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Indian Navy B.Tech Entry Application

Rahul Singh has applied for the PC [10PLUS 2 BTECH] - 06/2017 position. He has completed his 12th grade education in 2017 with 73.33% based on Physics, Chemistry, and Maths subjects. He has not appeared for JEE and his 10th and 12th board exams were conducted by the Uttarakhand and CBSE boards respectively. Rahul is unmarried and has never been in the armed forces or attended any selection boards. He provides his permanent and correspondence addresses in Haryana and Uttarakhand and declares that all information provided is true.

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83 views2 pages

Indian Navy B.Tech Entry Application

Rahul Singh has applied for the PC [10PLUS 2 BTECH] - 06/2017 position. He has completed his 12th grade education in 2017 with 73.33% based on Physics, Chemistry, and Maths subjects. He has not appeared for JEE and his 10th and 12th board exams were conducted by the Uttarakhand and CBSE boards respectively. Rahul is unmarried and has never been in the armed forces or attended any selection boards. He provides his permanent and correspondence addresses in Haryana and Uttarakhand and declares that all information provided is true.

Uploaded by

rahul singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Application of Job: PC [10PLUS 2 BTECH] - 06/2017

Application No: PCT176M001494 Application Date: 13/12/2016

PRIORITY

1. PC [10PLUS 2 BTECH] 06/2017

PERSONAL PARTICULARS

Name: RAHUL SINGH


Father's Name: SUBHASH SINGH
Guardian's Name: SUBHASH SINGH
A MOLE ON RIGHT SIDE OF
Identification Mark 1:
NOSE
A INJURY MARK ON RIGHT
Identification Mark 2:
CHICK
Nationality: INDIAN
Aadhaar No.: ---------
Date of Birth: 05/04/1999

EDUCATION PARTICULARS

Details of 12th Qualification

Percentage based on 73.33%


Subjects Total Marks Obtained Marks
PCM marks:
Physics 100 77

Chemistry 100 84

Maths 100 59

12th English Marks 100 85

10th English Marks 100 76

Appeared for JEE NO


Ranking?:
Serial no. of
949807
Marksheet:
State Conducted Board Conducted
UTTARAKHAND CBSE
Exam: Exam:

Details of 10th Qualification


State Conducted Board Conducted Serial no. of
UTTARAKHAND CBSE 1335590
Exam: Exam: Marksheet:

MILITARY RECORD

Have you ever been enrolled in Armed Forces before?: NO


Have you attended any Services Selection Board (SSB)
NO
before?:
Have you been discharged from Armed forces before?: NO

COMMUNICATION PARTICULARS

Details of Permanent Address

Address 1: VILL.- KOYAL , P.O.- DHANAURI, Address 2: TEH. - NARWANA


State: HARYANA District: JIND Pincode: 126116
Domicile: HARYANA Phone No.: 8077129828 Mobile No.: 7500333324
Email id: [Link]@[Link] Alternate Email id: [Link]@[Link]

Details of Correspondence Address

Address 1: L-115, SHIVALIK NAGAR, Address 2: B.H.E.L,


State: UTTARAKHAND District: HARIDWAR Pincode: 249403
Alternate Mobile Number: 7500333324

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. I hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my
knowledge and belief.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.

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