Application of Job: SAILOR [AA],SAILOR [SSR] - 02/2020

Application No: SSA202300176631 Application Date: 06/07/2019

PRIORITY

1. SAILOR [AA] 02/2020

2. SAILOR [SSR] 02/2020
Considered for AA Submarine specialisation : Yes

PERSONAL PARTICULARS

Name: KARTIK
Father's/Mother's Name: DHARMENDER YADAV
Guardian's Name:
Nationality: INDIAN
Identification Mark 1: GYAAN
Identification Mark 2: PRAKARTI
Pancard: ---------
Date of Birth: 31/12/2001

EDUCATION PARTICULARS

Details of 12th Science

Subjects Total Marks Obtained Marks

English 100 65

Physics 100 95

Chemistry 100 87

Maths 100 95

IP 100 94

Total Marks: 500 Marksheet Serial Number: 0342532

Obtained Marks: 436 State Conduct: DELHI
Percentage: 87.20 Board Conduct: Central Board of Secondary Education (CBSE)

Details of 10th

Total Marks: 500 Marksheet Serial Number: 0878495

Obtained Marks: 450 State Conduct: DELHI
Percentage: 90.00 Board Conduct: Central Board of Secondary Education (CBSE)
 MILITARY RECORD

Have you ever been enrolled in

NO
Armed Forces before?:
Have you been
discharged from
NO
Armed forces
before?:

COMMUNICATION PARTICULARS

Details of Permanent Address

HOUSE NO.136,HIRANKUDNA
Address 1: Address 2: HOUSE NO.136,HIRANKUDNA ,DELHI-110041
,DELHI-110041
State: DELHI District: West Delhi Pincode: 110041
Domicile: DELHI Phone No.: 9315818553 Mobile No.: 9315818553
dyadav2531@gm
Email id: kyadav31dec@gmail.com Alternate Email id:
ail.com

Details of Correspondence Address

Same as Permanent Address

Alternate Mobile Number: 7982752780

A. I hereby declare that I am unmarried, governed by nationality condition as laid down by the Government of Indian and
have never been debarred from appearing at any examination. I have never been arrested/ prosecuted and convicted by a
criminal court or involved in any other case registered by the Police.
B. 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.
C. I fully understand that in the event of my information being found false or incorrect, appropriate action can be taken
against me.
D. Eligibility criteria will be verified on reporting at the selection centres. I found ineligible, I understand that criminal
proceedings can be initiated against me for fraudulent entry and falsification of Government of Indian documents. I also
accept that no TA/ DA will be admissible to me in such cases.