ELIGIBILITY CERTIFICATE
1. This is to certify that Mr./Miss/Mrs…………………………………………… is the
son/daughter/widow/wife of No………………….. Rank ………………………………………….
Name……………………………………….....................................................................................................
2. His/Her date of birth as recorded in the service document and Matriculation certificate is
……………………………………………………………………….
3. The above named individual:
Priority-I :Widows/Wards of Defence personnel killed in action. Attested
Priority-II :Wards of disabled in action and boarded out from service passport
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Priority-III :Widows/Wards of Defence personnel who died while in service with death photograph
attributable to military service.
Priority-IV :Wards of disabled in service and boarded out with disability attributable to
military service.
Priority-V :Wards of Ex-Servicemen and serving personnel who are in receipt of Gallantry
Awards:-
Priority-VI :Wards of Ex-Servicemen.
Priority-VII : Wives of:
(i) Defence personnel disabled in action and boarded out from service.
(ii) Defence personnel disabled in service and boarded out with disability attributable
to military service.
(iii) Ex-servicemen and serving personnel who are in receipt of Gallantry Award.
Priority-VIII : Wards of Serving Personnel.
Priority-IX : Wives of Serving Personnel.
4.………………………………………….. Son/Daughter/wife/widow of No………………………………….
Rank ………………………………….. Name …………………………………………………………..
is eligible for Nomination as a Govt. of India nominee under Ministry of Defence quota for admission in
Medical/Dental Colleges in Priority- …………….
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Dated: CO/OC Unit/ ZSB/RSB
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COUNTERSIGNED
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Dated: OIC Records
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Note: For serving personnel eligibility certificate will be signed only by CO Unit or OIC Record.