Appendix G

(Ref to Para 21 of SNCCO)

ADMIT CARD: NCC A/B/C CERTIFICATE EXAM Admit Card No

1. Unit 8 PB BN NCC Phagwara

2. (Attach extension paper, if applicable) _____________NA______________

3. Number/CBSE No PB19SWA136894

4. Rank ___Cdt.__________________________

5. Name in English (Capital letters) KHUSHBOO SHAKYA

(As per High School Certificate)

6. Date of Birth 10 Apr 2002

7. Father’s/Mother’s Name
(As per High School Certificate) : Surjan Singh Shakya

8. School/College & Class in which studying ___Lovely Professional University _______

9. Year of passing Cert B if applicable _________NA________________________

(Attach photocopy of B Certificate)

10. Whether Fresh/Failure ________NA________________________

(If Failure, details of previous B Certificate exam)

11. Attendance in parade 1st Yr 2nd Yr Total

_____ _____ ____

12. Details of camps attended (Attach photocopy of camp certificate)

No/Name of camp Attended Date/Month/Yr Location

(a) ____________________ ____________ ________
(b) ____________________ ___________ ________

13. Home Address for postal dispatch of Certificate __Village Alipur , Bidhuna ,Distt Auraiya -206243

Notes:

1. Cadet must check particulars carefully and correction if any, be brought to the notice of OC immediately

2. This card will be submitted along with nominal roll for approval of Gp HQ after the attestation of photo by
OC and signatures of all concerned.

3. Cadet must be in possession of this card on the day of the exam.

Signature of Cadet Signature of ANO Signature of OC

____________ _____________
(Khushboo Shakya) ( ) ( )
Name Name & Stamp Name & Stamp

Approved / Not Approved