navy application
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Navy ApplicationTRANSCRIPT
22/10/2014 Untitled Document
http://nausena-bharti.nic.in/th_multiqual_officer.php?applicationno=Quz53HZy0Reyrmt0A23M7Yup60A23M36P120A09T0A23M87QWEQ5YUpM7A3lM7A3l 1/1
APPLICATION FORM FOR Permanent Commission (PC) Education Jun 15 BATCH
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(UNMARRIED MALE CANDIDATES ONLY)FOR INDIAN NAVY OFFICE USE ONLY
CODENO. VALIDITY STATUS APPLICATION NO-PGD1510419822
Valid Invalid
1. CHOICE OF ENTRY- [1] PC(EDU) 2. PERSONAL PARTICULARS AS IN MATRICULATION CERTIFICATE:-NAME SUDHAMALLA KIRAN NATIONALITY: INDIANFATHER'S NAME RAMULU FATHER'S OCCUPATION/DESIGNATION:LABOURDATE OF BIRTH 1991/02/15 DOMICILE: Andhra PradeshGENDER M MARITIAL STATUS:Unmarried
7. ADDRESS: CORRESPONDENCE ADDRESS PERMANENT ADDRESS
ADDRESS H.NO 6-8-88 SUBHASHNAGAR SIRICILLAKARIMNAGAR
H.NO 6-8-88 SUBHASHNAGAR SIRICILLAKARIMNAGAR
DISTRICT KARIMNAGAR KARIMNAGARSTATE Andhra Pradesh Andhra PradeshPINCODE 505301 505301TELEPHONE - -MOBILE 9700785703 --NA--EMAIL [email protected] --NA--
8.EDUCATION PARTICULARS:8(a).Qual/Stream/YOP: B.Tech / Electronic andCommunication / 2013 Percentage 65.67%
Maximum Marks Marks Obtained Maximum Marks Marks Obtained1st Semester 500 335 2nd Semester 500 3353rd Semester 750 447 4th Semester 725 4535th Semester 750 445 6th Semester 725 5017th Semester 750 472 8th Semester 700 558
9. I HAVE NOT ATTENDED ANY SSB TILL TO DATE WITH THE ARMY/NAVY OR THE AIR FORCE.10.Details of service under central/state Govt. if any (Candidates already in service should apply through proper channel andobtain NOC from the present employer.) Fill NA if not applicable:na
DECLARATION1.I, hereby declare that I am unmarried male/female, governed by nationality condition as laid down by the Government of India and have neverbeen debarred from appearing at any examination. I have never been arrested/prosecuted and convicted by a criminal court or involved in any othercase registered by the Police.2. I, hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my knowledge and belief.3. I, fully understand that in the event of any information being found false or incorrect, appropriate action can be taken against me.4.Eligibility criteria will be verified on reporting at the selection centres. If found ineligible, I understand that criminal proceedings can beinitiated against me for fraudulent entry and falsification of GOI documents. I also accept that no TA/DA will be admissible to me in such cases.5. I have completed my B.Tech as on date.
Note: Please forward complete printout of this application duly signed to the address mentioned in the advertisement along with the relevantdocuments as per advertisement.
Place : ...................... Date: .................. Signature of Applicant:..................................... October 22, 2014, 3:21 pm