APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN AIR FORCE AS AGNIVEERVAYU

SCIENCE SUBJECTS: INTAKE 01/2023

Payment Status: Online Payment Success Registration No.: 22110296429 Gender: Male

Candidate Name Sachin Father Name Shiv Narayan Mother Name Kavita

Nationality Indian Date of Birth 05-03-2004 Marital Status UnMarried

Qualification 12th 12th Stream Science Aggregate % 94

Is Qualification with Yes Name of Education Board of School English % 95

Physics/Math Board Education
Uttarakhand Maths % 90

Physics % 93

Additional No Computer No Is higher education No

Marksheet Knowledge Completed/Pursuing

Mobile No. +919499388259 Email Id sachingoswamika Aadhaar Card No. 807659997217

gsariya@gmail.co
m Serving IAF NC(E) No

NCC Certificate No
Holder

COAFP No Driving Known Yes Driving Type LMV

Qualification in No Information No Accounting Known No
Catering Technology Known
Any Representation No
/ Achievement in
any Sports event or
discipline

Discharged from No Stream Applied Science Subjects Identification Mark A mark on palm
Forces/Govt.
Organization Candidate Height 165 cm

Exam City Chandigarh / Ambala Delhi and NCR Gurugram Jammu

preferences for Mohali
phase I

ASC preferences 1 ASC, Ambala 5 ASC, Jodhpur 3 ASC, Kanpur 12 ASC, 11 ASC, Guwahati
for phase II Secunderabad

7 ASC, Bengaluru 10 ASC, Bihta

Permanent Address HOUSE NO Communication HOUSE NO

36,KAGSAR,NARNAUND,Hisar,Haryana,1 Address 36,KAGSAR,NARNAUND,Hisar,Haryana,1
25038 25038

Domicile State Haryana Domicile District Hisar

Chest Size 75 cm Waist Size 70 cm Shoe Size 7 No.

 DECLARATION BY THE CANDIDATE Paste
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 your
the information given is found to be incorrect/incomplete/false. I will produce all original certificates and
statement of marks and three photocopies of each, duly attested by me, at the time of appearing in the phase
Photo
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.

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Impression
Signature of the candidate

Place:KAGSAR Date:22-11-2022