Online Application - PDF

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

ONLINE APPLICATION FORM

  Application No. : AR-2023/160070 Affix recent  


Rifleman (Lineman Field) passport size
1. Name of the Trade Applied for : colour  
[COMN]
2. Applied Under Caste*: General Photo(Size -  
4.5cm x
3. Religion, Caste Belongs to* :         (if HINDU  -  BAGEL  
belongs to SC/ST/OBC) 3.5cm)
4. Domicile State : GUJRAT  
5. Gender, Marital Status  : MALE  /  Single    
6. Name of the Candidate & Date of MR.   BAGEL RAHUL
Birth (as in Matriculation Certificate)
RAJESHBHAI  /  25 May 2001  
:
Father's Full Name  (as in
7. Matriculation Certificate) : RAJESHBHAI
8. Correspondence Address: 38 KOLIVAS VIJAYNAGAR ANJAR KACHCHH,
KUTCH, PIN - 370110 (GUJRAT)
9. Permanent Address: Same as above
10. Mobile No., Email & Aadhaar Card 9106729454   [email protected]  
No.
840502101737
11. Details of Educational Qualification* (Govt./Govt. Recognised Institute/Organization only)
Compulsary
Qualification Univ/Board PassingYear MarkObtained TotalMarks Percentage
Subject/Trade
Gujarat
Secondary &
10th --NA-- 2017 254 600 42.33
  Higher Secondary
Education Board
Industrial UTTAR PRADESH
Training Electrical TECHNICAL 2020 936 1210 77.36
Institute UNIVERSITY
  Experience if any* (Govt./Govt. Recognised Institute/Organization only) :
 
13. Whether Ex-ServiceMan* : NO
 
14. Whether Sport Man* : NO    
 
15. Recruitment Type : Advt Applied Candidate
 
Bank Challan Bank Challan
25 STATE
No/Online Date/Online
16. DUK6191483 May Amount: 100 Bank: BANK OF
Payment Payment Challan
2001 INDIA
Challan No: Date:
17. Community Certificate : --NA--
18. Criminal Proceedings details, if any : --NA--
Is EWS(Economically Weaker
19. Sections) : --NA--
  Declaration :
I, hereby solemnly declare that, all the statement made in the above application are true
and correct to the best of my knowledge and belief. I fully understand that in the event
  of any information/document being found false/incorrect or ineligibility being detected
at any stage, appropriate action can be taken against me and my candidature be
rejected/made null and void by the Assam Rifles authorities.
Note:- *Date, Time and location/site for PST/PET and Written Examination will be
intimated through Assam Rifles official website www.assamrifles.gov.in. You are
instructed to check your status after two weeks of last date and time for receipt of
 
online applications. You are requested to bring this form with photocopies of all
required certificates at the time of reporting to PST, PET and Written Examination
Board.
 
App Date :   
Place :   ANJAR Signature :   
08/03/2023
Name of the Applicant :   BAGEL RAHUL
Date :   19/03/2023
RAJESHBHAI
  Print Back
HOME | ONLINE APPLICATION

You might also like