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APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN
AIR FORCE AS AGNIVEERVAYU Both Science and other than
Science Subjects: INTAKE 02/2025
Payment Status: Online Payment Success Registration No.: 24070019485
Candidate's Full Name Kajal Yadav Father's Name Mulayam Singh Yadav
Mother's Name Kaushilya Nationality Indian
Date of Birth (dd-mm-yyyy) 08-06-2006 Marital Status Unmarried
[email protected]
Mobile No. +917084770279 Email Id
om
Gender Female Aadhaar Card No. 652168233411
th Is Qualification with
Qualification 12 Yes
Physics/Math
Board of High School and
th
Name of Education Board Intermediate Education, 12 Stream Science
Uttar Pradesh, Prayagraj
Aggregate % 81 English % 70
Physics % 61 Mathematics % 89
Additional Marksheet No
Computer Knowledge No
Higher Education
Pursuing
Qualification Status
Engineering / Non-
Non-Engineering Non-Engineering Stream Science
Engineering
Grading system as per mark
Percentage
sheet
[Link]
Subject Obtained Marks Total Marks
.
1 English 70 100
Subject wise Marks
2 Maths 89 100
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)
Qualification in Catering No
Any Other Skills /
Information Technology Qualification /
No No
Known Achievements / Work
Experiences
Accounting Known No
Any Representation /
Achievement in any Sports No
event or discipline
Languages known, other
No
than English / Hindi
Candidate Medical History
(To include Major illness/
No Medical Issues Till now
Major Surgery/ Allergy if
any)
Family Medical History
(Parents/ Siblings only) (To
No Medical Issues Till now
include Major illness/ Major
Surgery/ Allergy if any)
Discharged from
No
Forces/Govt. Organization
Both Science and other than
Category Applied Identification Mark Mole on left hand
Science Subjects
Candidate Height 152.0
Exam City
5) Noida/
preferences 1) Jhansi 2) Gwalior 3) Kanpur 4) Lucknow
Greater Noida
for Phase-I
2) 15 ASC,
ASC 1) 3 ASC, 5) 9 ASC, 6) 7 ASC,
Bhopal 3) 2 ASC, 4) 1 ASC, Ambala
preferences Kanpur (Uttar Bhubaneswar Bengaluru
(Madhya New Delhi Cantt (Haryana)
for Phase-II Pradesh) (Odisha) (Karnataka)
Pradesh)
9) 5 ASC, 10) 12 ASC, 11) 4 ASC, 12) 6 ASC,
7) 14 ASC, 8) 10 ASC,
Jodhpur Secunderabad Barrackpore Mumbai
Kochi (Kerala) Bihta (Bihar)
(Rajasthan) (Telangana) (West Bengal) (Maharashtra)
13) 11 ASC, 14) 8 ASC,
Guwahati Tambaram
(Assam) (Tamil Nadu)
D/O MULAYAM SINGH YADA
316 BY 6, AWAS VIKAS COLO
V, GRAM GEVRA POST PUNA
NY NANDANPURA JHANSI, J
Permanent Address WALI KALAN JHANSI, Jhansi, Communication Address
hansi, Jhansi, Uttar Pradesh,
Jhansi, Uttar Pradesh, RAKS
284003
A, 284419
Nearest Police Station as
Nearest Police Station as
RAKSA per Communication NANDANPURA
per Permanent Address
Address
Domicile State Uttar Pradesh Domicile District Jhansi
Chest Size 71.0 cm Waist Size 71.0 cm Shoe Size 5 No.
Transaction Reference Application
Transaction Date Received Date
No. Fees
Exam Fee Payment Details
26-Jul-2024 26-Jul-2024
113392400366 Rs. 649
14:35 14:39
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.
Candidate Photo Candidate Live Photo Paste your photo
Signature of the candidate Thumb Impression
Place: Kajal Yadav Date: 26-07-2024
Note : Candidates are supposed to download and take a colour printout of an application by
clicking on Print Preview button and carry it along with them, as and when if called for exam.
