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SSC Pilot Application Form 2017

Parveen Kumar, an unmarried Indian citizen, applied for the Short Service Commission Pilot program in the Indian Navy for the June 2017 batch. In his application, he provided personal details like his name, date of birth, family details, address, education qualifications, and a declaration that he has never been arrested or involved in any legal cases. He completed his B.Tech in Mechanical Engineering in 2017 with 73% marks and declared that he has not attended any Services Selection Board interviews to date. He was requested to submit a signed printout of the application along with relevant documents by ordinary post and was informed that he would be contacted via email or SMS if shortlisted for the selection process.

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Ayush Chopra
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6 views1 page

SSC Pilot Application Form 2017

Parveen Kumar, an unmarried Indian citizen, applied for the Short Service Commission Pilot program in the Indian Navy for the June 2017 batch. In his application, he provided personal details like his name, date of birth, family details, address, education qualifications, and a declaration that he has never been arrested or involved in any legal cases. He completed his B.Tech in Mechanical Engineering in 2017 with 73% marks and declared that he has not attended any Services Selection Board interviews to date. He was requested to submit a signed printout of the application along with relevant documents by ordinary post and was informed that he would be contacted via email or SMS if shortlisted for the selection process.

Uploaded by

Ayush Chopra
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
SGP1721117684
1. CHOICE OF ENTRY : [1] SSC(PILOT)

[2] SSC(NAIC)

2. PERSONAL PARTICULARS AS IN MATRICULATION CERTIFICATE:

NAME:

parveen
kumar

DATE OF BIRTH: 1994/10/01


FATHER'S NAME: parshotam kumar
FATHER'S OCCUPATION: driver
DOMICILE:

Jammu & Kashmir

[Link]:

INDIAN

GENDER:

[Link] STATUS: Unmarried

6. ADDRESS:

Male

[Link]: kumarparveen9410@[Link]

PERMANENT

PRESENT

main road durga nagar sec-1 jammu

lovely professional university phagwara

main road durga nagar sec-1 jammu

lovely professional university phagwara

DISTRICT

jammu

kapurthala

STATE

Jammu & Kashmir

Punjab

PINCODE

180013

144411

TELEPHONE --NA--

MOBILE

9801893692

--NA--

7. EDUCATION PARTICULARS:
Qualification

Stream

Year of Passing

Percentage

[Link]

Mechanical

2017

73%

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

Maximum Marks

Marks Obtained

1100

738

3rd Semester

800

5th Semester

1100

7th Semester

1st Semester

Maximum Marks

Marks Obtained

2nd Semester

1200

899

620

4th Semester

1100

792

820

6th 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 29, 2016, 5:25 pm


Signature of Applicant

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