Draft Preview: Both Science and Other Than Science Subjects 01/2025

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APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN


AIR FORCE AS AGNIVEERVAYU Both Science and other than
Science Subjects: INTAKE 01/2025

Payment Status: Payment Not Done Registration No.: Not Generated

Candidate's Full Name Anjali Dipak Landge Father's Name Dipak Kisan Landge

Mother's Name Lata Dipak Landge Nationality Indian

Date of Birth (dd-mm-yyyy) 31-07-2004 Marital Status Unmarried

Mobile No. +917083784391 Email Id anjalilandge08@gmail.com

Gender Female Aadhaar Card No. 755005886560

Is Qualification with
Qualification 12th Yes
Physics/Math

Maharashtra State Board of


Secondary and Higher
Name of Education Board 12th Stream Science
Secondary, Pune recognized
by state of Maharashtra

Aggregate % 84 English % 86

Physics % 82 Mathematics % 82

Biology % 88

Additional Marksheet Yes

Computer Knowledge Yes Computer Knowledge Type Basic

Higher Education
Pursuing
Qualification Status

Engineering / Non-
Non-Engineering Non-Engineering Stream Science
Engineering

Grading system as per


Percentage
mark sheet

Subject wise Marks


Sr.No
Subject Obtained Marks Total Marks
.

1 English 86 100

2 Maths 82 100

3 Physics 82 100
Sr.No
Subject Obtained Marks Total Marks
.

4 Biology 88 100

COAFP No Serving IAF NC(E) No

NCC Certificate Holder No

Driving Known Yes Driving Type Two Wheeler

Knowledge in Any Trade


(Welding , Soldering , Lathe work or No
any related work)

Diploma in Hotel & Catering


Qualification in Catering Yes Catering Course Details
Management

Any Other Skills /


Information Technology Qualification /
Yes No
Known Achievements / Work
Experiences

Areas of Information
Typing Skills (>35 WPM)
Technology Known

Accounting Known No

Any Representation /
Achievement in any Sports No
event or discipline

Languages known, other


No
than English / Hindi

Discharged from
No
Forces/Govt. Organization

Both Science and other than


Category Applied Identification Mark Mole on neck
Science Subjects

Candidate Height 165.0

Exam City 1) Chhatrapati 3) Mumbai /


preferences Sambhaji Nagar 2) Nashik Navi Mumbai / 4) Pune 5) Nagpur
for Phase-I (Aurangabad) Thane

ASC 2) 14 ASC, 3) 12 ASC, 4) 11 ASC, 6) 9 ASC,


1) 15 ASC, Bhopal 5) 10 ASC,
preferences Kochi Secunderabad Guwahati Bhubaneswa
(Madhya Pradesh) Bihta (Bihar)
for Phase-II (Kerala) (Telangana) (Assam) r (Odisha)

7) 8 ASC, 8) 7 ASC, 9) 5 ASC, 10) 4 ASC, 11) 3 ASC,


12) 2 ASC,
Tambaram (Tamil Bengaluru Jodhpur Barrackpore Kanpur (Uttar
New Delhi
Nadu) (Karnataka) (Rajasthan) (West Bengal) Pradesh)

13) 1 ASC, Ambala


Cantt (Haryana)

Bhimnagar bhavsingpura Aur Bhimnagar bhavsingpura Aur


angabad, Aurangabad, Chhat angabad, Aurangabad, Chhat
Permanent Address rapati Sambhajinagar, Chhat Communication Address rapati Sambhajinagar, Chhat
rapati Sambhajinagar, Mahar rapati Sambhajinagar, Mahar
ashtra, Aurangabad, 431001 ashtra, Aurangabad, 431001

Nearest Police Station as


Nearest Police Station as
Chawni per Communication Chawni
per Permanent Address
Address

Domicile State Maharashtra Domicile District Aurangabad


Chest Size 32.0 cm Waist Size 28.0 cm Shoe Size 7 No.

DECLARATION BY THE CANDIDATE

I have read and understood all the instructions for filling this application form. Further, I declare that statements made in this
application are correct. I understand that I am liable to be disqualified at any stage, if the information given is found to be
incorrect/incomplete/false. I will produce all original certificates and statement of marks and three photocopies of each,
duly attested by me, at the time of appearing in the Phase-II. I am willing to undergo physical and medical test, at my own
risk and will not be entitled for compensation for injuries if any, sustained during such test.I am aware that the decision by
President, CASB will be final and binding on me.

Candidate Photo Candidate Live Photo Paste your photo

Signature of the candidate Thumb Impression

Place*: Aurangabad Date: 29-01-2024

If you find any discrepancy in above filled data then please go to the
respective tab and save the information again.

I authorize C-DAC to send text messages / email to my cell


phone / email id from time to time to convey further information.

I hereby declare that I have downloaded the draft application


form and verified the information in this form and its true to my
knowledge.

Continue To Payment

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