12/17/2016 CareerAirForceIndia(CandidateSection)

APPLICATIONFORM
AFCATNo.
Candidate 225990
ID
Candidate ANSHULGOLANI
Name
Mobile/ 9893222983,
Phone
Dateof 03Jan1996

Birth
Gender Male
Postal 13VANKHANDESHWARNAGAR Permanent S11INDRAPRASTHCOLONY
Address THATIPUR,GWALIOR,MADHYA Address AIRPORTROADLALGHATI
PRADESH,474011 BHOPAL
Father
SURESHKUMARGOLANI MotherName KUSUMGOLANI
Name
Visible Nearest
Identification MOLEBELOWLOWERLIP Railway GWALIOR
Mark Station
Appeared
Married No GATE No
(Year/Marks)
10+2DETAILS
Pecentage 81
Marksin
95
Maths
Marksin
79
Physics
QUALIFICATIONDETAILS
Graduate PostGraduate

College MITSGWALIOR

University RGPVBHOPAL
Marksin
N/A
Maths
Marksin
N/A
Physics
Discipline All

PassoutDate 30/07/2017

Pecentage 75

Backlogs 0

SUBJECTSSTUDIED
Graduate PostGraduate

MechanicalEngineering

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12/17/2016 CareerAirForceIndia(CandidateSection)

COURSE'SINORDEROFPREFFERENCE

[1]203/18F/SSC/M&WF(P),[2]202/18T/SSC/M&WAE(M),[3]202/18T/PC/MAE(M)

CHOICEOFAFCATCENTERINORDEROFPREFFERENCE

[1]Gwalior,[2]Agra,[3]Mumbai,[4]Delhi,[5]Bikaner(Nal)

CHOICEOFAFSBCENTER

[1]None

DECLARATION
1. Iherebydeclarethatallthestatementsmadeintheapplicationsaretruetothebestofmy
knowledgeandbelief.
2. Ihaveneverbeendebarredfromappearinginanyexaminationnor,haveIeverbeen
withdrawnfromDefencetrainingEstablishmentsondisciplinarygrounds,norhaveIeverbeen
arrested,ProsecutedorconvictedbycriminalcourtorInvolvedinanyothercaseregisteredby
thepolice.
3. Iundertakenottomakeanyclaimforcompensationifatanystageofmyselection,my
ineligibilityforcandidatureisdetectedandmycandidatureiscancelledasaresultthereof.
4. Thisistheonlyapplicationsubmittedbyme.
5. Anywillfulmisrepresentationoffactsandconcealedofinformationwillresultinthe
cancellationofthecandidatureandmaydebarpermanentlyorforaspecifiedperiodfrom
applyingforfuturecourses
6. CertifiedthatIhavereadandunderstoodtheadvertisementandfulfillthestipulatedeligibility
criteria.Iunderstandthatmycandidatureisliabletobecancelledatanystageincaseany
discrepancyisnoticed.
7. Nochangeinapplicationispermittedaftersubmission.
8. ForAirWarriors,recommendationofBoOismandatoryandtheyaretocarryduly
recommendedapplicationbyBoOforAFSBtesting.
9. Websiteistofacilitatethecandidatesforapplyingonline.However,theruleswillbegoverned
bytheadvertisementpublishedforthecourse/coursesappliedfor.

Place:
Date:

Signautre
ThumbImpression

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