Registration Date:16-08-2015 03:11 PM Print Date:19-11-2017 05:51 AM

INDIAN ARMY
Directorate General of Recruiting
TGC-127/136610

TGC
Application
Details

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Personal Details
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1. Roll No TGC-127/136610
2 Course Applied For : TGC-127
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3. Candidate's Name (As per Matriculation ANOOP KUMAR SINGH

Certificate)
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4. Father's/Guardian's Name MOOL SINGH

5. Mother's Name SUSHEELA DEVI
6. Date of Birth (As per Matriculation 15-02-1992
Certificate)
IN

7. Nationality INDIAN
8. If Other Nationality
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9. Marital Status Unmarried

10. Gender Male
11. Mobile No 7827676630
12. Email Address aksinghinbox@gmail.com
13. Aadhar No XXXXXXXX5557
14. Permanent Address Correspondence Address
Address H.No. 1162, Ranvir Address B-253, 3RD FLOOR,
nagar, jangal MOHAN GARDEN
ramnagar, amethi EXTENSION,
UTTAM NAGAR
City / Town / Village amethi City / Town / Village new delhi
State Uttar Pradesh State Delhi
District Amethi District New Delhi
PIN 227405 PIN 110059
15 Previous SSB Attepmts
(a) Entry (b) Location (c) Year/Month (d) Result
Naval Entries BHOPAL September-2013 Screened out
Registration Date:16-08-2015 03:11 PM Print Date:19-11-2017 05:51 AM

INDIAN ARMY
Directorate General of Recruiting
TGC-127/136610

SSC(NCC) Bengaluru July-2014 Screened out

SSC(NCC) Bengaluru December-2014 Screened out
SSC(NCC) Bengaluru December-2015 Screened out
SSC(NCC) ALLAHABAD June-2016 Screened out
Air Force Entries MYSORE December-2016 Screened out

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SSC(NCC) Bengaluru December-2016 Screened out
Air Force Entries VARANASI July-2017 Screened out

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16 Education Details
(a) Type of School KENDRIYA VIDHYALAYA
(b) Roll No of 10+2 Examination OR Diploma 4603778
(c) Whether Diploma Holder or Not No
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(d) Aggregate Percentage of Marks Obtained 59.20
in Class XII
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(e) Engineering Stream Applied For Electrical/Electrical & Electronics

(f) Specified Stream Electrical & Electronics Engineering
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(g) Date Of Joining Engineering Course 07-09-2009

(h) Date of Completion of Engineering 25-04-2013
Course
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(i) Name of College/Institute kcg college of technology

(j) Name of University anna university
(k) Type of University State University
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(l) State in which University Located Tamil Nadu

(m) GATE Score 0.00
(n) Valid Upto
17. Marks obtained in Graduation :-
Note 1. The CGPA/Grades must be converted into marks as per the formula adopted by
the concerned University for filling ‘Total Marks’ and ‘Marks Scored’ in the under
mentioned table.
Note 2. In case of yearly system of examination, the candidates to divide ‘Total Marks’
and ‘Marks Scored’ into two equal parts to fill in the First and Second semester marks
of the respective year accordingly.
Semester / Year Total Marks Marks Scored % of Marks Cumulative % of
Marks scored
Semester 1 100.00 60.00 60.00 60.00
Semester 2 / 100.00 63.00 63.00 61.50
Year 1
Semester 3 100.00 56.00 56.00 59.67
Semester 4 / 100.00 56.00 56.00 58.75
Registration Date:16-08-2015 03:11 PM Print Date:19-11-2017 05:51 AM

INDIAN ARMY
Directorate General of Recruiting
TGC-127/136610

Year 2
Semester 5 100.00 59.00 59.00 58.80
Semester 6 / 100.00 53.00 53.00 57.83
Year 3
Semester 7 100.00 66.00 66.00 59.00
Semester 8 / 100.00 71.00 71.00 60.50

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Year 4
18. Certificates to be attached with the application form:-

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(a)
(b)
(c)
(d) AN
Declaration
1. I have read the course notification as well as the instructions for filling this application. I
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undertake to abide by all instructions /guidelines mentioned therein.

2. I undertake not to have any objections in the event of my final selection on allotment of
any Arms/Service in the interest of the organization.
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3. I have never been debarred from appearing in any examination by UPSC.

OR
I was debarred in the following UPSC exam_________________________.
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4. I have never been arrested or convicted by a criminal court or involved in any case.
OR
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I have been arrested/convicted/implicated in the following cases:-

(a)
(b)
5. I undertake not to make any claim or compensation if at any stage of selection, my
ineligibility is detected and my candidature is cancelled as a result thereof.
6. This is the only application submitted by me for this course. I understand that in case
any other application filled by me is detected for this course at a later date, all my
application will be cancelled.
7. Any misinterpretation and wrong declaration concealment of information in the
application will render my candidature to be cancelled and I may be debarred from this
course.
8. I have never been withdrawn from NDA, IMA or OTA or any service training Academy
on disciplinary grounds.
9. I am employed with_____________ and I have informed my employer in writing that I
am applying for commission in the Army.
10. In the eventuality of being recommended by SSB, I will have no objection to being
medically examined by the board of Male/Female doctors provided a lady medical officer
is present (applicable only to lady cadets).
11. I undertake to be debarred from future attempts and would accept cancellation of my
Registration Date:16-08-2015 03:11 PM Print Date:19-11-2017 05:51 AM

INDIAN ARMY
Directorate General of Recruiting
TGC-127/136610

candidature for the present course, if at any stage of selection, I am found to be

indulging in any violation of local orders concerning discipline aspects.
12. I undertake not to marry till I complete the full training at the training academy, in case
inducted. I also understand that in case of my final selection, my appointment will be
provisional subject to satisfactory verification of my antecedents by concerned Civil/
Police/Education authorities as applicable.

MY
13. In case of my final selection and subsequent joining the Academy, I undertake to
reimburse the complete cost of training as specified by the Academy authorities if I
choose to resign.

AR
14. I affirm that all information supplied by me as above is true and correct, and I agree that
no change in particulars once filled by me will be permitted, I also fully understand that if
at any stage, it is discovered that any attempt has been made by me to wilfully conceal
or misrepresent the facts, my candidature may be summarily rejected or employment
terminated.
AN
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Place:
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Date:19-11-2017 05:26 AM
IN
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Signature of Applicant

Note
1. After applying online, candidates are requested to take a print out and paste their self-
attested photograph in blue ink in the given space. The candidate must carry the
application along with the original certificates and the certificates from the college duly
certified by the Principal regarding conversion of cumulative grades into percentage of
marks with a valid proof of identity to the Selection Centre as and when called for the
SSB. If candidate does not carry the above mentioned documents to the concerned
Selection Centre for his SSB, his candidature will be cancelled. There is NO need for
sending any printout of the application to the Recruiting Directorate.
2. It may be noted that depending upon the total number of applications received by this
office, Recruiting Directorate reserves the right to shortlist and to fix cut off percentage
of marks for SSB interview. No representation will be entertained in this aspect.
3. In case the engineering stream of the candidate is not listed in the vacancies notified
and candidates desire to claim equivalence of his non-notified engg stream with any of
the notified engg stream; they may produce degree equivalence certificate issued by the
concerned universities for the purpose. The candidates are not allowed to seek
equivalence of a notified engg stream with another notified engg stream. The candidate
will be permitted to appear interview at their own risk. Recruiting Directorate will
Registration Date:16-08-2015 03:11 PM Print Date:19-11-2017 05:51 AM

INDIAN ARMY
Directorate General of Recruiting
TGC-127/136610

examine the case for acceptance based on the certificate issued by the concerned
university for equivalence.
CERTIFICATE BY PRINCIPAL/HEAD OF THE TECHNICAL INSTITUTIONS TO BE
SUBMITTED BY FINAL YEAR/SEMESTER CANDIDATES
Certified that Shri ________________________________________S/o

MY
__________________________________ Date of Birth_______________________ is
studying in final year/final semester of B.E/B.Tech ______________________ (Branch of

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Engineering) in this University/College/Institute and his final year/semester examinations will
be over by __________________.
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Place:______________ Signature:______________
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Date: _______________ Designation:______________

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Note: Certificate signed by Heads of Departments will not be acceptable.

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