12/14/2015 CareerAirForceIndia(CandidateSection)

APPLICATIONFORM
AFCATNo.
Candidate 74057
ID
Candidate AJITKUMARGUPTA
Name
Mobile/ 7355117514,
Phone
Dateof 28Oct1993

Birth
Gender Male
Postal VILLAGE+P.O.+P.S.AYER, Permanent VILLAGE+P.O.+P.S.AYER,
Address DISTRICTBHOJPUR,BIHAR, Address DISTRICTBHOJPUR
802203
Father
OMPRAKASHGUPTA MotherName ASHADEVI
Name
Visible
MOLEMARKNEARRIGHTSIDE NearestRailway
Identification GARAHANI
OFHEAD Station
Mark
AppearedGATE
Married No No
(Year/Marks)
10+2DETAILS
Pecentage 60
Marksin
47
Maths
Marksin
62
Physics
QUALIFICATIONDETAILS
Graduate PostGraduate
SHAHEEDBHAGATSINGH
College
STATETECHNICALCAMPUS
PUNJABTECHNICAL
University
UNIVERSITY
Marksin
N/A
Maths
Marksin
N/A
Physics
Discipline All
Passout
30/06/2016
Date
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12/14/2015 CareerAirForceIndia(CandidateSection)

Pecentage 67

Backlogs 0

SUBJECTSSTUDIED
Graduate PostGraduate

(L01)Physics/EngineeringPhysics
(L02)Mathematics/EngineeringMathematics

(L03)EngineeringGraphics/Engineering
Drawing
(L05)ControlEngineering

(L06)Microprocessors

(L07)DigitalElectronics/BasicElectronic

(L10)NetworkTheoryDesign

(L17)AntennaandWavePropagation

(L18)ElectronicDevices

COURSE'SINORDEROFPREFFERENCE

[1]200/17G/PC/M(Adm),[2]200/17G/PC/M(Lgs),[3]201/17F/SSC/MF(P),[4]
200/17G/SSC/M(Adm),[5]200/17G/SSC/M(Lgs)

CHOICEOFAFCATCENTERINORDEROFPREFFERENCE

[1]Bathinda,[2]Jalandhar(Adampur),[3]Amritsar,[4]Chandigarh,[5]Ambala

CHOICEOFAFSBCENTER

[1]None

DECLARATION
1. Iherebydeclarethatallthestatementsmadeintheapplicationsaretruetothebestofmy
knowledgeandbelief.
2. Ihaveneverbeendebarredfromappearinginanyexaminationnor,haveIeverbeen
withdrawnfromDefencetrainingEstablishmentsondisciplinarygrounds,norhaveIever
beenarrested,ProsecutedorconvictedbycriminalcourtorInvolvedinanyothercase
registeredbythepolice.
3. Iundertakenottomakeanyclaimforcompensationifatanystageofmyselection,my
ineligibilityforcandidatureisdetectedandmycandidatureiscancelledasaresultthereof.
4. Thisistheonlyapplicationsubmittedbyme.
5. Anywillfulmisrepresentationoffactsandconcealedofinformationwillresultinthe
cancellationofthecandidatureandmaydebarpermanentlyorforaspecifiedperiodfrom
applyingforfuturecourses
6. CertifiedthatIhavereadandunderstoodtheadvertisementandfulfillthestipulated
eligibilitycriteria.Iunderstandthatmycandidatureisliabletobecancelledatanystagein
caseanydiscrepancyisnoticed.
7. Nochangeinapplicationispermittedaftersubmission.
8. ForAirWarriors,recommendationofBoOismandatoryandtheyaretocarryduly
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12/14/2015 CareerAirForceIndia(CandidateSection)

recommendedapplicationbyBoOforAFSBtesting.
9. Websiteistofacilitatethecandidatesforapplyingonline.However,theruleswillbe
governedbytheadvertisementpublishedforthecourse/coursesappliedfor.

Place: NotAvailable
Date:

Signautre
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