6/8/2017 Career Air Force-India (Candidate Section)

APPLICATION FORM
AFCAT No.
Candidate ID 100438
Candidate VITTHAL VAIDYA
Name
Mobile / 7509465836, -
Phone
Date of Birth 10 Dec 1993

Gender Male
Postal 1296/5 NANDA NAGAR INDORE, Permanent Address 1296/5 NANDA NAGAR
Address MADHYA PRADESH, 452011 INDORE
Father Name PRAKASH VAIDYA Mother Name SHAILJA VAIDYA
Visible
Nearest Railway
Identification MOLE BELOW RIGTH EYE INDORE
Station
Mark
Appeared GATE
Married No No
(Year/Marks)
10+2 DETAILS
Pecentage 83
Marks in
80
Maths
Marks in
88
Physics
QUALIFICATION DETAILS
Graduate Post Graduate

College IIST INDORE

University RGPV
Marks in
N/A
Maths
Marks in
N/A
Physics
Discipline All
Passout
20/06/2015
Date
Pecentage 72

Backlogs 0
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6/8/2017 Career Air Force-India (Candidate Section)

SUBJECTS STUDIED
Graduate Post Graduate

Electronics and Communication Engineering

COURSE'S IN ORDER OF PREFFERENCE

[1] 203/18T/PC/M AE (L), [2] 203/18G/PC/M (Adm), [3] 203/18T/SSC/M&W AE (L), [4]
203/18G/PC/M (Lgs), [5] 203/18G/SSC/M&W (Adm), [6] 203/18G/SSC/M&W (Lgs)

CHOICE OF AFCAT CENTER IN ORDER OF PREFFERENCE

[1] Pune, [2] Mumbai, [3] Ahmedabad, [4] Gwalior, [5] Thane

CHOICE OF AFSB CENTER

[1] None

DECLARATION
1. I hereby declare that all the statements made in the applications are true to the best of my
knowledge and belief.
2. I have never been debarred from appearing in any examination nor, have I ever been
withdrawn from Defence training Establishments on disciplinary grounds, nor have I ever been
arrested ,Prosecuted or convicted by criminal court or Involved in any other case registered
by the police.
3. I undertake not to make any claim for compensation if at any stage of my selection, my
ineligibility for candidature is detected and my candidature is cancelled as a result thereof.
4. This is the only application submitted by me.
5. Any willful misrepresentation of facts and concealed of information will result in the
cancellation of the candidature and may debar permanently or for a specified period from
applying for future courses
6. Certified that I have read and understood the advertisement and fulfill the stipulated
eligibility criteria. I understand that my candidature is liable to be cancelled at any stage in
case any discrepancy is noticed.
7. No change in application is permitted after submission.
8. For Air Warriors, recommendation of BoO is mandatory and they are to carry duly
recommended application by BoO for AFSB testing.
9. Website is to facilitate the candidates for applying online. However, the rules will be
governed by the advertisement published for the course/ courses applied for.

Place :- ---- Not Available

Date :- ----

Signautre
Thum b Im pre ssion

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