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APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN

AIR FORCE AS AGNIVEERVAYU Science Subjects: INTAKE
02/2025

Payment Status: Online Payment Success Registration No.: 24070105843

Candidate's Full Name Sumit Father's Name Upender Singh

Mother's Name Neelam Devi Nationality Indian

Date of Birth (dd-mm-yyyy) 01-07-2005 Marital Status Unmarried

sumit2525singh2525@gma
Mobile No. +917982525967 Email Id
il.com

Gender Male Aadhaar Card No. 387368332595

Is Qualification with
Qualification 12th Yes
Physics/Math

Central Board of Secondary

Name of Education Board 12th Stream Science
Education (CBSE)

Aggregate % 65 English % 71

Physics % 61 Mathematics % 56

Additional Marksheet Yes

Computer Knowledge Yes Computer Knowledge Type Basic

Higher Education
Pursuing
Qualification Status

Engineering / Non-
Non-Engineering Non-Engineering Stream Science
Engineering

Grading system as per

Percentage
mark sheet

Sr.N
Subject Obtained Marks Total Marks
o.

1 English 71 100
Subject wise Marks
2 Maths 56 100

3 Physics 61 100

COAFP No Serving IAF NC(E) No

NCC Certificate Holder No

Driving Known No
Knowledge in Any Trade
(Welding , Soldering , Lathe work or No
any related work)

Any Other Skills /

Information Technology Qualification /
No No
Known Achievements / Work
Experiences

Any Representation /
Achievement in any Sports No
event or discipline

Languages known, other

No
than English / Hindi

Discharged from
No
Forces/Govt. Organization

Category Applied Science Subjects Identification Mark A mole in face

Candidate Height 160.0

Exam City
1) Delhi and 2) Noida/
preferences 3) Lucknow 4) Ghaziabad 5) Prayagraj
NCR Greater Noida
for Phase-I

ASC 2) 4 ASC, 3) 1 ASC, 4) 5 ASC, 5) 3 ASC,

1) 2 ASC, 6) 10 ASC,
preferences Barrackpore Ambala Cantt Jodhpur Kanpur (Uttar
New Delhi Bihta (Bihar)
for Phase-II (West Bengal) (Haryana) (Rajasthan) Pradesh)

7) 6 ASC, 12) 15 ASC,

8) 9 ASC, 9) 7 ASC, 10) 12 ASC, 11) 11 ASC,
Mumbai Bhopal
Bhubaneswar Bengaluru Secunderabad Guwahati
(Maharashtra (Madhya
(Odisha) (Karnataka) (Telangana) (Assam)
) Pradesh)

13) 14 ASC, 14) 8 ASC,

Kochi Tambaram
(Kerala) (Tamil Nadu)

D 704 Prem nagar 3 AASTH D 704 Prem nagar 3 AASTH

A VIHAR KIRARI SULEMAN A VIHAR KIRARI SULEMAN
Permanent Address NAGAR, Kanjhawala, North Communication Address NAGAR, Kanjhawala, North
West, Delhi, Sultanpuri, 110 West, Delhi, Sultanpuri, 110
086 086

Nearest Police Station as

Nearest Police Station as
Nangloi per Communication Nangloi
per Permanent Address
Address

Domicile State Delhi Domicile District North West

Chest Size 77.0 cm Waist Size 75.0 cm Shoe Size 7 No.

Transaction Reference Application Transaction

Received Date
No. Fees Date
Exam Fee Payment Details
22-Jul-2024 22-Jul-2024
113386904298 Rs. 649
14:10 14:11
 DECLARATION BY THE CANDIDATE

I have read and understood all the instructions for filling this application form. Further, I declare that statements made in
this application are correct. I understand that I am liable to be disqualified at any stage, if the information given is found to
be incorrect/incomplete/false. I will produce all original certificates and statement of marks and three photocopies of
each, duly attested by me, at the time of appearing in the Phase-II. I am willing to undergo physical and medical test, at
my own risk and will not be entitled for compensation for injuries if any, sustained during such test.I am aware that the
decision by President, CASB will be final and binding on me.

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