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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.: 25070024253
Candidate's Full Name Sachin Chauhan Father's Name Ram Avadh Chauhan
Mother's Name Rambha Devi Nationality Indian
Date of Birth (dd-mm-yyyy) 01-01-2006 Marital Status Unmarried
[email protected]
Mobile No. +919324592781 Email Id
m
Gender Male Aadhaar Card No. 533271796041
Is Qualification with
Qualification 12th Yes
Physics/Math
Board of High School and
Name of Education Board Intermediate Education, 12th Stream Science
Uttar Pradesh, Prayagraj
Aggregate % 61 English % 74
Physics % 67 Mathematics % 40
Additional Marksheet No
Computer Knowledge Yes Computer Knowledge Type Basic
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 74 100
Subject wise Marks
2 Maths 40 100
3 Physics 67 100
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 /
Yes No
Known Achievements / Work
Experiences
Areas of Information Basics (Installation and Problem Rectification of IT Devices such as PC/UPS/Scanner/Printer),
Technology Known Web Page Design
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 Small mole in the face of
Category Applied Identification Mark
Science Subjects right side
Candidate Height 180.0 cm
Exam City
preferences 1) Gorakhpur 2) Varanasi 3) Lucknow 4) Prayagraj 5) Kanpur
for Phase-I
147 Chirgoda Ahirauli bazar, 147 Chirgoda Ahirauli bazar,
Chirgoda, Kasya, Kushinagar, Chirgoda, Kasya, Kushinagar,
Permanent Address Communication Address
Uttar Pradesh, Ahirauli bazar, Uttar Pradesh, Ahirauli bazar,
274402 274402
Nearest Police Station as
Nearest Police Station as
Kasya per Communication Kasya
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 Uttar Pradesh Domicile District Kushinagar
Chest Size 80.0 cm Waist Size 32.0 cm Shoe Size 9 No.
Transaction Reference Application
Transaction Date Received Date
No. Fees
Exam Fee Payment Details
22-Jul-2025 22-Jul-2025
113863493902 Rs. 649
15:05 15:05
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
Place: Kushinagar Date: 22-07-2025
