APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN AIR FORCE AS AGNIVEERVAYU Science Subjects: INTAKE
02/2026
Payment Status: Online Payment Success Registration No.: 25070127294
Candidate's Full Name Suraj Singh Choudhary Father's Name Santram Singh Choudhary
Mother's Name Maya Devi Nationality Indian
Date of Birth (dd-mm-yyyy) 15-06-2006 Marital Status Unmarried
Gender Male Aadhaar Card No. 259656605122
Qualification 12th Is Qualification with Physics/Math Yes
Jharkhand Academic Council,
Name of Education Board
Ranchi 12th Stream Science
Aggregate % 69 English % 79
Physics % 63 Mathematics % 59
Additional Marksheet No
Computer Knowledge Yes Computer Knowledge Type Basic
Higher Education Qualification
Not Applicable
Status
Grading system as per mark
Percentage
sheet
Sr.No. Subject Obtained Marks Total Marks
1 English 79 100
Subject wise Marks
2 Maths 59 100
3 Physics 63 100
COAFP No Serving IAF Agv NC No
NCC Certificate Holder No
Driving Known No
Knowledge in Any Trade (Welding ,
Soldering , Lathe work or any related No
work)
Any Other Skills / Qualification /
Information Technology Known No Achievements / Work No
Experiences
Any Representation /
Achievement in any Sports event No
or discipline
Languages known, other than
No
English / Hindi
Candidate Medical History (To
include Major illness/ Major NO MAJOR ILLNESS/SURGERY/AALLERGY
Surgery/ Allergy if any)
Family Medical History (Parents/ NO MAJOR ILLNESS/SURGERY/ALLERGY IN FAMILY
Siblings only) (To include Major
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illness/ Major Surgery/ Allergy if
any)
Discharged from Forces/Govt.
No
Organization
Category Applied Science Subjects Identification Mark A MOLE MARK ON RIGHT SIDE
Candidate Height 168.0 cm
Exam City
preferences for 1) Dhanbad 2) Ranchi 3) Jamshedpur 4) Bhubaneswar 5) Cuttack
Phase-I
Bastipur, BASTIPUR, Gobindpur, Bastipur, Bastipur, Gobindpur, Dh
Permanent Address Dhanbad, Jharkhand, BAHSUMA, Communication Address anbad, Jharkhand, Bagsuma, 828
828109 109
Nearest Police Station as per Nearest Police Station as per
GOVINDPUR Govindpur
Permanent Address Communication Address
Permanent Domicile (Permanent Domicile of the districts of State(s)/UTs. The candidate shall produce ‘Domicile Certificate’
Domicile Category issued by any Gazetted Officer in Revenue Department or any other official authorised by 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 Jharkhand Domicile District Dhanbad
Chest Size 78.0 cm Waist Size 70.0 cm Shoe Size 8 No.
Transaction Reference No. Application Fees Transaction Date Received Date
Exam Fee Payment Details
113876546982 Rs. 649 30-Jul-2025 21:16 30-Jul-2025 21:16
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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: GOVINDPUR, DHANBAD Date: 30-07-2025
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