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APPLICATION FORM FOR MALE CANDIDATES FOR SELECTION AS AIRMEN IN INDIAN AIR FORCE:FOR INTAKE 02/2020

Payment Status: Online Payment Success Registration No. 19090298942 Gender: Male

Candidate Name Souvik Namhata Parent Name Nikhil Namhata Nationality Indian

Date Of Birth 22-12-2000 Marital Status UnMarried Qualification 12th

Aggregate % 78 Name Of Education WEST BENGAL COUNCIL OF English % 78

Board/Diploma Institute HIGHER SECONDARY
EDUCATION Maths % 93

Physics % 51 Additional Marksheet No

Mobile No +919933112587 EMail Id namhata0@gmail.com Aadhaar Card No 901823377004

Serving IAF NC(E) No NCC Certificate Holder No SOAFP No

Discharged from Forces/Govt. No Stream Applied Group X Identification Mark a cut mark on forehead
Org.
Candidate Height 160 cm

Exam City preferences for phase I Durgapur Kolkata Jalpaigudi Bhubaneswar Berhampur(Odisha)

ASC preferences for phase II 4 ASC, Kolkata (West Bengal) 11 ASC, Guwahati (Assam) 9 ASC, Bhubaneswar (Odisha)

Permanent Address BALARAMPUR,BALARAMPUR,PATRASAYER,Bankura,West Communication Address BALARAMPUR,BALARAMPUR,PATRASAYER,Bankura,West

Bengal,722206 Bengal,722206

Chest Size 78 Inch Waist Size 83  Inch Shoe Size 8  No.

DECLARATION BY THE CANDIDATE Paste

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 your
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. Photo

Signature of the candidate Thumb Impression

Place:BALARAMPUR

Date:10-07-2019

Preview/Print Application Form

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