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    Indian Navy SSC Jan 2012

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    kuldeepsingh055
    APPLICATION FOR GRANT OF SHORT SERVICE COMMISSION IN EXECUTIVE BRANCH (GENERAL service / HYDRO CADRE) OF THE INDIAN NAVY (FOR male candidates ONLY) Paste self attested recent passport size colour photograph (Do not staple)

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    Indian Navy SSC Jan 2012

    Uploaded by

    kuldeepsingh055
    55 views1 page
    APPLICATION FOR GRANT OF SHORT SERVICE COMMISSION IN EXECUTIVE BRANCH (GENERAL service / HYDRO CADRE) OF THE INDIAN NAVY (FOR male candidates ONLY) Paste self attested recent passport size colour photograph (Do not staple)

    Original Title

    INDIAN NAVY SSC JAN 2012

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    APPLICATION FOR GRANT OF SHORT SERVICE COMMISSION IN EXECUTIVE BRANCH (GENERAL service / HYDRO CADRE) OF THE INDIAN NAVY (FOR male candidates ONLY) Paste self attested recent passport size colour photograph (Do not staple)

    Copyright:

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

    Indian Navy SSC Jan 2012

    Uploaded by

    kuldeepsingh055
    APPLICATION FOR GRANT OF SHORT SERVICE COMMISSION IN EXECUTIVE BRANCH (GENERAL service / HYDRO CADRE) OF THE INDIAN NAVY (FOR male candidates ONLY) Paste self attested recent passport size colour photograph (Do not staple)

    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 SHORT SERVICE COMMISSION

    IN EXECUTIVE BRANCH (GENERAL SERVICE / HYDRO CADRE) OF THE INDIAN NAVY Paste self
    (FOR MALE CANDIDATES ONLY) attested recent
    passport size
    Regd No ............................................. (For Official use only) colour
    photograph
    (Do not staple)
    1. Applying for Course Branch
    2. Name in BLOCK Capitals as in Matriculation Certificate:-

    3. Expanded Name if Abbreviated in SI 2 Above (abbreviated part only):-

    4. Father’s 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. Priority Cadre: Executive Branch (General Service) Executive Branch (Hydro Cadre)
    13. Details of Marks Secured in Graduation and Above:-
    Semester/ Year Marks Secured
    Exam
    Passed Semester Marks Maximum Semester Marks Maximum
    %Marks %Marks
    / Year Obtained Marks / Year Obtained Marks
    I V
    II VI
    ............ III VII
    (Stream) IV VIII
    TOTAL MARKS AND OVERALL PERCENTAGE

    14. Specify Stream During BE/BTech, eg. Mechanical/Electrical/Electronics, etc...............................................................


    15. Name of College Where Studied and Address ...........................................................................................................
    16. Name and University to Which College Affiliated and Address.................................................................................
    17. 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

    18. 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 of incorrect, action can be taken against me.

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


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

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