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Registration Date:11-02-2019 08:49 PM Print Date:22-02-2019 08:48 PM

INDIAN ARMY
Directorate General of Recruiting
SSC(Tech)-53/751119

Application Details

MY
AR
Personal Details AN
1. Roll No SSC(Tech)-53/751119
2 Course Applied For : SSC(Tech)-53
DI

3. Candidate's Name (As per Matriculation MANISH KUMAR JHA


Certificate)
4. Father's/Guardian's Name DIWAKAR JHA
IN

5. Mother's Name ANNAPURNA DEVI


6. Date of Birth (As per Matriculation 11-12-1996
Certificate)
IN

7. Nationality INDIAN
8. Nationality, If‘Others’
JO

9. Marital Status Unmarried


10. Gender Male
11. Mobile No 7858957712
12. Email Address manish.jha5@hotmail.com
13. Aadhar No XXXXXXXX3344
14. (a) Permanent Address (b) Correspondence Address
Address V.I.P COLONY, Address V.I.P COLONY,
WARD NO- 2, WARD NO- 2,
BLOCK ROAD, BLOCK ROAD,
NEAR DR. C.P. NEAR DR. C.P.
GUPTA, GUPTA,
DALSINGHSARAI DALSINGHSARAI
City / Town / Village DALSINGSARAI City / Town / Village DALSINGSARAI
State Bihar State Bihar
District Samastipur District Samastipur
PIN 848114 PIN 848114
15 Previous SSB Attepmts
Registration Date:11-02-2019 08:49 PM Print Date:22-02-2019 08:48 PM

INDIAN ARMY
Directorate General of Recruiting
SSC(Tech)-53/751119

(a) Entry (b) Location (c) Year/Month (d) Result


16 Education Details
(a) Type of School OTHERS
(b) Roll No of 10+2 Examination OR 40003
Diploma

MY
(c) Whether Diploma holder or not No
(d) Aggregate % of Marks Obtained in 68.40
Class XII

AR
(e) Main Engineering Stream Computer Sc & Engg/Computer
Technology/Information Technology/M.Sc
(Computer Sc)
(f) Notified Equivalent Stream Computer Science & Engineering
AN
(g) Date Of Joining Engineering Course 14-08-2015
(h) Date of Completion of Engineering 26-08-2019
DI

Course
(i) Name of College/Institute RKDF college of Engineering
IN

(j) Name of University Rajiv Gandhi Proudyogiki


Vishwavidyalaya
(k) Type of University State University
IN

(l) State in which University Located Madhya Pradesh


17. Marks obtained in Graduation
Note 1. The CGPA/Grades must be converted into marks as per the formula adopted by
JO

the concerned University for filling ‘Total Marks’ and ‘Marks Scored’ in the under
mentioned table.
Note 2. In case of yearly system of examination, the candidates to divide ‘Total Marks’
and ‘Marks Scored’ into two equal parts to fill in the First and Second semester marks
of the respective year accordingly.
Semester / Year Total Marks Marks Scored % of Marks Cumulative % of
Marks scored
Semester 1 1000.00 727.00 72.70 72.70
Semester 2 / 1000.00 704.00 70.40 71.55
Year 1
Semester 3 1000.00 662.00 66.20 69.77
Semester 4 / 1000.00 669.00 66.90 69.05
Year 2
Semester 5 1000.00 806.00 80.60 71.36
Semester 6 / 1000.00 713.00 71.30 71.35
Year 3
Declaration
Registration Date:11-02-2019 08:49 PM Print Date:22-02-2019 08:48 PM

INDIAN ARMY
Directorate General of Recruiting
SSC(Tech)-53/751119

1. I have read the course notification as well as the instructions for filling this application on
www.joinindianarmy.nic.in. I undertake to abide by all instructions/guidelines mentioned
therein.
2. I affirm that all information supplied by me as above is true and correct. I also fully
understand that if at any stage, it is discovered that any attempt has been made by me
to wilfully conceal or misrepresent the facts, my candidature may be summarily rejected
or employment terminated. I also undertake not to make any claim or compensation if at

MY
any stage of selection, my ineligibility is detected and my candidature is cancelled as a
result thereof.

AR
Place:
AN
Date:20-02-2019 06:41 PM
DI

Signature of Applicant
IN

CERTIFICATE BY PRINCIPAL/HEAD OF THE TECHNICAL INSTITUTIONS TO BE


SUBMITTED BY FINAL YEAR/SEMESTER CANDIDATES
IN

Certified that Mr. ________________________________________S/o


__________________________________ Date of Birth_______________________ is
JO

studying in final year/final semester of B.E/B.Tech ______________________ (Branch of


Engineering) in this University/College/Institute and his final year/semester examinations will
be over by __________________.

Place:______________ Signature:______________
Date: _______________ Designation:______________

Note: Certificate signed by Heads of Departments will not be acceptable.

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