APPLICATION FOR THE POST OF
__________________________
To, The Commandant HQ AC Centre and School PIN 900476 c/o 56 APO
FOR OFFICE USE ONLY (Space for Passport size photograph)
Regn. No. ____________________ [Affix Recent Passport Size Photo Here]
APPLICATION FORM
1. Name in Full (in Capital Letters):
● SURNAME: _________________________________________________
● NAME: ____________________________________________________
2. Father's Name / Husband Name: _______________________________________
3. Date of Birth (Attach Proof):
● Date: [ ] Month: [ ] Year: [ ]
● Age as on Last Date of Application: Years: [ ] Months: [ ] Days: [ ]
4. Permanent Home Address:
PIN Code: ___________________
5. Local Address (if any):
PIN Code: ___________________
6. Caste (Attach Certified Copy of Certificate): ___________________________
7. Education Qualification (Attach Xerox copies duly attested):
8. Name of the Post Applied: __________________________________________ Category
(Reserved for): ____________________________________________
9. Have you been convicted in criminal cases (Yes/No): __________________
10. Contact No. (Mobile No.): __________________________________________
DECLARATION
1. I, hereby declare that all the statements made in this application are true and correct to
the best of my knowledge and belief.
2. I, understand that in the event of particulars or information given here being found false or
incorrect, my candidature for the examination is liable to be rejected or cancelled and in
the event of my mis-statement/discrepancy in the particulars being detected after my
appointment my services are liable to be terminated without notice to me and I shall be
bound by the decision of the authorities. I also declare that I have never been punished or
debarred from Govt. (Central/State/Autonomous Organization). I have not been convicted
by Court of Law for any offence and in the event of any information being found false,
incorrect and ineligible being detected at any time before or after
examination/Interview/appointment action may be taken against me.
Dated: _____ / _____ / 2026
Place: _________________
(Signature of the Candidate)