0% found this document useful (0 votes)
15 views1 page

SSC Pilot Application Form India

Tanmay Sardana has applied for the position of Short Service Commission Pilot in the Indian Navy for the June 2017 batch. He is currently unmarried and studying for his B.Tech, which he is scheduled to complete in 2017. In his application, he provides personal details like his name, date of birth, family information, address, contact details, educational qualifications and a declaration acknowledging eligibility criteria and pledge to provide truthful information.

Uploaded by

TanmaySardana
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
15 views1 page

SSC Pilot Application Form India

Tanmay Sardana has applied for the position of Short Service Commission Pilot in the Indian Navy for the June 2017 batch. He is currently unmarried and studying for his B.Tech, which he is scheduled to complete in 2017. In his application, he provides personal details like his name, date of birth, family information, address, contact details, educational qualifications and a declaration acknowledging eligibility criteria and pledge to provide truthful information.

Uploaded by

TanmaySardana
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION FORM FOR Short Service Commission Pilot JUN 17 BATCH

(UNMARRIED CANDIDATES ONLY)


FOR INDIAN NAVY OFFICE USE ONLY

Code No:

For Office use only:

Application No:
(Affix Photograph)

VALID / INVALID
SGP1721108090
1. CHOICE OF ENTRY : [1] SSC(PILOT)
2. PERSONAL PARTICULARS AS IN MATRICULATION CERTIFICATE:

NAME:

TANMAY
SARDANA

DATE OF BIRTH: 1995/12/14


FATHER'S NAME: GIRISH KUMAR SARDANA
FATHER'S OCCUPATION: SENIOR MANAGER INDIAN OIL CORPORATION
DOMICILE:

Delhi

[Link]:

GENDER:

INDIAN

[Link] STATUS: Unmarried

6. ADDRESS:

Male

[Link]: tanmaysardana@[Link]

PERMANENT

PRESENT

84 SWASTIK KUNJ SECTOR 13

84 SWASTIK KUNJ SECTOR 13

ROHINI

ROHINI

DISTRICT

ROHINI

ROHINI

STATE

Delhi

Delhi

PINCODE

110085

110085

TELEPHONE --NA--

011-27565419

MOBILE

9958675082

--NA--

7. EDUCATION PARTICULARS:
Qualification

Stream

Year of Passing

Percentage

[Link]

Any Discipline

2017

60.66%

Appeared With Final Year Completed/Appearing With Appearing in Final Year - Appearing

Maximum Marks

Marks Obtained

Maximum Marks

Marks Obtained

1st Semester

100

59

2nd Semester

100

62

3rd Semester

100

5th Semester

100

52

4th Semester

100

60

70.3

6th Semester

7th Semester

8th Semester

8. I HAVE NOT ATTENDED ANY SSB INTERVIEW TILL DATE

DECLARATION
1.I, hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of India and have never been debarred from appearing at any examination. I have never been
arrested/prosecuted and convicted by a criminal court or involved in any other case registered by the Police.
2. I, hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my knowledge and belief.
3. I, fully understand that in the event of any information being found false or incorrect, appropriate action can be taken against me.
4. Eligibility criteria will be verified on reporting at the selection centres. If found ineligible, I understand that criminal proceedings can be initiated against me for fraudulent entry and falsification of GOI
documents. I also accept that no TA/DA will be admissible to me in such cases.
5. I have completed my [Link] as on date.

NOTE:
Please forward the print out of this application duly signed to the address mentioned in the advertisement along with relevant documents by ORDINARY POST
ONLY. You will be intimated via Email or SMS regarding your SSB Call-up, if shortlisted. Kindly check your Email inbox regularly.
Place ______________

Date _____________

September 20, 2016, 8:26 pm


Signature of Applicant

You might also like