Scribd Logo
Upload

Welcome to Scribd!

  • Personal Information Questionnaire: Confidential

    Uploaded by

    Ayush Hazarika
    144 views2 pages
    This document appears to be a personal information questionnaire for selection boards, likely for entry into the armed forces. It requests information over 14 items, including: 1) Personal details like name, father's name, place of residence 2) Demographic information like religion, caste, mother tongue, date of birth 3) Family details including parents' occupation and income 4) Educational history from matriculation onwards 5) Physical attributes like age, height, weight 6) Details of NCC training, games/sports played, hobbies and extracurricular activities 7) Positions of responsibility held and previous selection board interviews.

    Original Description:

    Its a Personal Interview questionare used for SSB interview

    Original Title

    PIQ_form_SSB

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document appears to be a personal information questionnaire for selection boards, likely for entry into the armed forces. It requests information over 14 items, including: 1) Personal details like name, father's name, place of residence 2) Demographic information like religion, caste, mother tongue, date of birth 3) Family details including parents' occupation and income 4) Educational history from matriculation onwards 5) Physical attributes like age, height, weight 6) Details of NCC training, games/sports played, hobbies and extracurricular activities 7) Positions of responsibility held and previous selection board interviews.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    144 views2 pages

    Personal Information Questionnaire: Confidential

    Uploaded by

    Ayush Hazarika
    This document appears to be a personal information questionnaire for selection boards, likely for entry into the armed forces. It requests information over 14 items, including: 1) Personal details like name, father's name, place of residence 2) Demographic information like religion, caste, mother tongue, date of birth 3) Family details including parents' occupation and income 4) Educational history from matriculation onwards 5) Physical attributes like age, height, weight 6) Details of NCC training, games/sports played, hobbies and extracurricular activities 7) Positions of responsibility held and previous selection board interviews.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    CONFIDENTIAL

    DIPR Questionnaire No. 107-A (Revised)


    PERSONAL INFORMATION QUESTIONNAIRE O.I.R.

    1. Selection Board (No. & Place) Batch No. Chest No. UPSC/Other Roll No.

    2. Name in Capitals (As in the matriculation Certificate)


    3. Father’s Name
    4. (a) Place of Maximum Residence (Place, District, State)
    (with approximate population of the place)

    (b) Place of Present Residence (Place, District, State)


    (with approximate population of the place)

    (c) Place of Permanent Residence (Place, District, State)


    (with approximate population of the place)
    (Whether District HQ or not)
    5. Fill in the details below:-
    State & District Religion Whether SC / ST / OBC Mother Tongue Date of Birth Married/Single/Widower

    6. (a) Parents Alive Yes/No


    (b) If not alive, your age at the time of Mother’s /Father’s death
    (c) Parents’/Guardian’s and Siblings’ Occupation/income (as applicable) :-
    Particulars Education Occupation Income per month
    Father
    Mother
    Guardian
    Elder Brother/Sister
    Elder Brother/Sister
    Younger Brother/Sister
    Younger Brother/Sister

    7. Educational Record (commencing from Matriculation/Equivalent Examination):-


    Qualification Full Name of Board/University Year Div. & Medium of Boarder/Day Outstanding
    acquired Institution Marks Instruction Scholar achievement, if
    % any
    Matric/Hr. Sec.

    10+2 Equivalent

    Graduation

    Post-
    Graduation/
    Professional
    CONFIDENTIAL

    8. Age (Years & Months) Height (in Metre) Weight (in Kilogram)

    9. Present Occupation and personal monthly income, if any

    10. (a) N.C.C. Training Yes/No


    (b) If Yes, Total Training (Give details below)

    Total Training Wing Division Certificate Obtained

    11. (a) Participation in games & sports :-


    Games/Sports Period or duration of Represented Outstanding achievement, if any
    Participation School/College/University/Other

    (b) Hobbies/Interest ____________________________________________________

    (c) Participation in extra-curricular, activities :-


    Name of the activity group Duration of Participation Outstanding achievement, if any

    (d) Position of responsibility/offices held in NCC/Scouting

    Sports Team/Extra-curricular group and other fields

    12. (a) Nature of commission _

    (b) Choice of Service _

    13. Number of chances availed for commission in all three Services _

    14. Details of all previous interviews, it any [Army/Navy/Air Force Selection Boards)

    SI. No. Type of Entry SSB No. & Place Date Chest No./Batch No.

    You might also like