Nda 151 Call Letter For 2 Afsb - 03 Jul 23

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CAREER AIR FORCE

INDIAN AIR FORCE, Government of India

CALL UP LETTER
(NDA 151 AND NA 113 COURSE)

UPSC Roll No.: NDA-151/………………………….

Applicant's Name:
(IN BLOCK CAPITAL LETTERS)

Father's Name: AFSB Centre Name & Address

Mother's Name: 2 Air Force Selection Board (Mysore),


CV Complex, Mysore - 570011
Date of Birth:
Reporting Point: In front of Main Gate of 2 Air Force
Identification Mark 1: Selection Board (Mysuru), Chamundi Vihar Complex,
Near Nandini Milk Dairy, Siddhartha Nagar (PO)
Present Address: Mysuru-570011

Tele/Fax: 0821-2526621
Email: afsb.1964@nic.in
Date of Reporting: 03-JUL-2023
Time of Reporting: 6:30 AM

(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 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, Call letter and Identity proof (preferably AADHAR Card) at the reporting
point. Kindly keep them handy. Your mobile phone (switched-off) and other electronic gadgets should be
securely kept in your luggage, which will be deposited at the AFSB. The first day consists of Phase I and II
testing which lasts up to late evening hours. 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 in Phase-I
will be routed back
Phase Il: Psychological test in the evening hours.

Day 2,3,4 Group Tests / Interviews.

Day 5 Group Tests/ Interviews/ Board Conference.


Recommended candidates - Documentation after the conference.
Not recommended candidates - Departure after the Conference.

Note for 3 & 5 AFSB candidates only: The recommended candidates eligible for flying
branch will be routed to 1, 2 or 4 AFSB for CPSS test as per the allotted date.
Day 6 CPSS for candidates eligible for flying branch only. (will be updated for the call letter of
(For 1,2 & 4 respective boards)
AFSB only)

3. Documents: You are required to bring the following relevant documents for verification along with two
photocopies of each document listed at 3(a), (b), (f), (g), and (j). Only the original documents mentioned below
should be kept in a leaf folder:-

(a) Original Matriculation/ Secondary School Passing Certificate and Mark sheets issued by CBSE/ ICSE/
State Board/ any recognized Board indicating Date of Birth.

(b) Original Marks Sheet & Pass Certificate of 10+2.

Note: In case of any document mentioned in Para 3 (a) - (b) above is computer generated / photocopy, the
same must be attested by School/college/University Authority with stamp and seal.

Bonafide certificate is mandatory for the candidates appeared in 10+2 examination in


academic year 2022-23 and results are awaited. The Bonafide certificate should be strictly as per
the format available at annexure to this call letter. Candidates appearing in 10+2 examination in
academic year 2023-24 are not eligible to appear in SSB.
(c) The candidate should not have any current backlog at the time of appearing for SSB interview. In
case the candidate has cleared the backlog, the same should be substantiated with original or attested copy
of mark sheet issued by College/University. Merely re-appearing in that subject will not be construed as
clearing the backlog.

(d) Certificates of extra-curricular activities and achievements, if any.

(e) Original NCC ‘C’ Certificate (if applicable and available).

(f) NOC from employer of candidates working in central/ State Governments or Public sector
undertakings. NOC is mandatory irrespective of the candidate being a permanent, temporary or
Contractual employee.

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

(h) Hard copy of Railway/Bus Tickets and a cancelled cheque/photocopy of first page of bank passbook
with details of name of account holder, account number, IFSC Code to be submitted for ensuring digital
payments (for refund of Travelling Allowances). The bank account should be same as uploaded during
registration process.
(j) Proof of Identity: Candidates to bring valid photo ID along with a photo copy. Any one of the
following documents 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).

(k) All recommended Candidates will have to provide details of two Gazetted Officers or trustworthy
persons (not in blood relation) to whom you are known personally to facilitate verification. They should be
residing preferably near your place of residence. You are required to carry the details (name, designation and
address) of these persons.

(l) 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). For women candidates, any formal dress is permitted.
(iii) Mess Premises: Formal dress.
(iv) Adequate writing material.
(v) Rain coat and winter clothing (as per weather).

Note: You are advised to carry rain coat / winter clothing as per the weather conditions.

5. Boarding and Lodging: Free accommodation and food will be provided to the candidates at the Board for
the period of testing only. Candidates are advised not to carry any home-made or packed food items for the
duration of your stay at the Board. In case found in possession of any edibles, the same needs to be deposited on
arrival.

6. Traveling Allowance(TA): Traveling Allowance by the shortest route for AC-III tier Mail/ Express Trains to
and fro for the journey from the place of Call Up or departure (whichever is nearer) is admissible. You have to
furnish the hard copy of Railway ticket/ Bus ticket/ Air ticket (along with boarding pass) to the Board, failing which
no TA will be paid. The amount of TA shall be restricted to the maximum authorised by the Govt. rules or the
actual amount paid on journey whichever is less.

Note: TA is admissible as per the existing Govt. TA rules. No TA is admissible, if you have already appeared for
the same type of entry at any of the Selection Boards. Those candidates who are eligible for TA are to carry a
cancelled cheque/photo copy of first page of passbook to enable payment through digital transaction (mandatory).
The bank account should be in the name of the candidate and must be same as uploaded in c-dac website.

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 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 provided in the advertisement released by UPSC for your course. 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 will be done.

8. Discipline: Candidates are not permitted to carry their mobile phones, laptops, cameras or any other
electronic gadgets inside the Selection Board premises. These items, if carried, are to be deposited at AFSB on
your arrival and returned to you on the day of departure. Alcohol, drugs and any kind of narcotics are strictly
banned inside Board premises. Any kind of edibles (packed/unpacked) and Medicines without prescription by
authorised medical practitioner are prohibited. Common packaged snacks can be purchased at Board premises
on payment. 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.

9. General: No facility exists at AFSBs for safe custody of cash and valuables. You are advised to carry lock
with key for safe custody of your luggage for the duration of your stay. 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. Should you try and influence any
member of the Board directly or indirectly, your candidature will be cancelled

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

11. All correspondence (only e-mail) with regard to this Call Letter should be addressed to the President of the
Board giving full details, including UPSC Roll 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 through e-mail only. In case of urgent queries, you can contact us on
telephone between 0800h to 1330h from Tuesday to Friday. The e-mail and telephone number is mentioned on
the first page of the call letter.

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. The minimum physical fitness to be achieved before
reporting at AFSB is 1.6 km run (in 10 minutes), 10 push-ups and 03 chin-ups.

14. Candidates are to take printout (in separate sheets of A-4 size paper) of the following forms, available under
candidate log-in at afcat.cdac.in, complete them in all respects and mandatorily bring these forms on the day of
reporting for testing at AFSB:

(i) Declaration Form


(ii) Journey Particulars
(iii) Indemnity Bond
(iv) Willingness certificate: NDA candidates
(v) Undertaking certificate: NDA candidates
(vi) Bonafide Certificate
(vii) Candidate Questionnaire
(viii) Certificate by candidate having Body tattoo.

Note: In case any document produced, declaration/undertaking is found to be incorrect/ false at any point of time
during the testing or at a later stage even after reporting for training at AFA, your candidature will be cancelled.
15. During the SSB testing, due to illness or injury, if the candidate is unable to continue the testing either due to
personal inability or social restriction due to communicable disease, the candidate will be routed back and the
attempt to appear for SSB will be considered as complete and NO (R) NO fresh dates thereby will be given to the
candidate.

16. These instructions are general in nature. The instructions contained in the Advertisement for your course
will be binding in determining your eligibility for test and interview for which this Call Letter is issued. In all matters,
the decision of Air Force Authority shall be final.
17. Check List: You are required to do a self-check of the following before you report to SSB:

SL Para Available
NO Refere Documents Yes/No Remarks
nce.
(a) 1 Original Admit Card

(b) 1 Call Up Letter (hard copy printed and


filled).
(c) 3(l) Original and Photocopy of valid ID proof Mandatory
as mentioned in call up letter.
(d) 3(a) Original and Photocopy of Matriculation/ Mandatory. If submitted
10th Marks sheet and Pass Certificate. with any organization,
Note: In case of any mismatch of Date photocopy of the same
of Birth between AFCAT Application needs to be attested by the
and 10th passing certificate, the same organization head.
candidate is advised not to report to
SSB and inform the concerned AFSB.
(e) 3(b) Original and Photocopy of 12th
Standard Marks sheet and Pass
Certificate.
(f) 3(b) Bonafide Certificate (If applicable). As per format available
(g) 3(f) NOC, if working in Central/ State Govt. NOC is mandatory
or PSUs. irrespective of the candidate
being a permanent,
temporary or Contractual
employee.
(h) 3(k) Name and address of two trustworthy
persons/ Gazetted officers.

(j) 3(l) 25 recent colour passport photographs.


(k) 14 Under mentioned forms complete in all
respects
(l) 3, 6 & (i) Declaration Form Complete in all respects
14 (ii) Indemnity Bond
(iii) Willingness certificate Mandatory as per the
(iv) Undertaking certificate format
(v) Bonafide Certificate
The bank details should be
(vi) Journey Particulars Form along with in your name and same as
hard copy of tickets, boarding pass and uploaded in the c-dac
a copy of first page of bank passbook or website.
cancelled check.
(m) (vii) Certificate by candidates having Mandatory by all
body tattoo candidates having
permanent body tattoo.
Body tattoo is permissible
only if it is in accordance
with regulations mentioned
in advertisement.
CH NO (PH-I): DECLARATION FORM CH NO (PH-II):

1.UPSC NO NDA-151/ 2.
4. NAME (as in 10th pass certificate)
3. DATE OF BIRTH
(DD/MM/YYYY)
D D M M Y Y Y Y

5. Qualifying Exam- Graduation/PG Stream: _________ 8. Are you a habitual wearer of Glasses /
Appearing / Appeared / Passed Graduation / PG Spectacles or Contact Lens?
(PUT TICK)
6. Total % of marks
7. Current Backlog : YES/NO YES / NO
BODY TATTOO : YES/NO SAINIKSCHOOL: WRITE NAME OF SCHOOL,
MILSCH: IF STUDIED ELSE N/A
ARMED FORCES/ GOVT/ PSU EMP : YES/NO
(IF YES,NOC) : YES/NO RIMC:
DIRECT PH-II : YES/NO AFPI/ SPI:
RT-PCR COVID-19 test Negative Report / Mandatory on arrival
COVID 2 dose vaccination certificate
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+2TES/SEC/MET Not Rec /
SSB/AFSB
(Mandatory) Rec
1
2
3
4
5
6
7
8
9
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 ……………………………….


Mobile No: …………………………………………. Alternate Mobile No: ……………………………………..
Email ID: ……………………………………………………………..

Address of candidate (Present address)

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

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

Nearest Railway Station to your home town …………………………………………………..………

AMOUNT ADMISSIBLE
FARE DETAILS (JOURNEY DETAILS) TICKET AMOUNT (FOR OFFICIAL USE AT
AFSB ONLY)
ONWARD PNR NO:
JOURNEY TICKET NO:
RETURN
SAME AS ABOVE
JOURNEY
TOTAL

ACCOUNT DETAILS

ACCOUNT NUMBER
NAME OF THE A/C
(Hard copy of NAME OF BANK AND
HOLDER
cancelled cheque / BRANCH
(If giving some other
copy of front page of IFSC CODE (Must be a nationalised
account, relation of
passbook must be bank or set up under
the person to be
provided for RBI regulations)
mentioned)
verification purpose)

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 (Train / Air)
(If it is Waitlist, confirmed berth no. should be mentioned on ticket)
{If travelled by air, (a) boarding pass and (b) hard copy of the ticket must be attached} Price
on ticket must be available.
2. Cancelled cheque 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 entitled / not 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


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......................2023 (Date must be the date on which the document is signed)

Signature of Witness: Signature of Candidate / Natural / Legal


Guardian

Name: Name:

Address: Address:

IMPORTANT:

The following should be considered while filling the Indemnity Bond:


1. If you are below 18 years of age, the Indemnity Bond must be signed by your natural
guardian (Father/Mother) and in case, if both your natural guardians are not alive, the same
should be signed by the legal guardian along with the signature of a witness.
2. If candidate is above 18 years of age, Indemnity Bond certificate to be signed by the
Candidate himself along with the signature of a witness.
3. Witness in both the cases must be a person known to the parents/legal guardian and should
be above 18 years of age.

Note: Candidates below 18 years of age without proper Indemnity Bond (annexed along with
this call letter) will be routed back without testing.
WILLINGNESS CERTIFICATE: NDA CANDIDATES

1. I, Name........................................................... UPSC No NDA- 151/ .................................


Son of............................................ Candidate of NDA 151 course having passed UPSC written examination
for NDA &NA (I) hereby certify that: -

(a) I have submitted Air Force as my first choice. I understand that I would be considered for
Flying and Ground Duty (Tech &Non-Tech) Branch of IAF as per my eligibility. In case I pass
CPSS, and I am considered in the merit list, depending on vacancies available and found
medically fit for Air Force (Flying Duties), I will join the FLYING BRANCH of the IAF.

(b) In case I fail CPSS or have failed in CPSS in an earlier attempt or am a Habitual Wearer
of Glasses (HWG) or found to be medically unfit for Air Force (Flying Duties) or cannot be
allotted air force flying branch due to limitation of flying branch vacancies in correlation to my
merit position in the final combined merit list promulgated by UPSC for NDA & NA, I am
WILLING / UNWILLING (strike out which ever is not applicable) to be considered for AIR
FORCE GROUND DUTIES.

(c) I further understand and undertake that I am willing/unwilling to be considered for ANY OF
THE BRANCHES OF THE INDIAN AIR FORCE AS WELL AS THAT OF MY SECOND, THIRD
& FOURTH CHOICES OF ARMED FORCES subject to my final merit position, vacancies
available and my medical fitness.

2. I have read and understood all the above mentioned paragraphs and willing to be considered for the
above mentioned choices.

( ) ( )
Signature of Parent Signature of Candidate
Date: Date:
If below 18 years If above 18 Years

Note:
(i) This form should be signed by parent (father / mother / legal guardian) if the candidate is below 18 years
of age.
(ii)The candidate must be in possession of this form at the time of arrival at this SSB.

Note: Candidates below 18 years of age with incomplete certificate will be routed back.

Willingness: {Srtike out the choice (willing / unwilling) clearly} -


UNDERTAKING CERTIFICATE: NDA 151

I / my son will not stake a claim for Air Force Ground Duties if I am unfit for Air Force Flying Branch
due to medical (or because of being Habitual Wearer of Glasses). My preference at the time of filling UPSC
application form was “NO” for Air Force Ground Duties.

UPSC NO: ..............................


BATCHNO-……………………
NAME:....................................
CH NO:..................................

( ) ( )
Signature of Parent Signature of Candidate
If below 18 years if above 18 Years
Date:…………….. Date:…………….
Place……………… Place………………

Note:
(i)To be signed by candidates who have opted ‘NO’ for Air Force Ground Duties at the time of UPSC
registration.

(ii) This form should be signed by parent (father / mother / legal guardian) if the candidate is below 18 years of
age.
(iii)The candidate must be in possession of this form at the time of arrival at SSB.

Note: Candidates below 18 years of age with incomplete certificate will be routed back.
TO WHOM IT MAY CONCERN

BONAFIDE CERTIFICATE
(FOR CANDIDATES APPEARED IN 10+2 EXAMS IN AY-2022-23 AND RESULTS AWAITED)

It is certified that …………………………………………….S/O…………………………………. is a Bonafide


student of ………………………………………………………..……… (Name of School/Institute) and is studying in
class ………..in the academic year …………………. With following subjects: -

(All subjects studying must be clearly mentioned)

(a)……………………………………..

(b)……………………………………..

(c)…………………………………….

(d)…………………………………….

(e)……………………………………

(f)……………………………………

(g)……………………………………

The expected date of declaration of his final result is …………………… (DD/MM/YYYY)

Date: ……………… Signature of Principal with stamp


Place: ……………..

(The candidate must ensure that the school authorities are affixing seal and stamp without which, this
certificate is considered invalid)

(Candidates appearing in 10+2 in academic year 2023-24 are not eligible for SSB)
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 9.WS

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

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 9. NIL
Monthly Income in Rs. Rs.
6. NCC Experience
Wing/ Division 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 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


Appendix ‘A’
(Refers to Para 4(a) of
AIRHQ/99287/17/PO3AB dated27
May 21)

SELF CERTIFICATION CERTIFICATE (ONE FOR EACH TATTOO)


BY CANDIDATES FROM TRIBAL COMMUNITIES WITH PERMANENT BODY TATTOO(S)
(TO BE FILLED IN DUPLICATE)
1. I, …………………………….. (Name of Candidate), Son/ Daughter of …………………………
(Name of Father/ Mother/ Guardian as applicable) ………………….. (Date of Birth) hereby give an
undertaking that I belong to ……………………… Tribe from …………….. area of ...................................... state
and *I do not have any permanent body tattoo on my body/ *I have............. No. of permanent body
tattoo (s) inked on my body as follows (one for each tattoo) (*strike out whichever is not applicable).:-

Photograph of Tattoo Details of Tattoo

(Post card size to be pasted here duly signed by the candidate with name. Size of Tattoo
Please do not use staple pins/ clips) (in Cms): ……..

Language (If applicable):


…..…………….

Significance of Tattoo (If


Post Card size Photograph 14 cm X 9 cm (Length and breadth) applicable):
……………………….

Location of Tattoo

…………………………..

2. I am enclosing Certificate (s) as per Appendix ‘B’, in original, for permanent body tattoo (s) on my
body, duly signed as per instructions.
3. I hereby declare that besides the tattoo(s) as referred in Para 1 of Appendix A above, I will not
have any other permanent body tattoo (s) in future if I am selected to undergo pre- commissioning
training.
4. The above information given by me is true and correct to the best of my knowledge and belief.
5. I understand and am aware that misrepresentation of any facts/ concealment of any information
regarding permanent body tattoo(s) will lead to cancellation of my candidature at any stage from
commencement of the selection process for which I shall be solely responsible.

( ) ( )
Signature of Parent Signature of Candidate
Name_______________ Name________________
Date:________________ Date:_________________
If below 18 years If above 18 Years

Note: (i) This form should be signed by parent (father / mother / legal guardian) if the candidate is below 18
years of age.
(ii)The candidate must be in possession of this form at the time of arrival at this Board for SSB.
Appendix ‘B’
(Refers to Para 4(a) of
AIRHQ/99287/17/PO3AB dated
27 May 21)

CERTIFICATE (ONE CERTIFICATE FOR EACH TATTOO) FOR PERMANENT


BODY TATTOO IN RESPECT OF CANDIDATES FROM TRIBAL COMMUNITIES
(TO BE FILLED IN DUPLICATE)

1. This is to certify that …………………………..…………… (Name of Candidate) whose date of


birth is..……………… son/ daughter of …………………………………. (Name of Father/ Mother/
Guardian as applicable) and belongs to ……………………… (Name of the Tribe) Community of
…………………… (Name of the District) in the state of …………………………. (Name of the State).

2. It is certified that the permanent body tattoo(s) inked on the following parts of the body
of…………………………………….….. (Name of the Candidate) is/ are as per existing customs and
traditions of …………………………………………Tribe and is prevalent as on date:-

(a)

(b)

3. Post card size photograph of each of the tattoo as given in Paragraph 2 of Appendix ‘B’
above is certified to be true and correct and annexed herewith for future reference/ record hereafter:-
Photograph of Tattoo Details of Tattoo

(Post card size to be pasted here duly signed by the candidate with name. Size of Tattoo
Please do not use staple pins/ clips) (in Cms): ……..

Language (If applicable):


…..…………….

Significance of Tattoo (If


Post Card size Photograph 14 cm X 9 cm (Length and breadth)
applicable):
……………………….

Location of Tattoo

…………………………..

Note - Separate photograph of each tattoo with details and description will be separately furnished
and each page will be duly attested by the Authority.

Date: (Signature with Name, Designation and Stamp of) DC/ DM or


SDM of the District/ Tehsil)
OR
(Signature with Name, Designation if any and Address of
Place: Chairman/ Secretary or Senior Member of the Tribe to which
the candidate belongs to with their stamp).
Appendix ‘D’
(Refers to Para 4(a) of
AIRHQ/99287/17/PO3AB dated
27 May 21)

SELF CERTIFICATION CERTIFICATE (ONE FOR EACH TATTOO)


UNDERTAKING BY CANDIDATES (OTHER THAN THOSE FROM TRIBAL COMMUNITIES)
WITH PERMANENT BODY TATTOO(S)
(TO BE FILLED IN DUPLICATE)
I, …………………………….. (Name of Candidate), Son/ Daughter of ………………………………..…
(Name of Father/ Mother/ Guardian as applicable) ………………….. (Date of Birth) hereby give an
undertaking that I do not have any permanent body tattoo on my body/ *I have .............. No. of
permanent body tattoo(s) as per the details and shown in the photograph(s) at Paragraph 2 below(*strike out
whichever is not applicable).

Photograph of Tattoo Details of Tattoo

(Post card size to be pasted here duly signed by the candidate with name. Size of Tattoo-(in Cms)
Please do not use staple pins/ clips)
Language - (If
applicable)

Significance of Tattoo
(If applicable)

Post Card size Photograph 14 cm X 9 cm (Length and breadth)


Location of Tattoo

………………………..

2. I hereby declare that besides the tattoo(s) as declared by me in Paragraph 1 of Appendix D


above, I will not have any other permanent body tattoo(s) in future if I am selected to undergo pre-
commissioning training. The above information given by me is true and correct to the best of my
knowledge and belief.
3. I understand and am well aware that misrepresentation of any facts/ concealment of any
information regarding permanent body tattoo(s) will lead to cancellation of my candidature at any
stage from commencement of the selection process for which I shall be solely responsible.

( ) ( )
Signature of Parent Signature of Candidate
Name_______________ Name________________
Date:________________ Date:_________________
If below 18 years If above 18 Years

Note: (i) This form should be signed by parent (father / mother / legal guardian) if the candidate is below 18
years of age.
(ii)The candidate must be in possession of this form at the time of arrival at this Board for SSB.

Note: Separate photograph of each tattoo with details and description will be separately furnished and each
page will be duly signed by the Candidate. President 5 AFSB or Commandant of a Pre- Commission Training
Academy, are empowered to reject a candidate for non-permissible permanent body tattoo(s).
DETAILS OF GAZETTED OFFICERS
(IN BLOCK CAPITAL LETTERS)

GAZETTED OFFICER -1

NAME
DESIGNATION
POSTAL ADDRESS
FLAT NO
VILLAGE / STREET
POST OFFICE / AREA
DISTRICT
STATE
PIN CODE
MOBILE NO

GAZETTED OFFICER -2

NAME
DESIGNATION
POSTAL ADDRESS
FLAT NO
VILLAGE / STREET
POST OFFICE / AREA
DISTRICT
STATE
PIN CODE
MOBILE NO
CANDIDATE REGISTRATION FORM

1. COURSE (applied for): ____________ 2. AFCAT No./UPSC No. _______________________

3. Name (as per 10th mark sheet) _____________________________ 4. Date of Birth ______________

5. 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):

Type of Entry viz Resuld No. of


Sl Previous Batch Place & Date AFCAT/NCC/NDA/CDS/CG/ S/Out/ days
No. & Chest no. (Mandatory) UES/TES/10+2 TES/SEC/MET Not Rec/ stayed at
(Mandatory Rec SSB/AFSB
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

Date: Signature of Candidate

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