DECLARATION FORM

SAINIK /MILITARY SCHOOL/RIMC

Next Of Kin
(NAME OF INSTITUTION IF APPLICABLE)
RELATIONSHIP

TELE NO. ..............................................................................

GOVT/PSU/ARMED FORCES: YES/NO

PHASE I CLEARED : YES/NO BODY TATTOO:YES/NO
If yes give details-

1. CODE NO. 2. AFCAT/UPSC/Roll NO. 3. Batch No.

4. NAME ______/______/_______
5. DATE OF BIRTH
(AS IN APPLICATION) Day Month Year
6. COURSES APPLIED 7. BRANCHES OPTED FOR
8.QUALIFYING EXAM 9. MARITAL STATUS
(Basis on which applied) (Single/Married/Widow/Widower)
10. CURRENT BACKLOG (YES/NO)
11. NEAREST RAILWAY STATION TO THE PLACE OF CALLUP

12. Have you appeared earlier for Army/Navy/Air Force/Coast Guard: YES/NO. If yes give following information:

Sl. No. Previous Batch & Chest No. Place Previous Course/Branch Result (S/O,REC/NR) No of days stayed

13. Have you appeared for CPSS/INSB/PAB test earlier: YES/NO (If yes, give following details)

Batch No/Chest No Place Date Course & Result

COGNITIVE
PSYCHOMOTOR
INSB
PABT

14. For Flying Branch Candidates: (a) Have you qualified in 10+2 with Mathematics and Physics YES/NO
(b) Do you wear glasses/contact lenses: YES/NO.
15. I hereby declare that:-
1. All the details by me above are true to best of my knowledge.
2. In case any incorrect information, my candidature is liable to be cancelled.
3. The decision of IAF on eligibility condition would be final.

Place:
(Signature of the candidate)
Date: AFSB
Mobile: _______________________

Page 1 of 8
 JOURNEY PARTICULARS
BATCH No. - TICKETNo. /PNR No.-
CODE No. NAME
PLACE OF CALL UP BOARDING STATION

Fare Paid: Bus/ Railway / Air Fare (Single Way)orBus+Rail+Flight charges = Rs________
Bus/ Railway / Air Fare (Both Ways) or Bus+Rail+ Flight charges = Rs________

Note : Direct Bus/ AC III Tier Rail Fare from the place of Call Up / Boardind Station to No___.AFSB and back, whichever is lesser will be paid.

Certified that I have not appeared for the same type of entry/ course in any of the AF Selection Boards previously and I am entitled for TA/DA. I declare that the statements made in this form are true to the best of my
knowledge.

Place:

Date:
(Signature of candidate)
Address: (As given in Call Up letter):

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 CHARACTER AND ANTECEDENT CERTIFICATE

Certified that I know Mr/Ms____________________________ son/daughter of Sh__________________________ Of (address)_______________________________________. for the

last__________.years and______months. There is no antecedent, which would render him/her unsuitable in the Defence Services. He/She is married/unmarried/widower/widow with
__________children. (Write No. of children, if applicable).

Signature_________________________________________
Name_________________________________________
Designation______________________________________
Full Address______________________________________
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________

(Note: This form should be signed by the Principal of School or College or institute of candidate or a Gazetted Officer with official seal of his/ her office)

Page 3 of 8
 COURSE-CUM-PERCENTAGE CERTIFICATE

Code No____________________________

Name____________________________

Degree Name___________________Main Subject/ Stream_____________

Name of University__________________________________________________.

Percentage/CGPA
Year/Semester Marks Obtained Maximum Marks
Per semester/Year
GRADUATION
Ist Year/ Semester
IInd Year/ Semester
IIIrd Year/ Semester
IVth Year/ Semester
Vth Semester
VIth Semester
VIIth Semester
VIIIth Semester
Total Aggregate
POST GRADUATION
Ist Year/ Semester
IInd Year/ Semester
IIIrd Semester
IVth Semester
Total

Total Percentage of Marks_________% Upto__________Year/ Semester

UNDERTAKING

I______________________son/daughter of_____________Code No___________Batch No_____________do hereby declare that I meet all the eligibility criteria for the

AFCAT/CDS/NDA/SEC/Meteorology/NCC selection. I am aware that in case of any discrepancy, my candidature is liable to be cancelled at any stage.

Date:

Signature of candidate

Page 4 of 8
Batch NO: (_____)/_______

CODE NO:__________ CHEST NO:__________

FORM OF INDEMNITY BOND TO BE SIGNED BY THE

CANDIDATE OR LEGAL/NATURAL GUARDIAN
To,

The President of India

In consideration of the union of India having called me/my ward (Name etc)

______________________________________________________________________________________________________________________________________________________
(a minor of whom I am the legal/ natural guardian to appear before selection board for conducting selection tests for grant for commission in the Army/ Navy/ Air Force. I undertake
and agree that neither I nor my heirs nor my executors nor administrators will make any claim against the Union of India or against any officer or airman of the IAF or against any
person in the service of Union of India in respect of any loss or injury to me/my ward including injury resulting in my/his death which I/he may suffer as a result of or in connection
with any of the tests given to me/him at the Service Selection Board and I understand and agree that no compensation will be paid by the Union of India in respect of any such loss
or injury or death and I further agree so as to bind myself, my heirs, my executors and administrators to indemnify the Union of India, any officer or airman of the IAF and any person
in the service of the Union of India against any claim which may be made by any third party against the Union of India, or any Officer or airman or person in the service of the Union of
India, arising out of any act or default on the part of myself/minor or in connection with such tests before Service Selection Board.

Dated, the _________________________ day of ______________________201__

Signature of Witness_________________ Signature of Candidate/

Address___________________________ Legal/Natural Guardian__________________

_________________________________ Address______________________________

_________________________________ _____________________________________

Note:

1. Delete portions which are not applicable.

2. Candidate must also note that they will not be admitted to the Services Selection Board Interview without this certificate.
3. Certificate is to be signed by the candidate himself if he is above 18 years.

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 BODY TATTOO CERTIFICATE
I, _________________________________________(Name of the candidate) son/ daughter of ______________________________________(Father's name) hereby give an
undertaking that I have body tattoo/ Tattoos as per details given and shown in the photographs. I further declare that I will not have any other body tattoo in future.

Photograph of Tattoo (s)

(Post Card size)

Size-

Type-

Place:

Date: (Signature of the candidate with name)

3DJH6 RI
 CANDIDATE QUESTIONAIRE
1. Personal Details:

Board Batch Name UPSC/AFCAT Roll No DOB DD/MM/YY Height (Mts) Weight
1 AFSB

2. Entry Details:

Entry 1. NDA 2.CDSE 3.AFCAT 4.NCC 5.FTS 6. Any Other

Branch 1. Flying 2. AE (L) 3. AE (M) 4. Adm 5. Lgs 6. Accts 7. Met

3. Place of Residence:

Place District State

Place of Maximum Residence
Place of Permanent Residence

4. Educational Background:(a) Matric / Hr Sec

Institute 1. Govt 2. Pvt 3. Sanik School 4. Military School 5. RIMC 6. Any Other ____
Board 1. CBSE 2. ICSE 3. State Board 4. International 5. Any Other_____
CGPA/Percentage & Div %/ Div

(b) 10 + 2/ Equivalent

Institute 1. Govt 2. Pvt 3. Sanik School 4. Military School 5. RIMC 6. Any Other ____
Board 1. CBSE 2. ICSE 3. State Board 4. International 5. Any Other_____
CGPA/Percentage & Div % / Div

(c) Graduation

Degree 1. B Tech / BE 2. Any other __________

University 1. Central 2. Pvt 3. State 4. Any Other __________
CGPA/Percentage & Div % / Div

(d) Post Graduation

P G / Degree
University 1. Central 2. Pvt 3. State 4. Any Other __________
CGPA/Percentage & Div % / Div

5. Candidates Employment Details

Candidate’s Present occupation 1. Defence 2. Para Military 3. Govt Job 4. Pvt Job 5. Self Employed 6. Business 7. Farmer 8. Any Other ______________
Monthly Income

6. NCC Experience

Wing Junior / Senior

Service 1. Army 2.Airforce 3. Navy
Experience in Years 1. < 1Y 2. 1-2Y 3. 2-5Y 4. >5Y
Certificate Obtained 1. A 2. B 3. C

7. Parent / Guardian Details

Father Mother Guardian

1. Defense Forces 2. Para Military 3. Govt 4. Pvt Job 5. Self Employed 6.
Business 7. Farmer 8. Any Other
Education
Monthly Income

8. Previous numbers of attempts at SSB: ________________________

9. How did you get the information to join the Indian Air Force

School/ Institute Air Force Career Air Force website News Paper advertisement TV / Radio / Movie Hall /Internet Other source (Parent/ Relativesetc)

10. Have you seen Induction Publicity Exhibition Vehicle (Volvo bus): Yes/ No If Yes, any suggestion:

Date : Signature of Candidate

3DJH 7 RI
 TO WHOM SO EVER IT MAY CONCERN
It is certified that..........................S/O ................................. is a bonafide student of .............................................................(name of college) and is a final year/semester
student of . .................................................................................. (course/discipline). He has obtained...........................(aggregate percentage)/CGPA upto
………….................... (semester/year). The expected date of declaration of his final result is............................. (DD/MM/YYYY). He has no current backlog.

This college/institution is affiliated to ................................................(Name of university)

Date : Signature of Principal/Registrar

of college/University with stamp
Place :

3DJe 8 RI