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The document is an application form for Narayan Shamrao Nivle to join the Indian Air Force as an Agniveervayu for the 02/2026 intake. It includes personal details, educational qualifications, and medical history, along with a declaration of the candidate's understanding of the application process. The candidate has completed 12th grade with an aggregate percentage of 85% and has specified exam city preferences.

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0% found this document useful (0 votes)
22 views3 pages

AV - Preview

The document is an application form for Narayan Shamrao Nivle to join the Indian Air Force as an Agniveervayu for the 02/2026 intake. It includes personal details, educational qualifications, and medical history, along with a declaration of the candidate's understanding of the application process. The candidate has completed 12th grade with an aggregate percentage of 85% and has specified exam city preferences.

Uploaded by

nivalenarayan
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

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APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN


AIR FORCE AS AGNIVEERVAYU Other than Science Subjects:
INTAKE 02/2026

Payment Status: Online Payment Success Registration No.: 25070013285

Candidate's Full Name Narayan Shamrao Nivle Father's Name Shamrao

Mother's Name Laxmibai Nationality Indian

Date of Birth (dd-mm-yyyy) 29-09-2006 Marital Status Unmarried

Mobile No. +919172672623 Email Id [email protected]

Gender Male Aadhaar Card No. 432149775019

Is Qualification with
Qualification 12th Yes
Physics/Math

Maharashtra State Board of


Secondary and Higher
Name of Education Board 12th Stream Science
Secondary, Pune recognized
by state of Maharashtra

Aggregate % 85 English % 70

Physics % 88 Mathematics % 97

Biology % 87

Additional Marksheet No

Computer Knowledge Yes Computer Knowledge Type Basic

Higher Education
Not Applicable
Qualification Status

Grading system as per mark


Percentage
sheet

Sr.No
Subject Obtained Marks Total Marks
.

1 English 70 100

Subject wise Marks


2 Maths 97 100

3 Physics 88 100

4 Biology 87 100
COAFP No Serving IAF Agv NC No

NCC Certificate Holder No

Driving Known No

Knowledge in Any Trade


(Welding , Soldering , Lathe No
work or 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


Yes Languages known Marathi
than English / Hindi

Candidate Medical History


(To include Major illness/
No medical history
Major Surgery/ Allergy if
any)

Family Medical History


(Parents/ Siblings only) (To
No. Medical history
include Major illness/ Major
Surgery/ Allergy if any)

Discharged from
No
Forces/Govt. Organization

Category Applied Other than Science Subjects Identification Mark Mole on nose

Candidate Height 169.0 cm

Exam City
preferences 1) Chhatrapati Sambhaji Nagar 2) Nashik 3) Mumbai 4) Pune 5) Nagpur
for Phase-I

101 , hanuman mandir, gujri, 101 , hanuman mandir, gujri,


Permanent Address Gujri, Biloli, Nanded, Maharas Communication Address Gujri, Biloli, Nanded, Maharas
htra, Arli, 431710 htra, Arli, 431710

Nearest Police Station as


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

Permanent Domicile (Permanent Domicile of the districts of State(s)/UTs. The candidate shall produce
‘Domicile Certificate’ issued by any Gazetted Officer in Revenue Department or any other official authorised by
Domicile Category
the State Government of the particular state/UT. Serving Agv NC applying for Agv (SS/ OS/ BS) to select
domicile as per his State/ UT of permanent domicile.)

Domicile State Maharashtra Domicile District Nanded

Chest Size 77.0 cm Waist Size 40.0 cm Shoe Size 9 No.


Transaction Reference Application Transaction
Received Date
No. Fees Date
Exam Fee Payment Details
19-Jul-2025 19-Jul-2025
113858625535 Rs. 649
11:05 11:05

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

NotePlace:
: Candidates
Nanded are supposed to download and take a colour printout of Date:
an application
19-07-2025 by

clicking on Print Preview button and carry it along with them, as and when if called for exam.

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