Online Application

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RTG DTE 6 Additional Directorate General Of Recruiting
Roll No. 730305 INDIAN ARMY ONLINE APPLICATION FORM FOR NON UPSC ENTRIES SSC (Tech) -39 (Commencing in Apr 2012)
Paste passport size photo dully attested by Gazetted Officer on the application to be sent to recruiting Directorate and on the application to be carried to selection centre for interview by hand

1.Sex 3.Course Serial No 4. Candidate's Full Name



P 1)Short Service Commission (Tech) -39


5.Nationality Indian

6.Marital Status


7. Date of Birth 8. (a)

31 Dec 1988 MR. (b) Mother's MRS. ANITA NANDANWAR

Father's Full NARESH Name


9. E-mail ID 10. Permanent Address Current Addr: first floor, b-133, b-block, sector-55, noida (u. p.) noida District : GAUTAM BUDDHA Address NAGAR State : Uttar Pradesh Pin : 201301 Tele(Mobile) : 9582512255 Addr: plot no. 23, slice no 1, l-2, c-sector, scheme no 78, aranya nagar, indore (m. p.) City : indore District : INDORE State : Madhya Pradesh Pin 452010 Tele(Mobile) 9582512255

11. Previous Attempt(s) at SSB : --NA-Page 1 Of 4


00 67.) (b) Branch/Stream of Computer Science & Engg/Computer Science/M.00 73.00 670.10 0.00 0.00 73./M.35 1000.00 681.00 731.00 68.00 0.00 1000.10 57.Tech.00 68.00 0.00 67./B.00 1000.00 0.00 1000.20 68.00 1000.00 64.60 1000.00 731.00 646.00 670.00 0.00 0.00 57.Tech.00 0.00 662.00 66.00 570.10 65.00 73.00 66.E.10 1000.00 0.nic.20 1000.00 0.55 1000.10 1000.00 646. Marks/Grade Obtained (Whichever applicable) Semester / Year % age of marks scored (if applicable) Cumulative %age of marks scored (upto 2 decimals) SGPA (if CGPA/DGPA % age of LAKSHMI NARAIN COLLEGE OF TECHNOLOGY RAJIV GANDHI PRODOYOGIKI UNIVERSITY Madhya Pradesh 16 Jun 2011 applicable) (Cumulative) Marks based on Cumulative Total Marks %age Total Marks Cumulative Marks Scored Marks Scored %age Grade /DGPA (upto 2 decimals) 1st Semester 2nd Semester/1st Year 3rd Semester 4th Semester/2nd Year 5th Semester 6th Semester/3rd Year 7th Semester 1000.Sc Computer Engineering (c) Date of Completion of degree/Completion of final exam (d) College name (e) University Name (f) State in which University Located 13.00 64.00 65.Online Application Page 2 of 5 12.00 67.00 570.00 680. (a) Educational Qualification Engg Grad (B.00 1000.00 680.00 662.10 http://joinindianarmy.02 65.76 66.00 681.aspx?op=1 2/6/2012 .in/ApplnMessageTGC.60 0.00 0.00 68.00 0.05 1000.00 0.00 66.00 1000.

90 83.00 0.nic.00 Page 2 Of 4 http://joinindianarmy.35 1000.00 0.00 0.Online Application Page 3 of 5 8th Semester/4th Year 9th Semester (Architecture Only) 10th Semester (Architecture Only) 1000.00 0.00 0.00 72.00 0.00 1000.00 0.00 83.00 0.00 0.90 0.00 0.00 0.00 0.00 839.00 0.00 0.aspx?op=1 2/6/2012 .00 0.00 0.00 0.00 839.

I undertake not to have any objections in the event of my final selection on allotment of any Arm/Service in the interest of the organistion. Candidates who have been penalised with an 'Year Back/Failed' by one or more year during degree course are ineligible to apply.aspx?op=1 2/6/2012 . 4. 2.Online Application Page 4 of 5 Note :1. Applying second time on line will also lead to cancellation of candidature. Declaration : 1. Certificates: (a) (b) (c) Note 1. No representation will be entertained in this aspect. Filling of cumulative %age upto 2 decimal is compulsory. Candidates are also required to carry one more ink signed copy of the application. 13. 3. Page 3 Of 4 http://joinindianarmy. Incase of colleges having grade point system. 2. paste his/her attested photograph in the space provided. candidates are requested to take a print out. a certificate as below signed by the college principal will be forwarded to Recruiting Directorate without fail :It is certified that Mr ------------has obtained cumulative grade 'X' which is equivalent to 'Y' % as per university/college rules. Any incorrect details filled in above application will lead to cancellation of candidature and suitable action will be taken against the candidate 14. It may be noted that depending upon the total number of applications received by this office for TGC/SSC (T) Men course. all original certificates along with the certificate from the college Principal regarding conversion of cumulative grade into %age of marks and with a valid proof of identity to the selection centre when called for the interview. After applying online.failing which the application will be rejected. 3. sign it in blue ink in the space provided and send it along with attested copies of the required certificates to recruiting directorate by recruitng directorate reserves the right to shortlist and to fix cut off percentage of marks for SSB interview. I have read and understood the instructions and undertake to abide by them.nic. 2. need to convert Grades into %age of marks scored. I hereby declare that all statements made in the application are correct and true. I have never been debarred from appearing in any examination or UPSC and nor have I been arrested or convicted by a criminal court or involved in any other case registered by police.Filling of final cumulative %age of marks scoredbased on the cumulative grade at the end of third year/seventh semester/fourth year (as applicable) is compulsory. his candidature will be cancelled.The Universities which have grade point system. without fail along with the attested photograph pasted on it. If a candidate does not send the said documents by the post to recruiting directorate and does not carry the above said documents to the selection center for the interview.

in case inducted. provided a lady medical officer is present (applicable only to lady cadets).nic. I have obtain permission from my employer & will be release to join army if selected for army. if at any stage of selection I indulge in any violation of local orders concerning discipline aspects. I undertake not to make any claim or compensation if at any stage of selection. Any misinterpretation and wrong declaration/concealment of information in the application will render my candidature to be cancelled and I may be debarred from this course. 10. IMA or OTA or any servic training academy on displinary grounds. my appointment will be provisional subject to satisfactory police and educational verification. I have never been withdrawn from NDA. In the eventuality of being recommended by SSB I will have no objection to be medically examined by board of Male/Female doctors. 12. I also understand that in case of my final selection. 13. I undertake not to marry till I complete the full training at the training academy. my candidature be 9. 6. This is the only application submitted for this course any duplicate application if detected. I undertake to be debarred & my candidature be cancelled. 11. Place : Date : Signature of Applicant Print Page 4 Of 4 HOME | ONLINE APPLICATION http://joinindianarmy. In case of resignation from Academy. my ineligibility is detected and my candidature is cancelled as result thereof. 7. 8.aspx?op=1 2/6/2012 .Online Application Page 5 of 5 5. cost of training will be paid by me.

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