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APPLICATION FORM OF CANDIDATES FOR SELECTION IN INDIAN
AIR FORCE AS AGNIVEERVAYU Both Science and other than
Science Subjects: INTAKE 02/2026
Payment Status: Online Payment Success Registration No.: 25070133446
Candidate's Full Name Mohit Kumar Father's Name Mukesh Kumar Raju
Mother's Name Lalita Devi Nationality Indian
Date of Birth (dd-mm-yyyy) 10-02-2007 Marital Status Unmarried
Gender Male Aadhaar Card No. 852371184357
Is Qualification with
Qualification 12th Yes
Physics/Math
Bihar School Examination
Name of Education Board 12th Stream Science
Board, Patna
Aggregate % 68 English % 70
Physics % 75 Mathematics % 71
Additional Marksheet No
Computer Knowledge No
Higher Education
Pursuing
Qualification Status
Engineering / Non-
Non-Engineering Non-Engineering Stream Arts
Engineering
Grading system as per mark
Percentage
sheet
Sr.No
Subject Obtained Marks Total Marks
.
1 English 70 100
Subject wise Marks
2 Maths 71 100
3 Physics 75 100
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
No
than English / Hindi
Discharged from
No
Forces/Govt. Organization
Both Science and other than
Category Applied Identification Mark A cut mark on Forehead
Science Subjects
Candidate Height 165.0 cm
Exam City
preferences 1) Chapra 2) Patna 3) Muzaffarpur 4) Bhagalpur 5) Gaya
for Phase-I
Vill-Dharampura, P.O-Rasalp Vill-Dharampura, P.O-Rasalp
ura , P.S-Doriganj Pincode -8 ura , P.S-Doriganj Pincode -8
Permanent Address 41211 , District -Saran, Dhara Communication Address 41211 , District -Saran, Dhara
mpura, Chapra, Saran, Bihar, mpura, Chapra, Saran, Bihar,
Rasalpura, 841211 Rasalpura, 841211
Nearest Police Station as
Nearest Police Station as
Doriganj per Communication Doriganj
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 Bihar Domicile District Saran
Chest Size 90.0 cm Waist Size 80.0 cm Shoe Size 10 No.
Transaction Reference Application
Transaction Date Received Date
No. Fees
Exam Fee Payment Details
28-Jul-2025 28-Jul-2025
113873070506 Rs. 649
19:40 19:40
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: Doriganj Date: 28-07-2025
