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    PCEDNF

    Uploaded by

    Krishnat Pawar
    This document is an application for a permanent commission in the education branch of the Indian Navy for male candidates only. It requests personal information such as name, address, nationality, date of birth, education details, and previous attempts at the Services Selection Board interview. The applicant declares that he is an unmarried male who has never been convicted of a crime or involved in any legal cases. He agrees that any false information provided could result in action being taken against him.

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    PCEDNF

    Uploaded by

    Krishnat Pawar
    32 views1 page
    This document is an application for a permanent commission in the education branch of the Indian Navy for male candidates only. It requests personal information such as name, address, nationality, date of birth, education details, and previous attempts at the Services Selection Board interview. The applicant declares that he is an unmarried male who has never been convicted of a crime or involved in any legal cases. He agrees that any false information provided could result in action being taken against him.

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    This document is an application for a permanent commission in the education branch of the Indian Navy for male candidates only. It requests personal information such as name, address, nationality, date of birth, education details, and previous attempts at the Services Selection Board interview. The applicant declares that he is an unmarried male who has never been convicted of a crime or involved in any legal cases. He agrees that any false information provided could result in action being taken against him.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views1 page

    PCEDNF

    Uploaded by

    Krishnat Pawar
    This document is an application for a permanent commission in the education branch of the Indian Navy for male candidates only. It requests personal information such as name, address, nationality, date of birth, education details, and previous attempts at the Services Selection Board interview. The applicant declares that he is an unmarried male who has never been convicted of a crime or involved in any legal cases. He agrees that any false information provided could result in action being taken against him.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    APPLICATION FOR GRANT OF PERMANENT COMMISSION

    Affix self
    IN EDUCATION BRANCH OF THE INDIAN NAVY (MALE CANDIDATES ONLY) attested
    passport size
    Regd No ………………………………… (For Official use only) recent colour
    photograph
    1. Applying for Course _________________________ (Do not staple)

    2. Name in BLOCK Capitals as in Matriculation Certificate:-

    3. Expanded Name if Abbreviated in Sl 2 above (only abbreviated part):.-

    4. Father’s Full Name:-

    5. Father’s Occupation/Designation........................................................................................
    6. Permanent Address:-

    District
    State Pin Tele
    7. Correspondence Address:-

    District
    State Pin Mobile
    Email
    8. Nationality: 9. Domicile:
    10. Date of Birth (DD/MM/YYYY)
    11. Marital Status: Married Unmarried
    12. Details of Marks Secured in Graduation / Post Graduation:-
    Exam Marks Secured
    Passed Year / Marks Maximum % Marks Year / Marks Maximum % Marks
    Semester Obtained Marks Semester Obtained Marks
    Graduation . .
    ……………. . .
    ………… . .

    Post 1st Year .


    Graduation nd
    2 Year
    13. If BE/BTech, Specify Stream eg. Mechanical / IT / Electronics, etc. …………………………………………………
    14. Name of College Where Studied and Address …………………………………………………………………………
    15. Name of University to Which College Affiliated and Address ………………………………………………………
    16. Have you attended any SSB interview earlier: (If yes, give details for all earlier attempts)
    Service Type of Entry Name of SSB Month & Year of SSB Batch no Rec/ Not Rec

    17. Details of service under central/ state Govt, if any ……………………………………………….


    (Candidates already in service should apply through proper channel and obtain NOC from the present employer)
    DECLARATION
    1. I, hereby, declare that I am unmarried male, governed by nationality condition as laid down by the Government of India
    and have never been debarred from appearing in any examination ,I have never been arrested/ prosecuted and convicted by a
    criminal court or involved in any other case 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, action can be taken against me.

    Place: …………......…….. Signature...........................................................


    Date: ............................... Name of the Applicant...........................................

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