Affix a

rec.ent
Passport size
NO.1 DELHI AIR SQN NCC (FLYING) color photograph
ofthe candidate
CADET'S BIODATA: 2023-24 ENROLMENT
BASIC INFORMATION DETAILS OF PARENTS / GUARDIAN BANK ACCOUNT DETAILS
AADHAR NO. FATHER'S NAME NAME

PAN OCCUPATION ACCOUNT NO.

REGTL NO. CONTACT NO. BANK NAME

RANK MOTHER'S NAME BRANCH

In Block Capitals(As in Matric Certificate)
NAME OCCUPATION. IFSC
NAME (IN HINDI) As in Matric Certificate CONTACT NO SIZE ROLL
DATE OF BIRTH GUARDIAN’S SHOES:
AGE At the time of Enrolment NAME. SHIRT:

BLOOD GROUP OCCUPATION TROUSER:

HEIGHT (IN CMS) CONTACT NO. UNDERTAKING OF FITNESS

NATIONALITY Whether Citizen of India or Subject of Nepal ANNUAL I..............................................

Vegetarian/ Non-Vegetarian INCOME S/O .........................................
DIETARY HABITS

SWIMMING SKILLS Swimmer / Non-Swimmer hereby declare that:-

PRESENT ADDRESS
CONTACT NO. 1. WhatsApp no. 2. WhatsApp no. I am physically fit to undertake the Endurance
Test conducted as part of selection for enrolment in the Senior
E-MAIL ID Wing of NCC.I am not suffering from/ have no history of ailments
that restricts my participation in the above test
IDENTIFICATION 1
I solemnly declare that the statements I have made above are true
MARKS 2 and that no part of them is false, and that neither I, nor my other
PERMANENT ADDRESS
legal representatives will have any claim on authorities for any
EXCELLECNE IN compensation in the event of any injury including injury resulting in
SPORTS, GAMES, DETAILS OF NEXT OF KIN AND NOMINEE(S) death due to any reasons whatsoever, which I may suffer, while or in
DANCE, MUSIC ETC. consequence of my participation in the above activities.
NAME OF NEXT OF KIN, Signature of the applicant
ACADEMIC DETAILS & Signature Parent/Guardian
CONTACT NO.
DATE :
EDN QUALIFICATION NAME OF NOMINEE (S),
At the time of Enrolment RELATIONSHIP PLACE:
CLASS STUDYING IN &CONTACT NO. INSTRUCTIONS FOR FILLING THIS FORM:
COLLEGE STUDYING At the time of Enrolment
1. Space provided for Regimental No. and Rank are to be left
IN blank.
NCC CERTIFICATE EXAMS/CAMPS/COURSES 2. Tis form is not to be folded and is to be filled in BLOCK
EXCELLENCE IN CAPITALS using blue ink ball pen only.
ACADEMICS CAMPS/ COURSES 3. No cutting/over writing is permitted in the form
ATTENDED.
4. One recent colour passport size photograph is to be affixed at
DETAILS OF CERTIFICATE EXAMS the right top corner of the bio data form.
PASSED 5. Reverse of the bio data form is to be left blank.