MISSION SSB
(India’s only DIPR, DRDO appreciated SSB Interview) Guidance
Programme
PERSONAL INFORMATION QUESTIONNAIRE (PIQ)
OIR:
1. Selection Board (No & Place) Batch No CHEST NO UPSC Roll
No
2. Name (in Capitals)
3. Fathers Name
4. (a) Place of Maximum Residence
(Place, District, State)
(b) Place of Present Residence
(Place, District, State)
(c) Place of Permanent Residence
(Place, District, State)
5. Fill in the details below:
State & District Religion Mother Tongue Date of Birth Married/Single/ Widower
6. (a) Parents Alive: : Yes / No
(b) If not alive, your age at the time of Mother’s/ Fathers death:
(c) Parent’s/ Guardian’s & Siblings Occupation/ Income
Particulars Name Age Edu Occupation Income (pm)
Father
Mother
Guardian
Wife
Elder Brother/
Sister
Elder Brother/
Sister
Younger Brother/
Sister
Younger Brother/
Sister
7. Educational Record (commencing from Matriculation/ Equivalent Examination)
Qualification Full name of Board/ Year Div & Medium of Outstanding
Acquired Institution University Marks % Instruction achievement
Matric/ Hr
Sec
10+2
Equivalent
Graduation
PG/
Professional
-2-
8. Age (Yrs & months): Height (in mtrs): Weight (in Kgs):
9. Present Occupation &
Monthly income, if any
10. (a) NCC Training - Yes/No (b) If Yes, total Training:
Total Training Wing Division Certificate Obtained
11. (a) Participation in Games & Sports
Games/ Sports Period of Participation Represented Outstanding achievements
School/College/ State/ if any
National
(b) Hobbies/ Interest
(C) Participation in extra-curricular activities
Nature of the activity group Duration of Outstanding achievements if any
Participation
(d) Position of Responsibility/ Offices held in NCC/
Scouting/ Sports/Extra-Curricular Group & other fields
12. Nature of Commission
13. No of previous attempts in all three Services
14. Details of previous SSB Interviews (Army/ Navy/ AF)
SNo Type of Entry SSB No & Place Date Ch No/ Batch No Rec/ Non-Rec/ SO
Date: / / Signature of Candidate: ______________________
