APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN AIR FORCE AS AGNIVEERVAYU Both Science and other than

Science Subjects: INTAKE 02/2025

Payment Status: Online Payment Success Registration No.: 24070097537

Candidate's Full Name Deependra Father's Name Suneel Singh

Mother's Name Saroj Devi Nationality Indian

Date of Birth (dd-mm-yyyy) 12-12-2006 Marital Status Unmarried

Mobile No. +916398222192 Email Id sachinthakur6449@gmail.com

Gender Male Aadhaar Card No. 852602645604

Qualification 12th Is Qualification with Physics/Math Yes

Board of High School and

Name of Education Board Intermediate Education, Uttar 12th Stream Science
Pradesh, Prayagraj

Aggregate % 69 English % 74

Physics % 58 Mathematics % 58

Additional Marksheet No

Computer Knowledge No

Higher Education Qualification

Not Applicable
Status

Grading system as per mark sheet Percentage

Sr.No. Subject Obtained Marks Total Marks

1 English 74 100
Subject wise Marks
2 Maths 58 100

3 Physics 58 100

COAFP No Serving IAF NC(E) No

NCC Certificate Holder No

Driving Known No

Knowledge in Any Trade (Welding ,

Soldering , Lathe work or any related No
work)

Qualification in Catering No

Any Other Skills / Qualification /

Information Technology Known No No
Achievements / Work Experiences

Accounting Known No

Any Representation / Achievement

No
in any Sports event or discipline

Languages known, other than

No
English / Hindi

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 Discharged from Forces/Govt.
No
Organization

Both Science and other than

Category Applied Identification Mark not available
Science Subjects

Candidate Height 168.0

Exam City
preferences for 1) Gwalior 2) Jaipur 3) Lucknow 4) Delhi and NCR 5) Ghaziabad
Phase-I

4) 4 ASC, 5) 5 ASC,
ASC preferences 1) 2 ASC, New 2) 3 ASC, Kanpur 3) 1 ASC, Ambala 6) 6 ASC, Mumbai
Barrackpore (West Jodhpur
for Phase-II Delhi (Uttar Pradesh) Cantt (Haryana) (Maharashtra)
Bengal) (Rajasthan)

7) 7 ASC, 8) 8 ASC, 9) 9 ASC, 11) 11 ASC, 12) 12 ASC,

10) 10 ASC, Bihta
Bengaluru Tambaram (Tamil Bhubaneswar Guwahati Secunderabad
(Bihar)
(Karnataka) Nadu) (Odisha) (Assam) (Telangana)

13) 14 ASC, 14) 15 ASC, Bhopal

Kochi (Kerala) (Madhya Pradesh)

nayabas shamshabad agra, shams nayabas shamshabad agra, shams

Permanent Address habad, Fatehabad, Agra, Uttar Pra Communication Address habad, Fatehabad, Agra, Uttar Pra
desh, shamshabad, 283125 desh, shamshabad, 283125

Nearest Police Station as per Nearest Police Station as per

shamshabad shamshabad
Permanent Address Communication Address

Domicile State Uttar Pradesh Domicile District Agra

Chest Size 80.0 cm Waist Size 30.0 cm Shoe Size 8 No.

Transaction Reference No. Application Fees Transaction Date Received Date

Exam Fee Payment Details
113383539204 Rs. 649 19-Jul-2024 21:00 19-Jul-2024 21:01

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 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 Signature of parent/guardian

Place: AGRA Date: 19-07-2024

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