CHEST NO PH-I: (TO BE LEFT BLANK) CHEST NO PH-II:_____
COURSE CUM PERCENTAGE CERTIFICATE
(TO BE SUBMITTED AT AFSBs)
Name :…………………………………… ………. AFCAT No……………………………(BLOCK LETTERS)(AS IN
CALL LETTER)
GRADUATION (QUALIFYING)
Name of Degree : Stream/Branch : Name of University:
Original Degree Certificate No: dated: Provisional Degree Certificate
No: dated:
Year/ Semester Max Marks Obtained Percentage For MET branch only
/ SGPA Marks / (equivalence subject)
SGPA Physics Maths
Ist Year/ Semester
IInd Year/ Semester
IIIrd Year/ Semester
IVth Year/ Semester
Vth Year/ Semester
VIth Year/ Semester
VIIth Year/ Semester
VIIIth Year/ Semester
TOTAL
Total Percentage of Marks * ………………. %upto Year/Semester
POST GRADUATION (EDN BRANCH ONLY)
(ONLY FOR CANDIDATES APPLIED ON THE BASIS OF PG FOR EDN BRANCHES)
Name of Degree : Stream/Branch: Name of University:
Original Degree Certificate No: dated: Provisional Degree
Certificate No: dated:
YEAR/ SEMESTER MAX MARKS / SGPA OBT MARKS / SGPA PERCENTAGE
Ist Year/ Semester
IInd Year/ Semester
IIIrd Year/ Semester
IVth Year/ Semester
TOTAL
UNDERTAKING
I, …………………………. son/daughter of …………………………. Batch No-…………….………………
do hereby certify that I meet all the eligibility criteria for SSB. I am aware that in case of any discrepancy,
my candidature is liable to be cancelled at any stage.
Date: ……………………….
Place : (Sign of candidate)
*Note: For candidates with CGPA, the same needs to be converted into percentage as per
directions of your University. Proof of conversion as issued by university/college be attached with
this form
