INDIAN AIR FORCE

5 AIR FORCE SELECTION BOARD, GUWAHATI

CERTIFICATE
(This certificate is valid only with AFCAT Admit Card / Call letter)

1. Thisis to certify that the under mentioned candidate is called for SSB at 5 Air Force Selection
Board, Guwahati on 07 Jun 21.

Name
Date of Birth
AFCAT Roll No
Affix recent passport
size photograph

Address

2. The individual will be accommodated at 5 Air Force Selection Board, Guwahati during the
period of testing. Necessary COVID-19 protocols will be strictly adhered to during the stay of the
candidate at this Board. Also, Individual is asked to
mandatorily carry COVID-19 (RT-PCR)
certificate with QR code.

3. This certificate is issued to facilitate the movement of the candidate at airport/ railway station
/ bus station / check post of central & state governments.
4. This certificate is for the purpose of production on demand by authorities and may be
retained by the candidate till the completion of his journey.

ELEC
(MK Srivastav)
Wg Cdr
Dee: 28 M 21 OIC Call up
G Arorce Selection Board 5 AFSB
e036A 059
FOR THE USE AT 5 AFSB, GUWAHAT
The candidate has reported and moved out of 5 Air Force Selection Board, Guwahati as per
the details below

Reporting Date &Time

Departure Date & Time:

Office Seal Sign of OIC Call Up

 CAREER AIR FORCE
INDIAN AIR FORCE, Government of India

CALL UP LETTER
(Call Letter is valid only if accompanied with Original AFCAT Admit card)

AFCAT Roll No.: 2101115638 Registration No: 0121AM0082067

Applicant's Name: KUNAL JHA

Father's Name: SK JHA AFSB Centre Name & Address

5 AFSB (Guwahati)5 AIR FORCE SELECTION BOARD,
Mother's Name: CHANDA JHA VIP CHOWK, BORJHAR, GUWAHATI, ASSAM - 781015,
Reporting Point:DRDO Guest House

Date of Birth: 09-Jun-1996 Tel: 03612840015

Fax: 03612840015
Identification Mark 1: Cut Mark on Left Eyebrow
Email: 5afsb.guwahati@gmail.com
Date of Reporting: 07-Jun-2021
Present Address: S5/8, JSW Steel Vidyanagar Township,
Time of Reporting: 6:30 AM
Toranagallu, Ballari, Karnataka , 583123
(Candidates reporting late will not be accepted for testing.)

GENERAL INSTRUCTIONS
REPORTING AND TESTING AT AIR FORCE SELECTION BOARDS (AFSB)

1. Reporting: This Call Letter along with your Admit Card (Not applicable for NCC direct entry candidates)
would be the authority for you to report to the nominated Air Force Selection Board (AFSB) for Testing. The
same is to be handed over to the Board on arrival. You must report for the interview on the date,time and
address as specified above. Late comers, on any account (inclusive of late running of trains/buses/airplane)
will not be admitted for test. You would be required to show your Admit card (Not applicable for NCC/MET(as
applicable) direct entry candidates), Call letter and Identity proof (preferably AADHAR Card) at the reporting
point. Kindly keep them handy. Your mobile phone (switched-off) should be securely kept in your luggage,
which will be deposited at the AFSB. The first day consist of Phase I and II testing which lasts upto 2100 hrs.
You are advised to take adequate rest and come prepared for a long day of testing. You would need to be
attired appropriately in comfortable dress.

2. Selection Procedure: The testing schedule is in two phases and normally for a period of five to six days
and will be as follows:-
 Schedule Activity
Day 1 Phase I:Officer Intelligence Rating test, Picture Perception & Discussion Test, Document
check (for Phase II Candidates).Candidates not recommended for Phase-II will be routed
back after lunch between 1500 h-1600 h.
Psychological test: 1800 hrs to 2100 hrs (Tentative)
Day 2,3,4 Group Tests / Interviews.

Day 5 Group Tests/ Interviews/ Board Conference. Candidates not recommended would depart
after the Conference. Candidates who are recommended would fill up documents after the
conference (applicable to non-flying branch candidates).
Note for 3 & 5 AFSB candidates only:The recommended canddiates of flying branch will be
routed to 1 AFSB Dehradun / 4 AFSB ,Varanasi for CPSS testing as per the allotted dates.
Day 6 CPSS for candidates eligible for flying branch only. Document filling after CPSS for relevant
branch.

3. Documents: You are required to bring the following relevant documents for verification along with three
photocopies of document listed at 3(b), (c), (d), (e), (g), (h), (j), (k) and (m).They should be kept in a folder in
the sequence as enumerated below:-

(a) Original Admit Card (Not applicable for NCC direct entry candidates) :. In case it is not available with the
candidate, he/she is to furnish an affidavit stating the valid reason. The reason also needs to be supported by
documents like copy of FIR in case loss/theft of the same.

(b) Original Matriculation/ Secondary School Passing Certificate and Mark sheets issued by CBSE/ ICSE/
State Board/ any recognized Board indicating Date of Birth. Certificates of extra curricular activities and
achievements, if any.

(c) Original Marks Sheet & Pass Certificate of 10+2 or equivalent (issued by the relevant Board).

(d) Proof of passing the qualifying examinations:-

(i) If applying on the basis of Graduation, all semesters/ years marksheets in original. In case of computer
generated mark sheets/ photocopy of marksheet, the same must be attested by college/University Authority.
(ii) If applying on the basis of Graduation, degree certificate (Original/Provisional). In case of photocopy of
degree certificate, the same must be attested by College/ University authority.
(iii) If applying on the basis of Post Graduation, in addition to (i) & (ii) above PG degree
(Original/Provisional) with all semesters/years marksheets. In case of computer generated/photocopy of
marksheets/degree certificate, the same must be attested by College/University authority.
(iv) Bonafide certificate in case the candidate is appearing/appeared in the final year/semester of qualifying
examination. In case candidate is appearing in Final year/final semester of PG, then he/she is also to produce
documents mentioned in (i) above.

(e) The Bonafide Certificate (as per the format) should include the following:
(i) Name of the College.
(ii) Name of University.
(iii) Discipline and year/semester of Graduation/ Post Graduation being pursued.
(iv) Aggregate Percentage till last year/semester (for which the result is declared).
(f) The candidate should not have current backlog at the time of appearing for SSB interview. In case the
candidate has cleared the backlog of any semester, the same should be substantiated with original or attested
copy of mark sheet issued by College/University. Alternately, a certificate clearly mentioning the year of passing
& marks scored from the College/ University authority may be produced. Merely re-appearing in that subject will
not be construed as clearing the backlog.

(g) Original NCC ‘C’ Air Wing Certificate is mandatory for NCC Entry only.

(h) NOC from employer of candidates working in central/ State Governments or Public sector undertakings.

(j) Original valid Commercial Pilots' License, issued by DGCA, if applicable.

(k) Hard copy of Railway/Bus Tickets and a cancelled cheque/photocopy of first page of bank passbook
with details of account, IFSC Code to be submitted for ensuring digital payments (for refund of Travelling
Allowances). The bank account should be in the name of the candidate only.

(l) Proof of Identity:Candidates to bring valid photo ID along with a photo copy.Following shall be accepted as
proof of identity.
(i) Aadhar Card.
(ii) Indian Passport.
(iii) Voter Identity Card.
(iv) Driving License.
(v) PAN Card.
(vi) College ID(Valid only for appearing candidates in final year/semester).

(m) Candidates (if recommended) should, preferably, provide details of two Gazetted Officers or trustworthy
persons (not in blood relation) and residing in their place of residence and who know them personally to facilitate
verification.

(n) Candidates are also advised to bring twenty five copies of recent passport size colour photographs taken in
light coloured clothes against white background.The candidate should be visible in the full face and both ears in
photograph.

4. Requisites: You are advised to bring the following items for the purpose of testing.
(a) Dress for testing are as follows:-
(i) Group Test:One pair of White Shirt/T-Shirt,Shorts/Trouser/Track Suit,Socks and a pair of sports
shoes.Women candidates may bring dark coloured Shorts/Trouser/track pants/Salwar suit.
(ii) Interview:Two pairs of formal dress.(Plain light coloured shirt with or without tie,dark colour
trousers,formal shoes with laces). For women candidates, any formal dress would do.
(iii) Mess Premises:Formal dress.
(iv) Liberty (going out of the premises of AFSB):Formal/Casual decent dress.Medium size lock to safeguard
your personal luggage.
(b) Adequate writing material (Pens and lead pencils).

5. Boarding and Lodging:Free boarding and lodging will be provided only to the candidate at the Board for the
period of testing.
7. Medical Examination:Recommended candidates will be required to proceed to Air Force Central Medical
Establishment, New Delhi or Institute of Aerospace Medicine, Bangalore for medical examination for a duration
of four to seven days. It may be noted that the Air Force Medical Board/ Services Medical Board is the final
authority while deciding the medical fitness for joining the Indian Air Force.You are required to see the
details about Medical Standards on our website,www.afcat.cdac.in In case of not meeting the eligibility
as given in the advertisement/website, you shall be returned from the Selection Board without testing
and no reimbursement of TA.

8. Discipline:Your conduct and behaviour during your stay at the Board is expected to be disciplined and
orderly. Any act of indiscipline or misconduct will lead to cancellation of your candidature. In all matters
pertaining to indiscipline and/ or misconduct, the decision of the President of the Board shall be final and no
appeal against his decision will be entertained. Should you try and influence any member of the Board directly
or indirectly, your candidature will be cancelled.

9. General:No facility exists at AFSBs for safe custody of cash and valuables.Therefore, do not bring any
valuables or excess money. Candidates are not permitted to carry their mobile phones, laptops, cameras or
any other electronic gadgets inside the Selection Board premises. If brought the same would be deposited on
Day 1 and returned during departure. If found having the prohibited items mentioned above, during your stay,
your candidature will be cancelled and you shall be returned without further testing. You are advised to plan
your arrival well in time catering for the late arrival of train/bus in this zone. Candidates reporting late will not be
accepted for testing. Candidates are advised to plan their departure after 2200h on Day 5 or 6, as applicable
with respect to the branch applied for.

10. Warning:You should withhold your move,in case you have a relative,who is posted at this Board. Inform us
the particulars of the person concerned immediately and await further instructions.

11. All correspondence (preferably e-mail) with regard to this Call Letter should be addressed to the President
of the Board giving full details,including AFCAT No, Name, Date of Birth & Date of Reporting etc. A softcopy of
call letter is also to be attached.

12. Queries, if any will be entertained on telephone between 0800h to 1330h from Tuesday to Friday and also
on our e-mail ID.

13. Physical Fitness:You are to be physically fit when you report for SSB. It is recommended that you start
with physical fitness regime to be able to undergo tests at AFSBs.

14. (a) Candidates are to take printout (in separate sheets of A-4 size paper) of the following forms provided
under candidate log in at afcat.cdac.in and bring these forms duly filled to AFSB for testing. The forms will
not be provided at AFSB. You have to mandatorily carry these forms duly filled in all aspect.
(i) Declaration Form
(ii) Candidate Questionnaire
(iii) Journey particulars
(iv) Bonafide /CGPA to Percentage Conversion Certificate

(b) In case of any query contact concerned AFSB. The telephone number and e-mail address is mentioned
on the first page of Call Letter.

(c) These instructions are general in nature. The instructions contained in the Advertisement for your
15. Check List: You are required to do a self check of the following before you report for SSB:

Available
Sr.No. Reference Documents Remarks
Yes No

(a) 3(a) Original Admit Card (Not applicable for If lost, FIR and Affidavit for the
NCC direct entry candidates) of AFCAT same to be brought
with signature of IO/ Invigilator and

(b) -- Call Up Letter (Downloaded from CDAC

website under individual log-in).

(c) 3(1) Original and Photocopy of valid ID proof Mandatory

as mentioned in call up letter

(d) 3(b) Original and Photocopy of Matriculation/ Mandatory. If submitted with

10 th Standard Pass Certificate and any organization, photocopy of
Marks sheet. the same needs to be attested
Note:In case of any mismatch of Date of by the same organization head.
Birth between AFCAT Application and
10th passing certificate, the candidate is
advised not to report for SSB and inform

(e) 3(c) Original and Photocopy of Secondary

School/ 12 th Standard Pass Certificate
and Marks sheet.

(f) 3(d) (i) & (iii) Original and Photocopy of all semester/
year Marksheet (Graduation/ Post
Graduation)

(g) 3(d) (i) & (iii) Original and Photocopy of Degree/ PG

Certificate

(h) 3(d) (iv) & Bonafide Certificate (If applicable). As per format available under
3(e) candidate log-in.

(j) 3(g) Original and Photocopy of NCC C Mandatory.

Certificate (Air Wing) for NCC direct

(k) 3(h) NOC, if working in Central/ State Govt. or Mandatory.

PSUs.

(l) 3(m) Name and address of two trustworthy

persons/ Gazetted officers.

(m) 3(n) 24 recent colour passport photographs.

(n) 14 Printout in A-4 size single paper

(separate sheets for each form) & to be
pre-filled before reporting for SSB.

3 (k) & 6 (i) Declaration Form

(ii) Candidate Questionnaire

(iii) Journey Particulars Form (Attach The bank account should be in

original tickets and a copy of first page of your name.
bank passbook or cancelled check).
 Batch No: Ch No Ph-I AFCAT/UPSC NO: Name:

CHECK LIST: 5 AFSB, GUWAHATI

You are required to do a self-check of the following before you report for SSB and show this check list
on arrival for testing.

Available Remarks
Sl No Documents
Yes No
Call Up Letter (Downloaded from CDAC website
1 Mandatory
under individual log-in).
Mandatory
App downloaded and kept
2 Aarogya Setu App, safe status
active at least 15 days before
reporting date.
Original Admit Card of AFCAT with signature of Mandatory for all candidates
3 IO/Invigilator and stamp of exam centre. (For (except MET and NCC entry)
AFCAT candidates only) If lost, FIR and Affidavit for the
same to be brought.
Original and Photocopy of Matriculation /
10th Standard Pass Certificate and Marks sheet.
Note. In case of any mismatch of Date of Birth Mandatory.
4
between AFCAT Application and 10th passing
certificate, the candidate is advised not to report If submitted with any institution /
for SSB and inform the concerned AFSB. organization, photocopy of the
Original and Photocopy of Secondary School / same needs to be attested by the
5 12th Standard Pass Certificate and Marks sheet. same head of the institution /
Original & photocopy of all semester / organisation along with rubber
6
year marksheet (Graduation / Post Graduation). stamp / seal of the where the
Original / provisional and photocopy of Degree /PG documents are deposited.
7 Certificate (must be issued by university only).
Bonafide Certificate for candidates appearing / As per format sent along with
8
pursuing Graduation / PG (If applicable). mandatory forms.
Original and Photocopy of NCC C Certificate (Air
9 Mandatory for all candidates
Wing, Senior Division) for NCC direct entry
applied through NCC direct entry,
candidates.
10 NOC, if working in Central / State Govt or PSUs. Mandatory
Original and Photocopy of valid ID proof as
11 Mandatory
mentioned in call up letter.
Name and address of two trustworthy persons
12 / Gazetted officers. Mandatory. To be available before
commencement of testing.
13 25 recent colour passport photographs with light Mandatory. All photographs must
color cloths and light background. be of same type.
Journey Particulars Form (Attach original tickets
The bank account should be in
14 and a copy of first page of bank passbook or
the name of the candidate.
canceled check).
As per format sent along with
mandatory forms.
Printout of all forms in A-4 size single paper
15 (separate sheets for each form) and to be pre-filled Mandatory. As per format sent
before reporting for SSB. along with mandatory forms.
Sending soft copy of declaration form and course
cum percentage certificate (the file should be a pdf
16 /word file and named with your AFCAT Roll number Mandatory
available in your call letter) to
5afsb.guwahati@gmail.com by due date.
17 Covid-19 undertaking (As per attached format) Mandatory. As per format sent
along with mandatory forms.
18 COVID RT-PCR negative certificate Mandatory

Note: You have to ensure that you have studied the subjects as specified in AFCAT notification for
specific branch with the minimum percentage of marks mentioned in the notification. Candidates
having discrepancy will be routed back without testing.
 ……. AFSB,……………….

SELF CERTIFIED UNDERTAKING FOR COVID-19

Name…………………...AFCAT Roll No………………..Batch no. AFCAT……………..DOB……..

Mode of Travel: Air/ Rail/ Bus/ Pvt Car Flt No/ Train No/ Public or Own Transport No.
Start Date of Travel :………………………. Arrival date at … AFSB :……………………..
Place of Origin of Journey with address Place where journey was halted:

1…………………….....2……………………….

3………………………..4……………………

Mobile Number………………………………. All places visited during last 21 days including any
international travel:
1………………………..2……………………….

Medical History during last 21 days: Any visit to COVID-19 Hospital or interaction with
COVID-19 patient : Yes / No
1. Cough : Yes / No
2. Cold : Yes / No
3. Fever : Yes / No
4. Difficulty in breathing : Yes / No

I hereby undertake the following in the event of being detected with any visible symptoms
of COVID-19 (Fever, Cough, Cold, Breathing Problem, etc) at any stage post-reporting at the
AFSB:-

(a) That I will not suppress any symptoms or hide relevant info.
(b) That I will be routed back with immediate effect if detected with symptoms during
arrival/ reception at the Board.
(c) That I will voluntarily withdraw my candidature if detected with symptoms during
Stage-II stay at AFSB.
(d) That I will accept the decision of Board authorities as final and binding.
(e) That I will not seek change of date or claim TA in such cases.
(f) That I will not take legal recourse against the Board's decision.

---------------------------------
(Signature of Candidate/ Parent/ Legal Guardian)

** Note:- In case the Candidate is below the age of 18 years, the undertaking should be
signed by the Parent/ Legal Guardian.
 ADVISORY FOR COVID-19

1. Do not travel and report to AFSB, if you have any of the following:-

(a) Fever, cough, cold, breathing problem etc.

(b) In case of recent international travel history or travel to any COVID hot spots or a
resident of any COVID hotspot.

2. Please carry adequate quantity of personal protective gear like mask, face shield, gloves
and hand sanitizer for your duration of testing.

3. You have to mandatorily download AROGYA SETU app in your personal mobile at
least 14 days before your date of reporting / receipt of call letter, the safe status will be checked
at the time of reception.

4. Please strictly abide by all DO'S and DONT'S of COVID-19 advisories issued by Govt of
India. Adhere to all the social distancing norms while travelling.

I have adhered to all the advisories on COVID-19. The information provided by me in the
undertaking / self-certification is correct. If I am found with any symptom(s) of corona virus, I
understand that I may be routed back / quarantined / admitted in local hospitals as per Govt rules.

Date :……………… Sign of Candidate

CH NO (PH-I): DECLARATION FORM CH NO (PH-II) :

1. UPSC/AFCAT NO ………………... 2. BATCH NO: GU-AFCAT(M)/517

4. NAME (as in 10th pass certificate)
3. DATE OF BIRTH / /
(DD/MM/YYYY) (dd) / (mm) / (yyyy)
5. Qualifying Exam - Appearing / Appeared / Passed 8. Are you a habitual wearer of Glasses /
Graduation Spectacles or Contact Lens?
6. Total % of marks (PUT TICK)
7. Current Backlog YES/NO YES / NO
BODY TATTOO : YES/NO SAINIK SCHOOL:
ARMED FORCES/ GOVT/ PSU EMP : YES/NO MIL SCH :
( IF YES, NOC) : YES/NO RIMC:
AFPI/ SPI :

RT-PCR COVID-19 test Negative Report Mandatory on arrival

Next of Kin (Name) Relation: Contact No:

FOR S/OUT & REPEATERS ONLY

9. Have you appeared earlier in SSB for ARMY/ NAVY/ AIR FORCE/ COAST GUARD?
YES/NO If yes, give following details (Note: write overleaf if space is inadequate):
Sl No Type of Entry viz Result
No. of days
Previous Batch Place & Date AFCAT/NCC/NDA/CDS/CG/ S/Out stayed at
& Chest No. (Mandatory) UES/TES/10+2 TES/SEC/MET Not Rec
SSB/AFSB
(Mandatory) Rec
1

10

10. Have you appeared for INSB/PAB/CPSS Test earlier? YES/NO If yes, give following details:
Batch No. Chest No. AFSB Centre Date CPSS/PAB Result (Put tick)
PASS / FAIL

11. I hereby declare that the statement made in this form is true to the best of my knowledge and
belief. In case of any incorrect information, my candidature is liable to be cancelled. I also understand
that the decision of the IAF on eligibility condition would be final. I have no relatives or known person
working in this Selection Board.

Date: Sign of candidate: Mob No.:

 JOURNEY PARTICULARS

UPSC/AFCAT No: ……….…….…….. Batch No – ………………….. Name ……………………………….

Address of candidates (as given in the Application/Call Letter)

………………………………….…………………………………………………………………………………...

……………………………………………………………………………………………………………………….

Nearest Railway Station to the address above…………………………………………………..………

Fare Paid : Bus/Rail Fare (Onward journey) : Rs………… PNR/Ticket No…………..………………

Bus/Rail Fare (Return journey) : Rs ............... (same amount as onward journey)
Total Amount : Rs…………

Name of the a/c holder :………………………………… Account No. ..........................................

(The a/c must be in candidate’s name only)

IFSC- .......................... Bank Name-.................................................................

Branch...................................................

NOTE: Candidates having account in recently merged banks must provide the updated IFSC code.

Please attach the following documents with this form:

1. Hard copy of ticket travelled
2. a cancelled check or photocopy of the first page of your bank passbook

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

Place : Signature of Candidate

Date : Mob:
e-mail:
 CANDIDATE QUESTIONNAIRE
1. Personal Details:
UPSC/AFCAT DOB Heigh Weigh
Board Batch Name (In Capital)
Roll No DD/MM/YY t t(Kgs)
(Cms
)

2. Entry Details:
Entry 1. NDA 2. CDSE 3.AFCAT 4. NCC 5. FTS 6. Any Other
Batch 1. Flying 2. AE(L) 3. AE(M) 4. Adm 5. Lgs 6. Accts 7. MET
8. Edn

3. Place of Residence:
Plac District Stat
e e
Place of Maximum Residence
Place of Permanent Residence

4. Educational Background:
(a) Matric / Hr Sec
Institute 1. Govt 2. Pvt 3. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentag % Divisio
e n

(b) 10 + 2/ Equivalent
Institute 1. Govt 2. Pvt 3. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentage % Division

(c) Graduation
Degree 1. B.Tech/BE 2. Any other
University 1. Centre 2. Private 3. State 4. Any other
Percentage % Division
(d) Post Graduation
PG Degree 1. Technical 2. Any other
University 1. Centre 2. Private 3. State 4. Any other
Percentage % Division
5. Candidate’s Employment Details
Candidates 1. Defence 2. Para Military 3. Govt 4. Private 5.Self Employed
Present 6.Business 7. Farmer 8. Any other
Occupation
Monthly Income in Rs. Rs.
6. NCC Experience
Wing 1. Junior 2. Senior
Service 1. Army 2. Air Force 3. Navy
Experience in 1. <1Year 2. 1-2 Year 3. 2-5 Year 4. 5-6 Year
Years
Certificate Obtained 1. A 2. B 3. C
7. Parent / Guardian Details
Father Mother
1. Defence Forces 2. Para Military 3. Govt 4. Private
5. Self Employed 6. Business 7. Farmer 8. Any other
1. Illiterate 2. Primary 3. Higher Primary 4. Matric/10th
5. 10+2/Diploma 6. Graduate 7. Post Graduate 8. M. Phil 9. Ph.D
Monthly Income in Rs.

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 News Paper TV/Radio/Movie/Internet Other Source
Website Advertisement (Parent/Relative
etc)

10. Have you seen Induction Publicity Exhibition Vehicle (Volvo bus)? YES/NO, if YES any suggestion.

Date: Signature of Candidate

CHEST NO PHASE-I : CHEST NO PHASE-II :
COURSE CUM PERCENTAGE CERTIFICATE
(TO BE SUBMITTED ON ARRIVAL AT AFSBs)

Name :……………………………………………………. AFCAT No……………………………

GRADUATION (QUALIFYING)
Name of Degree : Stream/ Branch :
Name of University :
Original Degree Certificate No: dated:
Provisional Degree Certificate No: dated:

YEAR/ SEMESTER MAX MARKS / SGPA OBTAINED MARKS / SGPA PERCENTAGE

Ist Year/ Semester
IInd Year/ Semester
IIIrd Year/ Semester
IVth Year/ Semester
Vth Year/ Semester
VIth Year/ Semester
VIIth Year/ Semester
VIIIth Year/ Semester

Total Percentage of Marks………………. % up to .......................................... Year/ Semester

POST GRADUATION
Name of Degree : Stream/ Branch :
Name of University :
Original Degree Certificate No: dated:
Provisional Degree Certificate No: dated:
YEAR/ SEMESTER MAX MARKS / SGPA OBTAINED MARKS / SGPA PERCENTAGE
Ist Year/ Semester
IInd Year/ Semester
IIIrd Year/ Semester
IVth Year/ Semester

UNDERTAKING

I, …………………………. son/daughter of ………………………………. Batch No. D-………………

do hereby certify that I meet all the eligibility criteria for SSB. I am aware that in case of any
discrepancy, my candidature is liable to be cancelled at any stage.

Date:

Place: 1 AFSB, Dehradun ……………………….

(Sign of candidate)
 5 AFSB, GUWAHATI

SELF CERTIFIED UNDERTAKING FOR COVID-19

Name…………………...AFCAT Roll No …….…………..Batch No. ………………..DOB……….....

Mode of Travel: Air/ Rail/ Bus/ Pvt Car Flt No/ Train No/ Public or Own Transport No.
Start Date of Travel :………………………. Arrival date at 1 AFSB :……………………..
Place of Origin of Journey with address Place where journey was halted:

1…………………….....2………………………

3………………………..4……………………
Mobile Number………………………………. All places visited during last 21 days including
any international travel:
1………………………..2……………………….

Medical History during last 21 days: Any visit to COVID-19 Hospital or

interaction with COVID-19 patient :
1. Cough : Yes / No
2. Cold : Yes / No Yes / No
3. Fever : Yes / No
4. Difficulty in breathing : Yes / No

I hereby undertake the following in the event of being detected with any visible symptoms
of COVID-19 (Fever, Cough, Cold, Breathing Problem, etc) at any stage post-reporting at the
AFSB:-

(a) That I will not suppress any symptoms or hide relevant info.
(b) That I will be routed back with immediate effect if detected with symptoms during
arrival/ reception at the Board without fresh date.
(c) That I will voluntarily withdraw my candidature if detected with symptoms during
Stage-II stay at AFSB.
(d) That I will accept the decision of Board authorities as final and binding.
(e) That I will not seek change of date or claim TA in such cases.
(f) That I will not take legal recourse against the Board's decision.

---------------------------------
(Signature of Candidate/ Parent/ Legal Guardian)

** Note:- In case the Candidate is below the age of 18 years, the undertaking should be
signed by the Parent/ Legal Guardian.
 ADVISORY FOR COVID-19

1. Please carry adequate quantity of personal protective gear like mask, face
shield, gloves and hand sanitiser for your duration of testing.

2. You have to mandatorily download AROGYA SETU app in your personal

mobile at least 14 days before your date of reporting / receipt of call letter, the safe
status will be checked at the time of reception.

3. Please strictly abide by all DO'S and DONT'S of COVID-19 advisories issued by
Govt of India. Adhere to all the social distancing norms while traveling.

I have adhered to all the advisories on COVID-19. The information provided by me in the
undertaking/self- certification is correct. If I am found with any symptom(s) of corona virus, I
understand that I may be routed back (without fresh date)/quarantined/admitted in local hospital as per
Govt rules.

Date :……………… Sign of Candidate

 Chest No. Ph I : ………… Chest No. Ph II : ………...

FORM OF INDEMNITY BOND

To,

The President of India

In Consideration of the Union of India having called me / my ward (Name)

……………………………………………………… (a minor of whom I am the legal/natural
guardian) to appear before Selection Board for conducting selection tests for grant of
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 airmen 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 or by an officer or airmen of the IAF or any person in the service of the Union of India
in respect of any such loss of 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 of the IAF or any
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 services selection board.

Dated ……day of......................2021 (Date must be the date on which the document
is signed)

Signature of Witness: Signature of Candidate / Natural / Legal

Guardian

Name: Name:

Address: Address:

NOTE: 1. Delete portions which are not applicable.

2. Candidates must also note that they will not be admitted to the Services Selection Board
interview without this Certificate.

3. Witness must be a person above 18 years of age, known to you.

 TO WHOM IT MAY CONCERN
BONAFIDE/CONVERSION CERTIFICATE

1. This is to certify that ………………………………….. (Name of the student) is a bonafide student of

(college/institute). He is currently studying/appeared in …………… (Semester/Year) of
…………………………. (Name of the course)
2. The student has no current backlogs.
3. His / her result will be declared by ……………………… (MM/YY)
4. His / her percentage of marks till …………… (Sem/Yr) is …………….. (in case of CGPA/SGPA
equivalent percentage to be stated)
5. CGPA/SGPA to Percentage Conversion formula for the above mentioned course:

……………………………………………………………………

Note: In case no conversion formula exists, it should be clearly mentioned. Please strike out
Columns which are not applicable.

Affix College/University seal Signature of Principal/

Director/Registrar with Official stamp
Date:
 (Each form should be printed in separate A-4 size single paper)
INSTRUCTIONS FOR FILLING DECLARATION FORM

1. Write the No. and place of the AFSB to which you are required to report on top of each
form.
2. Ch No (PH-I) & CH NO (PH-II) – Leave blank
3. Next of Kin (NOK) details: NOK must be your parents or legal guardian, if parents are not
alive.
4. Direct Ph-II: If you are reporting directly for Phase-II testing, tick yes. Otherwise, tick No.
5. Body tattoo: If you have any tattoo on any part of your body, tick yes. Otherwise, tick No.
6.Armed Forces/Govt/PSU: If you are serving in any of these, tick yes. Otherwise tick No. If serving
in any of these, bring NOC from your employer (mandatory).
7. Sainik School/Military School/RIMC/AFPI/SPI: If you have studied in any of these institutes,
tickyes and specify the name of institute. Otherwise leave blank.
8. AFCAT NO: Write AFCAT Roll number as in your call up letter (09 digit
number).9.Batch No: Leave blank
10. Date of Birth: Write your DOB (format DD/MM/YYYY) as per 10th passing certificate.
11. Name: Write your name as in 10th passing certificate.
12. Qualifying Exam: Tick on graduation/Post graduation. If you are appearing, tick appearing
andstrike out the rest. Give details of your total marks (aggregate percentage) secured.
13. Are you a habitual wearer of Glasses/ Spectacles or contact lens? : If you are wearing
anykind of spectacles or contact lenses, tick yes. Otherwise, tick no.
14. FOR S/OUT & REPEATERS ONLY: Those candidates who are coming for SSB for the first
time, be it in Air Force, Army, Navy or Coast Guard, are to leave the table blank. For those who have
been to any SSB centre for testing before are required to fill the data. Mandatory columns should not
be left blank. In result column, if you are screened out on Day 1 of testing write S/Out. If you are not
recommended on the day of conference, write Not Rec and if you are a recommended candidate,
write Rec. You are also required to write number of days stayed at Selection Board for that particular
attempt.
15. If you have appeared for CPSS/PAB test before, tick yes/no. If yes, please furnish details. 16
Sign the declaration form and also mention your contact number. Date mentioned should be your
date of reporting at AFSB. This form will be submitted to the staff on your arrival. You are therefore
advised to bring the form duly filled before your arrival at this Board.

INSTRUCTIONS FOR FILLING JOURNEY PARTICULARS

3. Write AFCAT Roll numbetrhas in call up letter (9 digit number).

4. Write your name as in 10 passing certificate.
5. Address mentioned must be same as in AFCAT Call Letter/Application Form.
6. Write nearest railway station to the above mentioned address.
7. Write fare and ticket/PNR number of your travel tickets. Make sure to attach the
hard copies of the ticket before submitting this form.
8. Sign the form. Date mentioned should be your date of reporting at AFSB. This form will
be submitted to the staff on your arrival. You are therefore advised to bring the form duly filled
along with hard copy of tickets before your arrival at this Board.

INSTRUCTIONS FOR FILLING QUESTIONNAIRE

1. Write at the fields wherever required. Otherwise put tick (√) in the remaining fields. Put (-
) in the fields which are not applicable to you.
2. Specify numbers in table (7) and monthly income in INR.
3. If you have seen an Air Force Publicity Vehicle (Publicity Volvo bus), write yes. Also
write suggestions if any. Otherwise, write no.
4. Sign the form. Address mentioned must be same as filled AFCAT during
registration. Date mentioned should be your date of reporting at AFSB.
Note: These forms will be submitted to the staff on your arrival. You are therefore advised to
bring the form duly filled before your arrival at this Board.
CH NO (PH-I): _______ DECLARATION FORM CH NO (PH-II) : _______

Next of Kin (Name) Relation: Contact No:

DIRECT PH –II : YES/NO
S SCH/ MIL SCH/ RIMC/ AFPI/ SPI (Tick)
BODY TATTOO : YES/NO
ARMED FORCES/ GOVT/ PSU EMP : YES/NO
Name:___________________________
( IF YES, NOC) : YES/NO
1. UPSC/AFCAT NO 2. BATCH NO
3. DATE OF BIRTH 4. NAME (as in 10th
(DD/MM/YYYY)
/ / pass certificate)
5. Qualifying Exam - Appearing / Appeared / Passed
8. Are you a habitual wearer of Glasses
(10+2/Graduation/Post Graduation)
/ Spectacles or Contact Lens?
6. Total % of marks _______ 7. Current Backlog YES/NO
YES/NO

FOR S/OUT & REPEATERS ONLY

9.Have you appeared earlier in SSB for ARMY/ NAVY/ AIR FORCE/ COAST GUARD? YES/NO
If yes, give following details (Note: write overleaf if space is inadequate):
Sl No Type of Entry viz Result
No. of days
Previous Batch Place & Date AFCAT/NCC/NDA/CDS/CG/ S/Out
stayed at
& Chest No. (Mandatory) UES/TES/10+2 TES/SEC/MET Not Rec
SSB/AFSB
(Mandatory) Rec
1

10

10. Have you appeared for INSB/PAB/CPSS Test earlier? YES/NO If yes, give following details:
Batch No. Chest No. AFSB Centre Date CPSS/PAB Result (Put tick)
PASS/FAIL

11. I hereby declare that the statement made in this form is true to the best of my knowledge and belief.
In case of any incorrect information, my candidature is liable to be cancelled. I also understand that the
decision of the IAF on eligibility condition would be final. I have no relatives or known person working in
this Selection Board.

Date: Sign of candidate: _____________________ Mob No. : _____________________

 JOURNEY PARTICULARS

UPSC/AFCAT No………….…….. Batch No - …………….……….. Name ………………………………..

Address (as given in the Application/Call Letter) ………………………………….……………………..

……………………………………………………………………………………………………………….……..

Nearest Railway Station to the address above…………………………………………………………….

Fare Paid :

Bus/Rail Fare (Onward journey) : Rs………… PNR/Ticket No…………..……………..

Bus/Rail Fare (Return journey) : Rs………… (same amount as onward journey)

Total Amount : Rs…………

Name of the a/c holder :………………………………………… Account No. .......................................

(The a/c must be in candidate’s name only)

IFSC-...................................... Bank Name-...........................................

Branch....................................................
(Please attach a cancelled check or photocopy of the first page of your bank passbook)

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

Place :

Date : Signature of Candidate

 CANDIDATE QUESTIONNAIRE
1. Personal Details:
UPSC/AFCAT DOB Height Weight
Board Batch Name (In Capital)
Roll No DD/MM/YY (Cms) (Kgs)

2. Entry Details:
Entry 1. NDA 2. CDSE 3.AFCAT 4. NCC 5. FTS 6. Any Other
Batch 1. Flying 2. AE(L) 3. AE(M) 4. Adm 5. Lgs 6. Accts 7. MET
8. Edn

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. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentage % Division

(b) 10 + 2/ Equivalent
Institute 1. Govt 2. Pvt 3. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentage % Division
(c) Graduation
Degree 1. B.Tech/BE 2. Any other
University 1. Centre 2. Private 3. State 4. Any other
Percentage % Division
(d) Post Graduation
PG Degree 1. Technical 2. Any other
University 1. Centre 2. Private 3. State 4. Any other
Percentage % Division
5. Candidate’s Employment Details
Candidates Present 1. Defence 2. Para Military 3. Govt 4. Private 5.Self Employed
Occupation 6.Business 7. Farmer 8. Any other
Monthly Income in Rs. Rs.
6. NCC Experience
Wing 1. Junior 2. Senior
Service 1. Army 2. Air Force 3. Navy
Experience in 1. <1Year 2. 1-2 Year 3. 2-5 Year 4. 5-6 Year
Years
Certificate Obtained 1. A 2. B 3. C
7. Parent / Guardian Details
Father Mother Guardian
1. Defence Forces 2. Para Military 3. Govt 4. Private
5. Self Employed 6. Business 7. Farmer 8. Any other
1. Illiterate 2. Primary 3. Higher Primary 4. Matric/10th
5. 10+2/Diploma 6. Graduate 7. Post Graduate 8. M. Phil 9. Ph.D
Monthly Income in Rs.
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 Website News Paper Advertisement TV/Radio/Movie/Internet Other Source
(Parent/Relative etc)

10. Have you seen Induction Publicity Exhibition Vehicle (Volvo bus)? YES/NO, if YES any suggestion.
_______________________________________________________________________________________________________

___________________
Date: Signature of Candidate
 TO WHOM IT MAY CONCERN

BONAFIDE/CONVERSION CERTIFICATE

1. This is to certify that, ____________________ (Name of the student) is a bonafide student of

______________ (college/institute). He is currently studying/appeared in _______ (Semester/Year)
of_________________________(Name of the course)
2. The student has no current backlogs.
3. His result will be declared by __________________(MM/YY)
4. His percentage of marks till ______ (Sem/Yr) is ___________ (in case of CGPA/SGPA equivalent
percentage to be stated)
5. CGPA/SGPA to Percentage Conversion formula for the above mentioned course:

_________________________
_________________________

Note: In case no conversion formula exists, it should be clearly mentioned. Please strike out
Columns which are not applicable.

Affix College/University seal Signature of Principal/Director/Registrar

with Official stamp
Date:
 (Each form should be printed in separate A-4 size single paper)
INSTRUCTIONS FOR FILLING DECLARATION FORM

1. Write the No. and place of the AFSB to which you are required to report on top of each form.
2. Ch No (PH-I) & CH NO (PH-II) – Leave blank
3. Next of Kin (NOK) details: NOK must be your parents or legal guardian, if parents are not alive.
4. Direct Ph-II: If you are reporting directly for Phase-II testing, tick yes. Otherwise, tick No.
5. Body tattoo: If you have any tattoo on any part of your body, tick yes. Otherwise, tick No.
6. Armed Forces/Govt/PSU: If you are serving in any of these, tick yes. Otherwise tick No. If serving in any
of these, bring NOC from your employer (mandatory).
7. Sainik School/Military School/RIMC/AFPI/SPI: If you have studied in any of these institutes, tick yes
and specify the name of institute. Otherwise leave blank.
8. AFCAT NO: Write AFCAT Roll number as in your call up letter (10 digit number).
9. Batch No: Leave blank
10. Date of Birth: Write your DOB (format DD/MM/YYYY) as per 10th passing certificate.
11. Name: Write your name as in 10th passing certificate.
12. Qualifying Exam: Tick on graduation. If you are appearing, tick appearing and strike out the rest. Give
details of your total marks (aggregate percentage) secured.
13. Are you a habitual wearer of Glasses/ Spectacles or contact lens? : If you are wearing any kind of
spectacles or contact lenses, tick yes. Otherwise, tick no.
14. FOR S/OUT & REPEATERS ONLY: Those candidates who are coming for SSB for the first time, be it
in Air Force, Army, Navy or Coast Guard, are to leave the table blank. For those who have been to any
SSB centre for testing before are required to fill the data. Mandatory columns should not be left blank. In
result column, if you are screened out on Day 1 of testing write S/Out. If you are not recommended on
the day of conference, write Not Rec and if you are a recommended candidate, write Rec. You are also
required to write number of days stayed at Selection Board for that particular attempt.
15. If you have appeared for CPSS/PAB test before, tick yes/no. If yes, please furnish details.

16. Sign the declaration form and also mention your contact number. Date mentioned should be your date
of reporting at AFSB. This form will be submitted to the staff on your arrival. You are therefore advised
to bring the form duly filled before your arrival at this Board.

INSTRUCTIONS FOR FILLING JOURNEY PARTICULARS

1. Write AFCAT Roll number as in call up letter (10 digit number).

2. Write your name as in 10th passing certificate.
3. Address mentioned must be same as in AFCAT Call Letter/Application Form.
4. Write nearest railway station to the above mentioned address.
5. Write fare and ticket/PNR number of your travel tickets. Make sure to attach the hard copies of the ticket
before submitting this form.
6. Sign the form. Date mentioned should be your date of reporting at AFSB.
This form will be submitted to the staff on your arrival. You are therefore advised to bring the form
duly filled along with hard copy of tickets before your arrival at this Board.

INSTRUCTIONS FOR FILLING QUESTIONNAIRE

1. Write at the fields wherever required. Otherwise put tick (√) in the remaining fields. Put (-) in the fields
which are not applicable to you.
2. Specify numbers in table (7) and monthly income in INR.
3. If you have seen an Air Force Publicity Vehicle (Publicity Volvo bus), write yes. Also write suggestions if
any. Otherwise, write no.
4. Sign the form. Address mentioned must be same as in AFCAT admit card. Date mentioned should be
your date of reporting at AFSB.

Note: These forms will be submitted to the staff on your arrival. You are therefore advised to bring the form
duly filled before your arrival at this Board.