TO BE FILLED IN CAPIT

(RECRUITS TO EMA

Ty. No Div. P. No.

Will be allotted at INC Chilka

1 2 3

Recruitmen t Zone Category in

(NORTH/N Which
W/ recruited(G
NE/WEST/ EAST EN/OBC/SC/
ST
12 13
 NORTH EWS

Nominee 10 th
Mobile No. (10 th ) % School
Name

22 23 24

MAHARSHI D B L
INTER COLLEGE
9198468778 90.16%
UMARI KANPUR
NAGAR

Note: - Candidates are to fill the excel shee

Chilka at email -cgcell-chilka@indiancoast
 RECRUITS PARTICULA
BE FILLED IN CAPITAL LETTERS AND HANDED OVER TO RECR
(RECRUITS TO EMAIL THIS SHEET IN EXCEL FORMAT TO cgce

Registrati on Number Rank

Name (As Per
(Roll (Ytk/Nvk(DB)/N
10thCertificate)
Number) vk(DB)

4 5 6

2302NGE0053806
ADITYA Nvk(GD)
(2303NG15401)

Leave Nearest
Station Railway
Domicile State (Village/ City Station
Name)

14 15 16
 KANPUR
CENTRAL KATHARA
UTTAR PRADESH
(KANPUR ROAD
NAGAR)

Medium of
10 th 10 th 10+2
Study for 10 th
School Board Class Stream (if any)
Name (Board
Name)
24 25 26 27

MAHARSHI D B L
INTER COLLEGE
UP BOARD HINDI SCIENCE
UMARI KANPUR
NAGAR

fill the excel sheet of recruits particular sheet availa

lka@indiancoastguard.nic.in by 31 OCT 23.
 CRUITS PARTICULAR SHEET
DED OVER TO RECRUITING STAFF ALONG WITH COPY OF ADM
L FORMAT TO cgcell-chilka@indiancoastguard.nic.in by 31 OC

Father's
Date Of Birth Religion
Name

7 8 9

PRADEEP KUMAR
15-03-2004 HINDU
TIWARI

Police
Verification
Certificate issued from Sub- PAN No.
(SP Office) Caste

17 18 19
 SOUTH COMMISSIONERATE
KANPUR NAGAR ON BRAHMIN FJHPA2143
21/10/2023

Diploma Degree
10+ 2 % Stream & Stream &
% (if any) % (if any)

28 29 30

84.60%

ular sheet available on CG website and forward the s

OCT 23.
 Encl. VIII

OPY OF ADMIT CARD)

c.in by 31 OCT 23

Permanent Address (
Cat.(G Village/ Post/ Police
EN/OB Station/ Tehsil /District/
C/SC/S State/ Pin Code to be
T) written)

10 11

VILL- JAMOO, POST-

JAMU,BIDHANOO,KANPUR
EWS
SADAR,KANPUR NAGAR,UTTAR
PRADESH,209214

Nominee Name &

PAN No. Aadhar No.
Relation

19 20 21
 PRADEEP
KUMAR
FJHPA2143H 724211953138
TIWARI
(FATHER)

Degree Ration
Stream & (Veg/ Non Veg) Remarks (if any)
% (if any)

30 31 32

VEG

ward the same to INS