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  • To, President Central Airmen Selection Board PO Box: 11807 New Delhi-110010 79

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    Gyanendra Tiwari
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    This document contains a registration form for a candidate applying to the Central Airmen Selection Board. [1] The candidate's name is Gyanendra Tiwari with his father's name listed as Mithlesh Kumar Tiwari and nationality as Indian. [2] Biographical information includes his date of birth, marital status, education qualifications, exam scores, contact information, height, identification marks and more. [3] The candidate is applying for Group XY and lists his exam center preferences and permanent address.

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    Original Title

    16033495586

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    This document contains a registration form for a candidate applying to the Central Airmen Selection Board. [1] The candidate's name is Gyanendra Tiwari with his father's name listed as Mithlesh Kumar Tiwari and nationality as Indian. [2] Biographical information includes his date of birth, marital status, education qualifications, exam scores, contact information, height, identification marks and more. [3] The candidate is applying for Group XY and lists his exam center preferences and permanent address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    11 views1 page

    To, President Central Airmen Selection Board PO Box: 11807 New Delhi-110010 79

    Uploaded by

    Gyanendra Tiwari
    This document contains a registration form for a candidate applying to the Central Airmen Selection Board. [1] The candidate's name is Gyanendra Tiwari with his father's name listed as Mithlesh Kumar Tiwari and nationality as Indian. [2] Biographical information includes his date of birth, marital status, education qualifications, exam scores, contact information, height, identification marks and more. [3] The candidate is applying for Group XY and lists his exam center preferences and permanent address.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Office Use Office Use Office Use Registration No

    16033495586

    1.Candidate Name GYANENDRA 2.Parent Name MITHLESH 3.Nationality Indian


    TIWARI KUMAR TIWARI

    4.Date Of Birth 25-04-2000 5.Marital Status Un Married 6.Qualification Intermediate EPM

    7.Intermediate/Voca 80 8.Name of UP Board of 9.Matric Board UP Board of


    tional/Diploma Intermediate/vocatio Higher School & Higher School &
    English % nal/Diploma Intermediate Intermediate
    Education Education

    10.Matric Roll No 2262923 11.Aggregate 79 12.Mobile No 8115860431

    13.EMail Id gyanu2542000@g 14.SOAFP No 15.Discharged from No


    mail.com Forces

    16.Stream Applied Group-XY 17.Identification A cut mark on 18.Candidate Height 172.0cm


    mark forehead
    19.Exam Center ASC-3 Kanpur 20.Exam Center ASC-2 New Delhi 21.Exam Center ASC-10 Patna
    Choice 1 Choice 2 Choice 3

    22.Permanent MEHTA ROAD 23.Communication MEHTA ROAD 24.Preference for 1st preference: X
    Address ,BHARWARI,BH Address ,BHARWARI,BH group XY candidate 2nd preference: Y
    ARWARI,Kausha ARWARI,Kausha only
    mbi,Uttar mbi,Uttar
    Pradesh,212201, Pradesh,212201,

    25.Chest Size 33 Inch 26.Waist Size 30 Inch 27.Shoe Size 8 No.(Bata)


    DECLARATION BY THE CANDIDATE
    I hereby declare that all 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 undertake to produce all original certificates and statement of marks
    and three photocopies of each, duly attested by a Gazetted Officer, at the time of appearing in the
    Paste your
    Selection test. 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 photograph
    decision by President, CASB will be final and binding on me.

    Signature of the candidate

    Left Hand Thumb


    Signature of parent/guardian impression
    (If candiddate below 18 yrs on the day of filling application)
    -------------------------
    1 60334 95586 2

    Name(Gaurdian if applicable ) :
    Place:

    Date:

    -----------------------Tear off and Paste on Envelope------------------- -----------------------Tear off and Paste on Envelope-------------------

    To, 16033495586
    President Group-XY
    Central Airmen Selection Board
    PO Box: 11807
    New Delhi-110010 1 60334 95586 2 79

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