Application of Job: SAILOR [AA],SAILOR [SSR] - 02/2022

Application No: SSA222240305823 Application Date: 25/10/2021

PRIORITY

1. SAILOR [AA] 02/2022

2. SAILOR [SSR] 02/2022
Considered for AA Submarine specialisation : Yes

PERSONAL PARTICULARS

Name: RAGHVENDRA SINGH

Father's/Mother's Name: MAHESH CHAND
Guardian's Name: RAJBALA
Nationality: INDIAN
Identification Mark 1: MOLE ON CHIN
Identification Mark 2: MOLE ON RIGHT LEG
Pancard: ---------
Date of Birth: 21/02/2003

EDUCATION PARTICULARS

Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 69

Physics 100 86

Maths 100 79

Computer Science 100 85

Physical Education 100 92

Total Marks: 500 Marksheet Serial Number: 21677274

Obtained Marks: 411 State Conduct: UTTAR PRADESH
Percentage: 82.20 Board Conduct: Central Board of Secondary Education (CBSE)

Details of 10th

Total Marks: 500 Marksheet Serial Number: 0158878

Obtained Marks: 411 State Conduct: UTTAR PRADESH
Percentage: 82.20 Board Conduct: Central Board of Secondary Education (CBSE)
 MILITARY RECORD

Have you ever been enrolled in

NO
Armed Forces before?:
Have you been
discharged from
NO
Armed forces
before?:

COMMUNICATION PARTICULARS

Details of Permanent Address

KT-11 KARMYOGI NAGAR TECHMAN CITY

Address 1: Address 2: MATHURA
POST ADUKI
State: UTTAR PRADESH District: MATHURA Pincode: 281001
Domicile: UTTAR PRADESH Phone No.: 9412624875 Mobile No.: 9412624875
Rahulsingh03feb@g
Email id: paradoxrahul21feb@gmail.com Alternate Email id:
mail.com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 7906106334

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.