Professional Documents
Culture Documents
Notification
Notification
5. Qualifying Exam : Graduation / Post Graduation 8. Are you a habitual wearer of Glasses /
Appearing / Appeared / Passed Spectacles or Contact Lens?
(PUT TICK)
6. Total percentage of marks scored…………………. %
7. Current Backlog : YES/NO YES NO
BODY TATTOO : YES / NO SAINIKSCHOOL:
ARMED FORCES/ GOVT/ PSU EMPLOYEE : YES / NO RMS: WRITE NAME OF SCHOOL,
(IF YES,NOC) : YES / NO RIMC: IF STUDIED ELSE N/A
DIRECT PH-II : YES / NO AFPI/ SPI:
Certificates pertaining to relevant Health Mandatory on arrival
advisories issued by Government from time to
time (viz COVID-19 certificate etc)
Next of Kin (Name) Relation: Contact No:
FOR S/OUT & REPEATERS ONLY
9. Have you appeared earlier in SSB for ARMY/ NAVY / AIR FORCE /COAST GUARD? YES NO
If yes, give following details (Note: write overleaf if space is inadequate):
Sl No Type of Entry viz NDA/CG/
No. of days
Previous Batch & Place & Date UES/TES/10+2TES/SEC/MET
stayed at
Chest No. (Mandatory) (Mandatory)
SSB/AFSB
(Mandatory)
1
2
3
4
5
6
7
8
9
10
10. Have you appeared for INSB/PAB/CPSS Test earlier? YES / NO If yes, give following details:
Batch No. Chest No. AFSB Centre Date CPSS/PAB Result (Put tick)
PASS FAIL
11. I hereby declare that the statement made in this form is true to the best of my knowledge and
belief. In case of any incorrect information, my candidature is liable to be cancelled. I also understand
that the decision of the IAF on eligibility condition would be final. I have no relatives or known person
working in this Selection Board.
Date:
Sign of candidate: Mob No.:
JOURNEY PARTICULARS
………………………………….…………………………………………………………………………………
AMOUNT ADMISSIBLE
FARE DETAILS (JOURNEY DETAILS) TICKET AMOUNT (FOR OFFICIAL USE AT
AFSB ONLY)
ONWARD PNR NO:
JOURNEY TICKET NO:
RETURN PNR NO:
JOURNEY TICKET NO:
TOTAL
ACCOUNT DETAILS
ACCOUNT NUMBER
NAME OF THE A/C
(Hard copy of NAME OF BANK AND
HOLDER
cancelled cheque / BRANCH
(If giving some other
copy of front page of IFSC CODE (Must be a nationalised
account, relation of
passbook must be bank or set up under
the person to be
provided for RBI regulations)
mentioned)
verification purpose)
NOTE: Candidates having account in recently merged banks must provide the updated IFSC code.
Please attach the following documents with this form:
1. Hard copy of ticket travelled (Bus/ Train / Air)
(If it is Waitlist, confirmed berth no. should be mentioned on ticket)
{If travelled by air, (a) boarding pass and (b) hard copy of the ticket must be attached}
Price on ticket must be available.
2. Cancelled cheque or photocopy of the first page of your bank passbook
Certified that I have/have not appeared for the same type of entry/course in any of the Selection
Boards previously and I am entitled / not entitled for TA/DA. I declare that the statements made in
this form are true to the best of my knowledge and belief.
Date:
FOR OFFICE PURPOSE ONLY
FOR PRICING:
Chest No. Ph I:………… Chest No. Ph II :………...
To,
Dated ……day of......................20 (Date must be the date on which the document is being signed)
Name: Name:
Address:_____________________ Address:_______________________
____________________________ ______________________________
____________________________ ______________________________
NOTE:1. Delete portions which are not applicable. To be signed by self if age is above 18 years.
2. Candidates must also note that they will not be admitted to the Services Selection Board
interview without this Certificate.
……………………………………………………………………
Note:
# In case no conversion formula exists, it should be clearly mentioned. Please strike out
Columns which are not applicable.
* Date of declaration of result / completion of examination must be clearly mentioned (the last
date of submission is provided in official notification). Candidates carrying this certificate
without clear mention of the date of declaration of result will be routed back without testing.
Institutes must ensure that all the fields above are mandatorily filled. If issued under letter head, the
entire contents of this form must be endorsed without fail.
CHEST NO PH-I: (TO BE LEFT BLANK) CHEST NO PH-II:
COURSE CUM PERCENTAGE CERTIFICATE
(TO BE SUBMITTED AT AFSBs)
Name :…………………………………… ………. AFCAT No……………………………
(BLOCK LETTERS) (AS IN CALL LETTER)
GRADUATION (QUALIFYING)
Name of Degree : Stream/Branch :
Name of University:
Original Degree Certificate No: dated:
Provisional Degree Certificate No: dated:
Year/ Semester Max Marks Obtained Percentage For MET branch only
/ SGPA Marks / (equivalence subject)
SGPA Physics Maths
Ist Year/ Semester
IInd Year/ Semester
IIIrd Year/ Semester
IVth Year/ Semester
Vth Year/ Semester
VIth Year/ Semester
VIIth Year/ Semester
VIIIth Year/ Semester
TOTAL
UNDERTAKING
Date: ……………………….
Place : (Sign of candidate)
*Note: For candidates with CGPA, the same needs to be converted into percentage as per
directions of your University. Proof of conversion as issued by university/college be attached
with this form
Appendix ‘A’
(Refers to Para 4(a) of
AIRHQ/99287/17/PO3AB
dated 27 May 21)
(Post card size to be pasted here duly signed by the candidate with name. Size of Tattoo
Please do not use staple pins/ clips) (in Cms): ……..
Location of Tattoo
…………………………..
1. I am enclosing Certificate (s) as per Appendix ‘B’, in original, for permanent body tattoo (s) on
my body, duly signed as per instructions.
2. I hereby declare that besides the tattoo(s) as referred in Para 1 of Appendix A above, I will not
have any other permanent body tattoo (s) in future if I am selected to undergo pre- commissioning
training.
3. The above information given by me is true and correct to the best of my knowledge and belief.
4. I understand and am aware that misrepresentation of any facts/ concealment of any
information regarding permanent body tattoo(s) will lead to cancellation of my candidature at any
stage from commencement of the selection process for which I shall be solely responsible.
( ) ( )
Signature of Parent Signature of Candidate
Name_______________ Name________________
Date:________________ Date:_________________
If below 18 years If above 18 Years
Note: (i) This form should be signed by parent (father / mother / legal guardian) if the candidate is below 18
years of age.
(ii)The candidate must be in possession of this form at the time of arrival at this Board for SSB.
Appendix ‘B’
(Refers to Para 4(a) of
AIRHQ/99287/17/PO3AB dated27
May 21)
2. It is certified that the permanent body tattoo(s) inked on the following parts of the body
of…………………………………….….. (Name of the Candidate) is/ are as per existing customs and
traditions of …………………………………………Tribe and is prevalent as on date:-
(a)
(b)
3. Post card size photograph of each of the tattoo as given in Paragraph 2 of Appendix ‘B’ above
is certified to be true and correct and annexed herewith for future reference/ record hereafter:-
Photograph of Tattoo Details of Tattoo
(Post card size to be pasted here duly signed by the candidate with name. Size of Tattoo
Please do not use staple pins/ clips) (in Cms): ……..
Location of Tattoo
…………………………..
Note - Separate photograph of each tattoo with details and description will be separately furnished and
each page will be duly attested by the Authority.
Date: (Signature with Name, Designation and Stamp of) DC/ DM or SDM
of the District/ Tehsil)
OR
(Signature with Name, Designation if any and Address of
Place: Chairman/ Secretary or Senior Member of the Tribe to which the
candidate belongs to with their stamp).
Appendix ‘D’
(Refers to Para 4(a) of
AIRHQ/99287/17/PO3AB dated27
May 21)
(Post card size to be pasted here duly signed by the candidate with name. Size of Tattoo-(in Cms)
Please do not use staple pins/ clips)
Language - (If
applicable)
Significance of Tattoo
(If applicable)
Post Card size Photograph 14 cm X 9 cm (Length and breadth)
Location of Tattoo
………………………..
( ) ( )
Signature of Parent Signature of Candidate
Name_______________ Name________________
Date:________________ Date:_________________
If below 18 years If above 18 Years
Note: (i) This form should be signed by parent (father / mother / legal guardian) if the candidate is below 18 years
of age.
(ii)The candidate must be in possession of this form at the time of arrival at this Board for SSB.
Note: Separate photograph of each tattoo with details and description will be separately furnished and each page
will be duly signed by the Candidate. President 5 AFSB or Commandant of a Pre- Commission Training Academy,
are empowered to reject a candidate for non-permissible permanent body tattoo(s).
DETAILS OF GAZETTED OFFICERS
(IN BLOCK CAPITAL LETTERS)
NAME
DESIGNATION
POSTAL ADDRESS
FLAT NO
VILLAGE / STREET
POST OFFICE / POLICE STATION
DISTRICT
STATE
PIN CODE
MOBILE NO
CANDIDATE QUESTIONNAIRE
1. Personal Details:
UPSC/AFCAT DOB Height Weight
Board Batch Name (In Capital)
Roll No DD/MM/YY (Cms) (Kgs)
……AFSB
2. Entry Details:
Entry 1. NDA 2. CDSE 3.AFCAT 4. NCC 5. FTS 6. Any Other
Batch 1. Flying 2. AE(L) 3. AE(M) 4. Adm 5. Lgs 6. Accts 7. MET
8. Edn
3. Place of Residence:
Place District State
4. Educational Background:
(a) Matric / Hr Sec
Institute 1. Govt 2. Pvt 3. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentage % Division
(b) 10 + 2/ Equivalent
Institute 1. Govt 2. Pvt 3. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentage % Division
(c) Graduation
Degree 1. B.Tech/BE 2. Any other
University 1. Centre 2. Private 3. State 4. Any other
Percentage % Division
(d) Post Graduation
PG Degree 1. Technical 2. Any other
University 1. Centre 2. Private 3. State 4. Any other
Percentage % Division
5. Candidate’s Employment Details
Candidates 1. Defence 2. Para Military 3. Govt 4. Private 5.SelfEmployed
Present
Occupation 6.Business 7. Farmer 8. Any other
10. Have you seen Induction Publicity Exhibition Vehicle(Volvo bus)? YES/NO, if YES any suggestion.
1. Write the No. and place of the AFSB to which you are required to report on top of each form.
3. Next of Kin (NOK) details: NOK must be your parents or legal guardian, if parents are not
alive.
4. Direct Ph-II: If you are reporting directly for Phase-II testing, tick yes. Otherwise, tick No.
5. Body tattoo: If you have any tattoo on any part of your body, tick yes. Otherwise, tick No.
6. Armed Forces/Govt /PSU: If you are serving in any of these, tick yes. Otherwise tick No. If
serving in any of these, bring NOC from your employer (mandatory).
9. Batch No: already filled. Recheck that you have applied for same. If not hen contact us.
10. Date of Birth: Write your DOB (format DD/MM/YYYY) as per 10th passing certificate.
12. Qualifying Exam: Tick on graduation/Post graduation and if you are yet to complete, tick
appearing and strike out the rest. Give details of your total marks (aggregate percentage) secured.
13. Are you a habitual wearer of Glasses/ Spectacles or contact lens?: If you are wearing
any kind of spectacles or contact lenses, tick yes. Otherwise, tick no.
14. FOR S/OUT & REPEATERS ONLY: Those candidates who are coming for SSB for the first
time, be it in Air Force, Army, Navy or Coast Guard, are to leave the table blank. For those who
have been to any SSB centre for testing before, are required to fill the data. Mandatory columns
should not be left blank.
15. If you have appeared for CPSS/PAB test before, tick yes/no. If yes, please furnish details.
16. Sign the declaration form and also mention your contact number. Date mentioned should
be your date of reporting at AFSB. This form will be submitted to the staff on your arrival. You
are therefore advised to bring the form duly filled before your arrival at this Board.
5. Write fare and ticket/PNR number of your travel tickets. Make sure to attach the hard copies of the
ticket& Boarding Pass, proof of account details before submitting this form.
6. Sign the form. Date mentioned should be your date of reporting at AFSB. This form
will be submitted to the staff on your arrival. You are therefore advised to bring the form duly filled
along with hard copy of tickets before your arrival at this Board.
The Indemnity Bond should be signed by the individual who has attained the age of 18
years at the time of SSB testing. Signature of witness is also mandatory and the person signing as
witness should be older than 18 years and must be known to the candidate personally.
Candidates must ensure that all applicable fields in the form is filled. Breakdown of semester /
year wise marks is to be endorsed in respective columns. If graded with CGPA, the same needs to be
converted to percentage as per the formula issued by university/institute and is to be clearly
mentioned.
Due care needs to be taken while getting Bonafide Certificate issued by your institute. If
issued under letter head, all the contents of this forms needs to be mandatorily endorsed without
which you will be routed back without testing.
The forms need to be carried by those candidates who have permanent body tattoo
permissible according to existing rules and regulations. Candidate need to choose the form which
is appropriate to his community and all fields must be duly filled and signed prior to reporting.
Gazetted officers are those who are working in Central / State Gotv. holding gazette ranks.
Trustworthy persons can be any of the following:
1. Write at the fields wherever required. Otherwise put tick (√) in the remaining fields. Put (-) in
the fields which are not applicable to you.
3. If you have seen an Air Force Publicity Vehicle (Publicity Volvo bus), write yes. Also write
suggestions if any. Otherwise, write no.
4. Sign the form. Address mentioned must be same as filled AFCAT during Registration. Date
mentioned should be your date of reporting at AFSB.
5.
Note: These forms will be submitted to the staff on your arrival. You are therefore advised to
bring the form duly filled before your arrival at this Board.