APPLICATION FORM FOR MALE CANDIDATES

FOR SELECTION IN INDIAN AIR FORCE AS AGNIVEERVAYU SCIENCE SUBJECTS:

INTAKE 01/2022

Payment Status: Online Payment Success Registration No. 22060011189 Gender: Male

Candidate Name Rahul Kumar Parent Name Shankar Singh Nationality Indian

Date of Birth 16-11-2004 Marital Status UnMarried Qualification 12th

Is Qualification with Bihar School Examination

Aggregate % 73 Yes Name of Education Board
Physics/Math Board

English % 76 Maths % 74 Physics % 73

Additional Marksheet No

Mobile No. +917303343986 Email Id sing29688@gmail.com Aadhaar Card No. 835411187075

Serving IAF NC(E) No NCC Certificate Holder No SOAFP No

Discharged from A MOLE ON LEFT

No Stream Applied Science Subjects Identification Mark
Forces/Govt.
Organization SIDE OF FACE

Candidate Height 160 cm

Exam City preferences for

Gaya Chapra Muzaffarpur Patna Varanasi
phase
I

ASC preferences for phase II 10 ASC, Bihta 7 ASC, Bengaluru 5 ASC, Jodhpur 3 ASC, Kanpur 12 ASC, Secunderabad

11 ASC, Guwahati 1 ASC, Ambala

GHOSRAWAN,GHOSRAWAN,GIRIYAK,Nalanda,Bihar,8 GHOSRAWAN,GHOSRAWAN,GIRIYAK,Nalanda,Bihar,8
Permanent Address Communication Address
03115 03115

Chest Size 38 Inch Waist Size 32  Inch Shoe Size 8  No.

DECLARATION BY THE CANDIDATE Paste your

I have
read and understood all the instructions for filling this
application form. Further, I declare that 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 will produce all
original certificates and statement of marks and three Photo
photocopies of each, duly attested by me, at the time of
appearing in the phase II. 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.

Thumb Impression
Signature of the
candidate Signature of
parent/guardian

(If candidate below 18 years on the

day of filling application)

Place:PATNA

Date:25-06-2022