INDIAN ARMYDIRECTORATE GENERAL OF RECRUITING
Application Form for TES-33
1. Roll No. 4095762. Post Applied For TES-333. Candidate's Name
ASHOK KUMAR4. Father's Name OMPRAKASH5. Mother's Name RAM RANI6.
Date of Birth 01/07/19977. Nationality INDIAN8. Marital Status
UNMARRIED9. Gender Male10. Mobile No. 964887781711. Email Address
[email protected]
To Be attested byGazetted Officer
12. Permanent Address 13. Correspondance AddressVILL-
KEDARIPUR,PO-BIRAMPUR,
VILL- KEDARIPUR,PO-BIRAMPUR,
LAKHIMPUR, LAKHIMPUR,LAKHIMPUR KHERI, LAKHIMPUR KHERI,UTTAR
PRADESH-262701 UTTAR PRADESH-262701
14. SSB History:SNo. Entry Location Year/Month Result
15. Academic Details:15(a) Education Qualification 10+215(b)
Education Board OTHERS15(c) Type of School OTHERS15(d) 12th Class
Roll No. 896563
16 JEE(MAINS) Ranking / Score16(a) Year in which appeared16(b)
JEE(MAINS) Score16(c) JEE(MAINS) Rank
Subject Percentage ObtainedPhysics 92.00Chemistry
87.00Mathematics 91.00
Aggregate Percentage 90.0017 Applied for parallel NDA course
(NDA-134 course commencing in July 2015)
NO
18 If yes, NDA UPSC Roll No
Declaration :- I affirm that all information supplied by me as
above is true and correct, I also fully understand that if at any
stage, it is discovered that anyattempt has been made by me to
willfully conceal or misrepresent that facts, my candidature may be
summarily rejected or employment terminated.
Signature of the candidatePlace & Date : -Your Registration
Date & Time:NOV 5 2014 10:15AM Your Application Submission Date
& Time:NOV 5 2014 10:22AM
Note :-1. After submitting on online application, candidates are
required to obtain two copies of printout of the application
generated by the system. One
copy of the printout of application duly signed and affixed
photograph attested by a Gazetted Officer of Central/State Govt.
along with attestedcopies of required certificates (i.e. 10th class
certificate/mark sheet showing date of birth and 12th class
certificate along with mark sheet) dulyattested by Gazetted Officer
along with all the above certificates in original will be carried
to the Selection Centre by the candidate for SSBinterview. The
second copy of the print out of online application is to be
retained by the candidate for his reference. Do not send any
hardcopy/print out of application form to DG Rtg/Rtg Dte.
2. Any candidate who does not carry above mentioned documents
for the SSB interview, his candidature will be cancelled. Applying
second timeonline (i.e. more than one application) will also lead
to cancellation of the candidature.
3. It may be noted that depending upon the total number of
online applications received by this office for 10+2 TES-33 course,
RecruitingDirectorate reserves the right to shortlist and to fix
cut off percentage of PCM marks for SSB interview. No
representation will be entertained inthis aspect.
4. Any incorrect details filled in the above application will
lead to cancellation and suitable action will be taken against the
candidate.
Declaration :-1. I have read and understood the instructions and
undertake to abide by them.2. I hereby declare that all statements
made in the application are correct and true.3. I undertake not to
have any objections in the event of my final selection on allotment
of any Arm/Service in the interest of the organization.4. I have
never been debarred from appearing in any examination or UPSC and
nor have I been arrested or convicted by a criminal court or
involved
in any other case registered by police.5. I undertake not to
make any claim or compensation if at any stage of selection, my
ineligibility is detected and my candidature is cancelled as
result thereof.6. This is the only application submitted for
this course any duplicate application if detected, my candidature
be cancelled.7. Any misinterpretation and wrong
declaration/concealment of information in the application will
render my candidature to be cancelled and I may
be debarred from this course.8. I have never been withdrawn from
NDA, IMA or OTA or any service training academy on disciplinary
grounds.9. I am employed with _____________ & I have informed
my employer in writing that I am applying for commission in the
Army.10. In the eventuality of being recommended by SSB I will have
no objection to be medically examined by board of Male/Female
doctors.11. I undertake to be debarred & my candidature be
cancelled, if at any stage of selection I indulge in any violation
of local orders concerning
discipline aspects.12. I undertake not to marry till I complete
the full training at the training academy, in case inducted. I also
understand that in case of my final
selection, my appointment will be provisional subject to
satisfactory police and educational verification.13. In case of
resignation from Academy, cost of training will be paid by me.
