PERSONAL INFORMATION

(5 PAGES)
INFORMATION ABOUT SELF
NAME/ Mob No/ Email id
PLACE OF MAXIMUM RESIDENCE
PRESENT PLACE OF RESIDENCE
DATE OF BIRTH
Page | 1
MONTHLY INCOME/ POCKET MONEY/ MONTHLY EXPENSES

COMMISSION SOUGHT

NATURE OF COMMISSION:

SERVICE CHOICE:

PAST SSB EXPERIENCE

ENTRY/DATE/ REASON FOR REJECTION/NOT JOINING

1.

2.

3.

4.

INFORMATION ABOUT PARENTS, BROTHERS & SISTERS

FATHER/GUARDIAN'S EDUCATION QUALIFICATION ,JOB &
INCOME

MOTHER'S EDUCATION QUALIFICATION, JOB & INCOME

IN CASE FATHER IS NOT ALIVE-YEAR OF DEATH

IN CASE MOTHER IS NOT ALIVE-YEAR OF DEATH
BROTHER'S EDUCATION, JOB & INCOME ( FOR ALL BROTHERS)

SISTER'S EDUCATION, JOB & INCOME ( FOR ALL SISTERS)

 PERSONAL INFORMATION
(5 PAGES)

ACADEMIC RECORD

10 TH: YEAR/ BOARD/MEDIUM OF INSTRUCTION/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/

ANY OUTSTANDING ACHIEVEMENT Page | 2

11 TH: YEAR/ BOARD/MEDIUM OF INSTRUCTION/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/

ANY OUTSTANDING ACHIEVEMENT

12 TH: YEAR/ BOARD/MEDIUM OF INSTRUCTION/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/

ANY OUTSTANDING ACHIEVEMENT/ (FOR ENGINEERS ONLY) RANK IN IIT / STATE ENTRANCE EXAMINATION

GRADUATION: FROM:YEAR TO YEAR/ UNIVERSITY OR COLLEGE/MEDIUM OF INSTRUCTION/PERCENTAGE IN

EACH SUBJECT/ DAY SCHOLAR/BOARDER/ ANY OUTSTANDING ACHIEVEMENT

POST GRADUATION: FROM:YEAR TO YEAR/ UNIVERSITY OR COLLEGE/MEDIUM OF INSTRUCTION/PERCENTAGE IN

EACH SUBJECT/ DAY SCHOLAR/BOARDER/ ANY OUTSTANDING ACHIEVEMENTS

PROFESSIONAL DEGREE/DIPLOMA: FROM:YEAR TO YEAR/ UNIVERSITY OR COLLEGE/MEDIUM OF INSTRUCTION

/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/ ANY OUTSTANDING ACHIEVEMENTS
 PERSONAL INFORMATION
(5 PAGES)

NCC TRAINING: YEARS/ CERTIFICATE/ ANY OUTSTANDING ACHIEVEMENTS

Page | 3

WORK EXPERIENCE

ORGANIZATION/JOINING YEAR/NATURE OF WORK/PAY/OUTSTANDING ACHIEVEMENTS

HEALTH/FITNESS/SPORTS/ EXTRA-CURRICULAR ACTIVITIES

HEIGHT IN FEET & INCHES:

WEIGHT IN KGS: WAIST IN INCHES: CHEST IN INCHES:

100 METERS RUN TIMING (CURRENT) IN SECONDS:

1600 METERS RUN TIMING (CURRENT) IN MINUTES & SECONDS:

NUMBER OF PUSH UPS (CAN DO CONTINUOUSLY AT ONE STRETCH NOW):

NUMBER OF CHIN UPS (CAN DO CONTINUOUSLY AT ONE STRETCH NOW):

NUMBER OF SIT UPS (CAN DO CONTINUOUSLY AT ONE STRETCH NOW):

(FOR GIRLS ONLY): IN CASE ABOVE IS ZERO, DURATION IN SECONDS FOR WHICH YOU CAN HANG ON A
CHIN UP ROD:

GAMES PLAYED/ PERIOD OR DURATION OF PARTICIPATION/HIGHEST LEVEL OF COMPETITION/

OUTSTANDING ACHIEVEMENTS

EXTRA-CURRICULAR ACTIVITIES/ PERIOD OR DURATION OF PARTICIPATION/ OUTSTANDING

ACHIEVEMENTS
 PERSONAL INFORMATION
(5 PAGES)

Page | 4
POSITIONS OF RESPONSIBILITY HELD & ACHIEVEMENTS

SCHOOL/ COLLEGE/SPORTS/EXTRA-CURRICULAR ACTIVITIES/ NCC/ WORK PLACE

HOBBIES/INTERESTS

DURATION/ ANYTHING NOTEWORTHY

SELF DESCRIPTION

PERSONALITY STRENGTHS

PERSONALITY WEAKNESSES

WHY PEOPLE LIKE YOU

WHY PEOPLE DISLIKE YOU

HOW HAVE YOU BEEN HELPFUL AT HOME/ AT SCHOOL/AT COLLEGE/AT WORK PLACE/IN EXTRA-

CURRICULAR ACTIVITIES
 PERSONAL INFORMATION
(5 PAGES)
WHY YOU CONSIDER YOURSELF SUITABLE TO BECOME AN OFFICER IN THE DEFENCE SERVICES?

Page | 5

WHAT SHORTCOMINGS MAY PREVENT YOU FROM BECOMING AN OFFICER IN THE DEFENCE SERVICES?