Registration Date:11-08-2020 11:05 AM IP Address :223.225.240.

110 Print Date:11-05-2021 01:06 PM

INDIAN ARMY
Directorate General of Recruiting
TES (10+2) - 45/101060

TES Application Details

MY
AR
Personal Details
AN
1. Roll No TES (10+2) - 45/101060
2. Course Applied For TES (10+2) - 45
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3. Candidate's Name (As per Matriculation OM PRAVIN SINGH

Certificate)
IN

4. Father's/Guardian's Name PRAVIN SINGH

5. Mother's Name MANISHA PRAVIN SINGH
6. Date of Birth (As per Matriculation 18/01/2002
Certificate)
IN

7. Nationality INDIAN
8. Gender Male
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9. Marital Status Unmarried

10. Mobile No 9044283604
11. Email Address om21455@gmail.com
12. Aadhar No 958263324656
13. Permanent Address Correspondence Address
Address Manisha Pravin Address Manisha Pravin
Singh, Tikariya Singh, Tikariya
Taluke Bradih, Taluke Bradih,
Raebareilli, Uttar Raebareilli, Uttar
Pradesh, 229402 Pradesh, 229402
City / Town / Village Tikariya City / Town / Village Tikariya
State Uttar Pradesh State Uttar Pradesh
District Rae Bareli District Rae Bareli
PIN 229402 PIN 229402
14. Previous SSB Attempts
Entry Location Year/Month Result
15. Academic Details:
Registration Date:11-08-2020 11:05 AM IP Address :223.225.240.110 Print Date:11-05-2021 01:06 PM

INDIAN ARMY
Directorate General of Recruiting
TES (10+2) - 45/101060

(a) Education Qualification 10+2

(b) Education Board CBSE
(c) Type of School OTHERS
16. Marks obtained in PCM in Class XII :
Subject Total Marks Marks Obtained Percentage
Obtained

MY
Physics 100.00 81.00 81.00
Chemistry 100.00 86.00 86.00

AR
Mathematics 100.00 76.00 76.00
Cumulative Percentage 81.00
17. Applied for parallel NDA course ANNo
18. If Yes, NDA UPSC Roll No
Declaration
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1. I have read the course notification as well as the instructions for filling this application. I
undertake to abide by all instructions/guidelines mentioned therein.
IN

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

4. I have never been arrested or convicted by a criminal court or involved in any case.
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OR
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 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
applications 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 board of Male/Female doctors.
11. I undertake to be debarred from future attempts and would accept cancellation of my
Registration Date:11-08-2020 11:05 AM IP Address :223.225.240.110 Print Date:11-05-2021 01:06 PM

INDIAN ARMY
Directorate General of Recruiting
TES (10+2) - 45/101060

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.

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14. I understand that depending upon the total number of online applications received by
this office for this course, Directorate General of Recruiting reserves the right to fix cut
off percentage at their discretion to shortlist candidates for SSB interview. No
representation will be entertained in this regard.
AN
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 willfully
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conceal or misrepresent the facts, my candidature may be summarily rejected or

employment terminated.
IN

Place:
IN

Date:2/1/2021 9:56:10 PM
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Signature of Applicant