Admit Card: Applicant's Name: Afcat No.

(To be retained by candidate)
Admit Card is valid only if it is completed in all respects and accompanied with the Identification Card and a Valid Photo Id
PHOTO ID CA N BE : COLLEGE ID, PA SSPORT, VOTER ID, PA N CA RD, DRIVING LICENCE, A A DHA A R CA RD
ADMIT CARD
Applicant's Name: SRIKANTA NAYAK

106617
AFCAT No.: 106617
Examination Centre Name & Address : Delhi 8 Air Force Station Hindan, Sahibadad, Ghaziabad, Pin-201004, Uttar Pradesh. Nearest Railway Station Ghaziabad. Distance from Railway Station to Exam centre 15 Kms. Distance from New Delhi Station to Exam Centre 35 Kms Delhi
Date of Examination Time of Reporting Time of Examination
: 26/8/2012 : 8:00 AM : 10:00 AM DECLARATION (by the Candidate)
Paste Attested Passport Size Photograph (Do Not Staple)
I,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ Son / Daughte r of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ he re by de clare and sole m nly affirm that all the particulars state d in the Application form / that was subm itte d in the online form for the Air force C om m on Adm ission Te st (AFC AT) 2 / 2012, are true to the be st of m y k nowle dge and be lie f. I agre e to abide by the rule s and re gulations give n in the notification and also to the de cision of the Ex am ination Authority, on m y adm ission to the Ex am ination. I have note d that the Ex am ination Authority has the right to withhold m y re sult e ve n afte r appe aring in the Ex am ination in addition to any othe r action as m ay be de e m e d fit in the e ve nt of any of the state m e nts m ade above be ing found incorre ct. It is ce rtifie d that I have gone through the instructions containe d in the notification. Date :---------------Place :-----------------------
Le ft Thum b Im pre ssion for Me n R ight Thum b Im pre ssion for W om e n CERTIFICA TE * (by Principal of College/Gazetted Officer)
Signature of the Candidate
1. I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ he re by ce rtify that Mr./Ms._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ S/o/D/o_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ is / was a stude nt of __ _ _ _ _ _ _ __ _ _ _ _ _ _colle ge as pe r C olle ge R e cords / te stim onials produce d be fore m e . 2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ he re by ce rtify that Mr./Ms._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ is S/o/D/o_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ is a bonafide re side nt and I confirm the de tails give n above .
* STRIKE OFF WHICHEVER IS NOT A PPLICA BLE Date :---------------Place :-----------------------
Signature & Office Seal of Principal of College Attending or Last Attended / Gazetted Officer Page 1 of 3
IDENTIFICATION CARD (To be retained by AFCAT Centre) Identification Card is valid only if it is completed in all respects and submitted at AFCAT Venue
AFCAT No.:106617 Applicant's Name: SRIKANTA NAYAK Father's Name: GAGAN BIHARI NAYAK Mother's Name: BANALATA NAYAK Date of Birth: 11 Mar 1991 Identification Mark 1: BLACK MARK ON THE LEFT ARM Identification Mark 2: NA Paste Attested Passport Size Photograph (Do Not Staple)
106617
Specimen Signature and Thumb Impression
Signature of the Candidate Date: __________________ Place: ________________ Left Thumb Impression for Men Right Thumb Impression for Women
CERTIFICATE * (by Principal of College / Gazetted Officer) I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ hereby certify that Mr./Ms._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ S/o/D/o_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ has signed and has affixed his /her Thumb Impression given above in my presence.
Date: __________________ Place: __________________ Signature & Office Seal of Principal of College Attending or Last Attended / Gazetted Officer
Page 2 of 3
This card is to be collected by AFCAT Centre and forwarded to AFCAT Cell
INSTRUCTIONS TO THE CANDIDATES 1. 2. Take a print out of Admit Card and Identification Card in Colour / Black & White.(Both Cards are to be brought to the exam hall) Paste a Photograph similar to the one submitted in the Online Application form in the space given in the Admit Card as well as in Identification Card. The Photograph must be attested by College Principal or by Gazetted Officer. Attestation should not be done on the face of the candidate. Admit card along with a valid photo identity (ID of School / College, Passport, Driving Licence, Aadhaar Card, Pan Card,Voter ID Card) must be shown to the officer supervising the examination. A candidate without a valid Admit Card will be debarred from taking the examination. This card should be preserved carefully for presentation at the time of AFSB Testing also. Identification Card is to be handed over to the SIO at the Examination Venue. Candidates will report to the Examination Centre at the reporting time. Violation of any instructions and adoption of any unfair means in the examination shall render a candidate liable for cancellation of his/her script and forfeiture his/her claims for admission. Decisions of the SIO of the Examination Centre shall be Final. Use of Calculators, Log Tables, PDA and Mobile Phones are NOT permitted. Candidates are to make their own arrangements for conveyance. No TA/DA or any kind of allowance will be paid for appearing in the test.
3.
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9. Candidates are requested to bring their own ball point pen and clipboard. 10. Request for change of exam center will not be entertained. 11. Issue of this Card does not necessarily mean acceptance of eligibility which will be further scrutinized at subsequent stages of selection. ALL PRINT-OUTS MUST BE TAKEN ON SINGLE PAGE ONLY.
Page 3 of 3

Admit Card: Applicant's Name: Afcat No.

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Admit Card: Applicant's Name: Afcat No.

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(To be retained by candidate)

Applicant's Name: SRIKANTA NAYAK

AFCAT No.: 106617

Paste Attested Passport Size Photograph (Do Not Staple)

Signature of the Candidate

* STRIKE OFF WHICHEVER IS NOT A PPLICA BLE Date :---------------Place :-----------------------

Specimen Signature and Thumb Impression

This card is to be collected by AFCAT Centre and forwarded to AFCAT Cell

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