You are advised to take adequate rest and come prepared for a long day of testing. You
would need to be attired appropriately in comfortable dress. You should be in possession of re-usable face
mask, face shield, pocket sanitizer, hand gloves, water bottle and COVID-19 negative report (RT-PCR Test) for
admission at this Board. Test reports of Covid-19 sample given not older than 72 hours prior to the
reporting time. On arrival, you will be checked for visible symptoms of fever, cough and Covid-19 negative
certificate. You are to be in possession of COVID-19 Negative Certificate from authorised laboratory /
hospital (Preferably RT-PCR ) obtained not earlier than 72 hours prior to reporting time at this Board. In
case of any visible symptoms you will be routed back without testing. In addition, before reporting at this Board you
must familiarize yourself and follow the latest instructions/ norms/ advisories of your home state and the state of
Karnataka. In case of any requirement of registration on state e- portal, the same must be done well in time.

3. On arrival at reporting point following would be checked:

(a) Thermal screening and checking of visible symptoms of cough & cold.
(b) Checking of self-certified undertaking regarding COVID-19 and RT-PCR negative test report.

Note: You would be escorted to the board only if you meet above requirements , else you would
be routed back from the reporting point.

4. You should satisfy all eligibility criteria as mentioned in the advertisement for the said entry. If you do not meet
the eligibility as per advertisement in employment news or you are not in possession of necessary documents (Listed
in para 6 below), you will not be accepted for tests and will be routed back without any payment of travelling
allowance.

5. You must bring with you the following documents IN ORIGINAL along with 03 Photo copies of the same.

(a) Matriculation /10th Passing certificate and Marks sheet in Original issued by the
state/CBSE/ICSE/University as proof of Date of Birth. Other documents such as exam admit cards/Transfer
Certificates etc will not be accepted as proof of date of birth.

(b) 12th Class Passing certificate and Marks sheet.


(c) Admit Card and Call Letter (In original)
(d) Valid Photo Identity Card of your School/College/ Driving License/Passport/Voter Identity Card/Aadhar
Card.
(e) Certificates of significant achievements, if any (curricular, Extra- curricular activities, sports etc.)
(f) 25 recent colour photographs.
(g) On a paper, write name, appointment, telephone number and complete postal address with Pin Code
of two trustworthy persons/ Gazetted Officers (Not a relative). The persons should know you and vouch for
your character and antecedents.
th
Note: In case candidate is studying in class 12 in the current academic year he should bring a Bonafide
Certificate from the Principal of their Institute. Specimen copy annexed. In such case, you will be required to
submit original certificate and marks sheet to Recruiting Directorate (NDA ENTRY) Army HQ latest
by 24 Dec 2021.

6. You are to bring along following forms (sent along with this call letter), pre-filled, when reporting for SSB at
this centre. The date on the form will be your date of reporting at 2 AFSB. Go through the instructions to fill the forms
before filling.

(a) Form of Indemnity Bond: If you are below 18 years of age, the Indemnity Bond should be signed by
your natural guardian (Father/Mother) and if your natural guardians are not alive, should be signed by the
legal guardian. Witness must be a person known to the parents/legal guardian who is above 18 years of age.
If candidate is above 18 years of age, Indemnity Bond certificate to be signed by the Candidate. The witness
in this case should be a person above 18 years of age known to the parents/candidate/legal guardian.
Note: Candidates below 18 years of age without proper Indemnity Bond (annexed along with this
call letter) will be routed back without testing.

(b) Declaration Form: Read the instructions before filling.

(c) Journey Particulars: Railway ticket/Bus ticket [for payment of travelling allowances (TA)]. No travel
allowance will be paid without hard copy of the journey ticket. TA will be paid to candidates travelling by
Govt Buses only. If travelled by Air, both hard copy of journey ticket and boarding pass are mandatory
for payment of TA (Amount will be restricted to actual fare equal to 3 AC class of train). No TA is admissible, if
you have already appeared for the same type of entry at any of the Selection Boards.The TA for your journey
will be paid in your bank account only through NEFT/RTGS therefore you have to bring a cancelled self-
cheque/photo copy of bank passbook in support of your bank details. The account should be in the name of
the candidate only (as mentioned in the application form).

(d) Bonafide Certificate: In case candidate is studying in class 12th in the current academic year, he
should bring a Bonafide Certificate from the Principal of their Institute. Specimen copy annexed. In such
case, you will be required to submit original certificate and marks sheet to Recruiting Directorate (NDA
ENTRY) Army HQ latest by 24 Dec 2021.

(e) Candidate Questionnaire: Read the instructions before filling.

(f) Self-certification for COVID-19.

(g) Covid-19 negative report from ICMR approved or authorized laboratory. You are to strictly
abide by the following covid related regulations.

(i) You should produce COVID-19 Negative Certificate (RT-PCR Covid test Report) for
admission to this board.

(ii) Test reports of Covid sample given more than 72 hours prior to reporting at this
board will not be admissible.

(iii) Candidate may also show the soft copy of the Covid-19 negative report while
reporting at this board. This would cater for time delay in getting the test result and
requirement to start your journey to the SSB after giving the test.

(iv) Candidate should highlight the date of report and result of the Covid-19 test.

(v) These regulations apply equally to all candidates. In case of any queries you may
call/email on the following contact details Tele 0821-2526621/afsb.1964@nic.in.

(vi) You are encouraged to preferably take at least one dose of COVID vaccination
before reporting for the SSB.
7. You should also be in possession of the following:

(a) Sufficient quantity of Masks, Sanitisers, Face Shield and gloves. The same would not be issued by the
board.

(b) At least one pair of white shirt/T-shirt, shorts/trousers/track suit, socks and a pair of sports shoes.
Bring at least one pair of formal dress and shoes for interview purpose. Bring adequate clothing requirements
for six days catering for weather conditions.
(c) Carry your belongings in a hard-shell suitcase preferably for better disinfection instead of bags.
8. You are advised to plan your arrival well in time catering for the late arrival of trains/Buses in this zone.
Candidates reporting late shall not be accepted for testing.

9. Candidates with present back log in class XII NEED NOT TO REPORT as they will be routed back without
testing.
10. Electronic gadgets (Tabs/ Laptops/Cameras external HDD/IPods/Pen Drives etc.) are strictly prohibited.
Candidates are also advised not to bring excess cash, jewellery and any other valuables.
11. You are requested to withhold your move in case you have a relative at this Board and intimate to this Board
immediately the particulars of the person concerned and wait for further instructions. Any attempts made by
candidates, their relatives or friends to influence the members of Air Force Selection Board in their favour either
verbally or in writing will result in his name being removed from the list of candidates. In all matters of discipline, the
decision of President 2 AFSB will be final and no appeal against his decision will be entertained.
12. Recommended candidates will be required to proceed to Institute of Aerospace Medicine, Bangalore for
medical examination for duration of four to seven days. This duration may vary to cater for the quarantine
requirement prevailing at that time.
13. Selection Procedure. Those who get screened in after phase I testing would be retained for further testing
and screened out candidates would be routed back on the same day around 1500-1600h. The testing schedule is in
two phases and normally for a period of six days depending upon contingencies and will be as follows:-

Schedule Activity
Phase I
Day 1 Officer Intelligence Rating Test and Picture Perception & Discussion Test,
Document Check (For Phase-II candidates) followed by Lunch.
(Candidates not recommended for Phase-II will be routed back between
1500h to 1600h.)
Phase II
Day 1 Psychological Test ( 1700hrs to 2030hrs) following by PIQ filling.
Day 2, 3 & 4 Group Tests / Interviews : 0700hrs to 1400hrs
Day 5 Group Tests/Interviews & Board Conference.
Candidates not recommended would depart after the Conference.
Candidates who are recommended would fill up documents after the Conference.
Non-flying branch candidates would depart after filling relevant forms.
Day 6 CPSS for candidates eligible for flying branch only. Document filling after CPSS for
relevant branch, as applicable.

14. Discipline. Your conduct and behavior during your stay at the Board is expected to be disciplined and
orderly. Any act of indiscipline or misconduct will lead to cancellation of your candidature. In all matters pertaining to
indiscipline and/ or misconduct, the decision of the President of the Board shall be final and no appeal against his
decision will be entertained. Should you try and influence any member of the Board directly, your candidature will be
cancelled.
15. During your stay at the board if at any point of time if you exhibit symptoms of cough, cold and fever your
testing would be terminated and you would be routed back.
16. If at any point of time (after screen in, after recommendation by SSB and before the preparation of merit list
for the entry) it is found that you do not possess or not able to produce the documents required for verifying your
eligibility for the entry, your candidature would be forfeited.
17. The responsibility of meeting the state quarantine requirements is responsibility of the candidate. Please plan
your arrival and departure accordingly. No change of date for SSB would be entertained.
Wishing you success,

--sdd-
(S Balagopal)
Wing Commander
Officer in-charge Call Up
2 AFSB, Mysore
1

2 AFSB, MYSORE

SELF CERTIFIED UNDERTAKING FOR COVID-19

Name : ........................... UPSC/AFCAT Roll No : .............. Batch No: M-.NDA(M)/..........DoB :


..............

Mode of Travel : Air/ Rail/ Bus/ Pvt Car File No/ Train No/ Public or Own Transport No
Start Date of Travel : ......................... Arrival date at 2 AFSB : ..................................

Place of Origin of Journey with address Places where journey was halted :
1. ......................... 2. ........................

3. ......................... 4. ........................

All places visited during last 21 days including any


Mobile Number : ...................................... international travel :

1. ............................. 2. ............................
Medical History during last 21 days : Any visit to COVID 19 Hospital or interaction with
COVID-19 patient : Yes / No
1. Cough : Yes / No
2. Cold : Yes / No
3. Fever : Yes / No
4. Difficulty in breathing : Yes / No

I hereby undertake the following in the event of being detected with any visible symptoms of
COVID-19 (Fever, Cough, Cold, Breathing Problem, etc) at any stage post-reporting at the AFSB:-

(a) That I will not suppress any symptoms or hide relevant info.
(b) That I will be routed back with immediate effect if detected with symptoms during
arrival/reception at the Board.
(c) That I will voluntarily withdraw my candidature if detected with symptoms during Stage-II
stay at AFSB.
(d) That I will accept the decision of Board authorities as final and binding.
(e) That I will not seek change of date or claim TA in such cases.
(f) That I will not take legal recourse against the Board's decision.

(Signature of Candidate/Parent/Legal Guardian)

**Note: In case the Candidate is below the age of 18Yrs, the Undertaking should be signed by the
Parent/Legal Guardian.
2

ADVISORY FOR COVID-19

1. Do not travel and report to AFSB, If you have any of the following :-

(a) Fever, cough, cold, breathing problem etc.

(b) In case of recent international travel history or travel to any covid hot spots or a resident
of any covid hotspot.

2. Please carry adequate quantity of personal protective gear like mask, face shield, gloves and
hand sanitizer for your duration of testing.

3. You have to mandatorily download AROGYA SETU app in your perosnal mobile at least
14 days before your date of reporting/ receipt of call letter, the safe status will be checked at the time
of reception.

4. Please strictly abide by all the DO'S and DONT'S of COVID-19 advisories issued by Govt of
India. Adhere to all the social distancing norms while travelling.

I have adhered to all the advisories on COVID-19. The information provided by me in the
undertaking / self-certification is correct. If I am found with any symptom(s) of corona virus, I
understand that I may be routed back / quarantined / admitted in local hospitals as per Govt rules.

Date: .............................. Sign of Candidate: ........................................


FORM OF INDEMNITY BOND

(TO BE SIGNED BY THE CANDIDATE OR LEGAL/NATURAL GUARDIAN)


To,
The President of India
In Consideration of the Union of India having called me/my ward
(Name) ………………………………………………………(a minor of whom I am the legal/natural
guardian) to appear before Selection Board for conducting selection tests for grant of Commission in
the Army/Navy/Air Force, I undertake and agree that neither I nor my heirs nor my executors nor
administrators will make any claim against the Union of India or against any officer or airmen of the
IAF or against any person in the service of Union of India in respect of any loss or injury to me /my
ward including injury resulting in my/his death which I/he may suffer as a result of or in connection
with any of the tests given to me/him at the service selection board and I understand and agree that
no compensation will be paid by the Union of India or by an officer or airmen of the IAF or any person
in the service of the Union of India in respect of any such loss of injury or death and I further agree so
as to bind myself, my heirs, my executors and administrators to indemnify the Union of India, any
officer or airman of the IAF and any person in the service of the Union of India against any claim
which may be made by any third party against the Union of India, or any officer or airman of the IAF
or any person in the service of the Union of India, arising out of any act or default on the part of
myself/minor or in connection with such tests before services selection board.

Dated ……day of ........................ 2021

Sign of Witness: Sign of the Candidate (if >18 Yrs)


(> 18 Yrs known to the parents/ Legal/ Natural guardian (if < 18 Yrs) :
candidate/legal guardian.)

Name: Name:
Address Address

NOTE:
1. Delete portions which are not applicable.
2. Candidates must also note that they will not be admitted to the Services Selection Board
interview without this Certificate.
3. If you are below 18 years of age, the bond should be signed by your natural guardian
(Father/Mother) and if your natural guardians are not alive, should be signed by the legal guardian.
Witness must be person known to the parents/legal guardian who is above 18 years of age. If
candidate is above 18 years of age, Indemnity Bond certificate to be signed by the Candidate. The
witness in this case should be above 18 years of age known to the parents/candidate/legal guardian.

Note: Candidates below 18 years of age without proper Indemnity Bond will be routed back.
CH NO (PH-I): 2 AFSB: DECLARATION FORM CH NO (PH-II) :

Next of Kin (Name) Relation: Contact No:


DIRECT PH –II : YES/NO S SCH/ MIL SCH/ RIMC/ AFPI/ SPI
BODY TATTOO : YES/NO (Tick)
ARMED FORCES/ GOVT/ PSU EMP : YES/NO
( IF YES, NOC) : YES/NO Name:
1. UPSC/AFCAT
NO
2. BATCH NO M-NDA(M)/
3. DATE OF BIRTH 4. NAME (as in 10th
(DD/MM/YYYY) / / pass certificate)
5. Qualifying Exam - Appearing / Appeared / Passed 8. Are you a habitual wearer of
(10+2/Graduation/Post Graduation) Glasses / Spectacles or Contact
6. Total % of marks 7. Current Backlog Lens?
YES/NO
YES/NO

FOR S/OUT & REPEATERS ONLY


Have you appeared earlier in SSB for ARMY/ NAVY/ AIR FORCE/ COAST GUARD? YES/NO
If yes, give following details (Note: write overleaf if space is inadequate):
Sl Type of Entry viz Result No. of
No Previous Batch Place & Date AFCAT/NCC/NDA/CDS/CG/ S/Out days
& Chest No. (Mandatory) UES/TES/10+2 TES/SEC/MET Not Rec stayed at
(Mandatory) Rec SSB/AFSB
1

10

10. Have you appeared for INSB/PAB/CPSS Test earlier? YES/NO If yes, give following details:
Batch No. Chest No. AFSB Centre Date CPSS/PAB Result (Put tick)
PASS/FAIL

11. I hereby declare that the statement made in this form is true to the best of my knowledge and
belief. In case of any incorrect information, my candidature is liable to be cancelled. I also understand
that the decision of the IAF on eligibility condition would be final. I have no relatives or known person
working in this Selection Board.

Date: Sign of candidate: Mob No.:


JOURNEY PARTICULARS

UPSC/AFCAT No………….…….. Batch No - M-NDA(M)/……


Name …………………………………

Address (as given in the Admit Card/Application) …...............................................................


……………………………………………………………………………………………………………………
…………………………………………….….

Nearest Railway Station to the address above………………………………………………….....

Fare Paid : Bus/Rail Fare (Onward journey): Rs………… PNR/Ticket No…………………


Bus/Rail Fare (Return journey) : Rs .................. (same amount as onward journey)
Total Amount : Rs…………

Name of the a/c holder :……………………………….. Account No. ........................................


(The a/c must be in candidate’s name only)
IFSC-.......................... Bank Name-...........................................
Branch...................................................
(Please attach a cancelled check or photocopy of the first page of your bank passbook)

Certified that I have/have not appeared for the same type of entry/course in any of the
Selection Boards previously and I am not entitled/ entitled for TA/DA. I declare that the
statements made in this form are true to the best of my knowledge and belief.

Place : 2 AFSB, Mysore


Date : Signature of Candidate

Contact No
TO WHOM IT MAY CONCERN
BONAFIDE CERTIFICATE

It is certified that ............................................... S/o ................................................ is a bonafide


student of .....................................................(name of institute) and is studying in Class……………
in the academic year… ..................... with following subjects –
(a)…………………………(b)……………………. (c)…………………………..

(d)…………………………(e)…………………….(f)……………………………

The expected date of declaration of his final result is ........................(DD/MM/YYYY).

Date : Signature of Principal with stamp

Place :
CANDIDATE QUESTIONNAIRE
CHEST NO
1. Personal Details
Board Batch No Name UPSC/AFCAT DOB Heig Weight
NO (DD/MM/YYYY) ht
(Mts)
2 AFSB M-NDA(M)/

2. Entry Details
Entry (1) NDA (2) CDSE (3) AFCAT (4) NCC (5) FTS (6) Any Other
Branch (1) Flying (2) AE(L) (3) AE(M) (4) Adm (5) Lgs (6) Accts (7) Met

3. Place of Residence
Place District State
Place of Maximum Residence
Place of Permanent Address

4. Educational Background (a) Matric/Hr Sec


Institute (1) Govt (2) Pvt (3) Saink School (4) Military School (5) RIMC (6) Any Other
Board (1) CBSE (2) ICSE (3) State Board (4) International (5) Any Other
CGPA/Percentage & Div %/ Div

(b) 10 +2/Equivalent
Institute (1) Govt (2) Pvt (3) Saink School (4) Military School (5) RIMC 6) Any Other
Board (1) CBSE (2) ICSE (3) State Board (4) International (5) Any Other
CGPA/Percentage & Div %/ Div

(c) Graduation
Degree (1) B Tech/BE (2) Any Other
University (1) Central (2) Pvt (3) State (4) Any Other
CGPA/Percentage & Div %/ Div

(d) Post Graduation


PG/Degree
University (1) Central (2) Pvt (3) State (4) Any Other
CGPA/Percentage & Div %/ Div

5. Candidate’s Employment Details:-


Candidate’s Present (1) Defence (2) Para Military (3) Govt Job (4) Pvt Job (5) Self Employed
Occupation (6) Business (7) Farmer (8) Any Other
Monthly Income Rs:

6. NCC Experience
Wing Junior/ Senior
Service (1) Army (2) Air Force (3) Navy
Experience in Years (1) <1yr (2) 1-2yr (3) 2-5 yr (4) >5yr
Certificate Obtained (1) A (2) B (3) C

7. Parents/Guardian Details Father Mother Guardian


(1) Defence Forces (2) Para Military (3) Govt (4) Pvt Job (5) Self
Employed (6) Business (7) Farmer (8) Any Other
Education
Monthly Income

8. Previous numbers of attempts at SSB:

9. How did you get the information to join the Indian Air Force

School/Institute Air Force career/Air Force News Paper TV/Radio/Movie Other


website advertisement Hall/Internet source(Parent/Relative)

10. Have you seen Induction Publicity Exhibition Vehicle (Volvo bus): Yes/No if Ýes’ any suggestion:

Date:
WILLINGNESS CERTIFICATE: NDA CANDIDATES

1. I, Name……………………………………….………… UPSC No ………………………. son of


……………………………………., candidate of NDA ………….. course having passed UPSC written
examination for NDA & NA (I/ II)- 20 ............ , hereby certify that:-

(a) I have submitted Air Force as my first choice. I understand that I would be
considered for Flying and Ground Duty (Tech and Non-Tech) Branches of IAF as per my
eligibility. In case I pass CPSS, and I am considered in the merit list, depending on
vacancies available and found medically fit for Air Force (Flying Duties), I will join the
FLYING BRANCH of the IAF.

(b) In case I fail CPSS or have failed in CPSS in an earlier attempt or am a Habitual
Wearer of Glasses (HWG) or found to be medically unfit for Air Force (Flying Duties) or
cannot be allotted Air Force Flying branch due to limitation of Flying branch vacancies in
correlation to my merit position in the final combined merit list promulgated by UPSC for NDA
& NA, I am WILLING/ UNWILLING (cut as applicable) to be considered for AIR FORCE
GROUND DUTIES.

(c) I further understand and undertake that I am willing to be considered for ANY OF THE
BRANCHES OF INDIAN AIR FORCE AS WELL AS THAT OF MY SECOND, THIRD AND
FOURTH CHOICES OF ARMED FORCES subject to my final merit position, vacancies
available and my medical fitness.

2. I have read and understood all the above mentioned paragraphs and willing to be considered
for the above mentioned choices.

( ) ( )
Signature of Parent Signature of Candidate
Date: Date:
If below 18 years If above 18 years
UNDERTAKING CERTIFICATE

I/My son will not stake a claim for Air Force Ground Duties if am unfit for Air Force Flying
Branch due to Medical [or because of being Habitual Wearer of Glass (HWG)] as my preference
at the time of filling UPSC application form was 'NO' for Air Force Duties.

Signature of candidate/Parent

Name of Parent

Name of the candidate

Relationship with candidates

UPSC Roll No.

Date: Batch/Chest No.

Place: SSB Centre:


INSTRUCTIONS FOR FILLING INDEMNITY BOND

1. Need not to bring the Indemnity Bond on a stamp paper.

2. Date mentioned should be the date on which it is being signed.

3. Sign as a candidate if you are above 18 years of age and also get it signed by your parents as
witness.

4. If you are below 18 years of age, the bond should be signed by your natural guardian
(Father/Mother) and if your natural guardians are not alive, should be signed by the legal guardian.
Witness must be person known to the parents/legal guardian who is above 18 years of age. If
candidate is above 18 years of age, Indemnity Bond certificate to be signed by the Candidate. The
witness in this case should be of above 18 years of age known to the parents/candidate/legal
guardian. Note: Candidates below 18 years of age without proper Indemnity Bond will be routed
back.

5. This form will be submitted to the staff on your arrival. You are therefore advised to bring the
form duly filled before your arrival at this Board.
INSTRUCTIONS FOR FILLING DECLARATION FORM
1. Ch No (PH-I) & CH NO (PH-II) – Leave blank
2. Next of Kin (NOK) details: NOK must be your parents. Legal guardian if parents are not alive.

3. Direct Ph-II: If you are reporting for Phase-II testing, tick yes. Otherwise, tick No.

4. Body tattoo: If you have any tattoo on any part of your body, tick yes. Otherwise, tick No.

5. Armed Forces/Govt/PSU: If you are serving in any of these, tick yes. Otherwise tick No. If
serving in any of these, bring NOC from your employer.

6. Sainik School/Military School/RIMC/AFPI/SPI: If you have studied in any of these institutes,


tick yes and specify the name of institute. Otherwise leave blank.

7. UPSC NO: Write UPSC roll number as in your admit card in the format V-NDA/XXX

8. Batch No.: Leave blank

9. Date of Birth: Write your DOB (format DD/MM/YYYY) as per 10th passing certificate.
10. Name: Write your name as in 10th passing certificate.

11. Qualifying Exam: Tick on 10+2. Write the percentage of 10+2. If you are appearing in 10+2
exam, tick appearing and strike out the rest.

12. Are you a habitual wearer of Glasses/ Spectacles or contact lens? : If you are wearing any
kind of spectacles or contact lenses, tick yes. Otherwise, tick no.

13. FOR S/OUT & REPEATERS ONLY: Those candidates who are coming for SSB for the first
time, be it in Air Force, Army, Navy or Coast Guard, are to leave the table blank. For those who have
been to any SSB centre for testing before are required to fill the data. Mandatory columns should not
be left blank. In result column, if you are screened out on Day 1 of testing write S/Out. If you are not
recommended on the day of conference, write Not Rec and if you are a recommended candidate,
write Rec. You are also required to write number of days stayed at Selection Board for that particular
attempt.
14. If you have appeared for CPSS/PAB test before, write yes. If yes, you are required to provide
the details of your CPSS/PAB. Otherwise, write no.

15. Sign the declaration form and also mention your contact number. Date mentioned should be
your date of arrival at SSB. This form will be submitted to the staff on your arrival. You are therefore
advised to bring the form duly filled before your arrival at this Board.

INSTRUCTIONS FOR FILLING JOURNEY PARTICULARS

1. Write UPSC Roll number as in admit card.

2. Write your name as in 10th passing certificate.

3. Address mentioned must be same as in UPSC admit card and application form.

4. Write nearest railway station to the above mentioned address.

5. Write fare and ticket/PNR number of your travel tickets. Make sure to attach the hard copies of
the ticket before submitting this form.

6. Sign the form. Date mentioned should be your date of arrival at SSB.
This form will be submitted to the staff on your arrival. You are therefore advised to bring the form
duly filled along with hard copy of tickets before your arrival at this Board.

INSTRUCTIONS FOR FILLING QUESTIONNAIRE

1. Questionnaire must be filled at your own. Write at the fields wherever required. Otherwise put
tick (√) in the remaining fields. Put (-) in the fields which are not applicable to you.

2. Specify numbers in table (7) and monthly income in INR. If you have seen an Air Force
Publicity Vehicle (Volvo bus carrying Air Force models inside), write yes. Also write suggestions if any.
Otherwise, write no.

3. Sign the form. Address mentioned must be same as in UPSC admit card. Date mentioned
should be your date of arrival at SSB.

4. This form will be submitted to the staff on your arrival. You are therefore advised to bring the
form duly filled before your arrival at this Board.

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