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INDIAN ARMY

COMMON APPLICATION FORM FOR NON UPSC ENTRIES


(COURSE SER NO. )
(Write Course Ser No. as mentioned in the Advertisement)
Affix
1. Entry: (Put √ mark) 2. Sex (Put √ 3. Nationality: 4. Marital
mark) (Put √ mark)
Self attested
UES (PFY) Status:
UES (FY) Photograph
Unmarried -01
TGC/PG Male: Indian: Married – 02
SSC(T) Widow - 03
SSCW(T) Issueless
TES (10+2)
Female: Others:
Divorcee -04
SSCW (PG)
NCC (Women) 5. Roll Number :
NCC (Men) (For Office Use only)
JAG

6. (a) Candidate’s full Name (CAPITAL LETTERS) as in Matric certificate (Leave a box blank
between two parts of name) :

(b) Father’s Name (Leave a box blank between two parts of name):

7. Date of Birth (as in Matric 8. Educational 9. Whether ward of 10. No. of Attempts
Certificate.) Qualification Battle Casualty already made in SSB:
Yes – 01 Allahabad
Day Month Year
10+2 - 01 No - 02
Graduate - 02
Bhopal
B.E/B/Tech - 03
Post Graduation - 04 Bangalore

11. TES Entry – Write exact 12. For UES Entry


percentage of Date of Joining Engg College -
10+2 (PCM only) Probable month and year of conduct of examination:-
In the Box
(a) Pre-final Year : Month Year
Note – Percentage has to be to the nearest
decimal. The practical marks obtained are to (b) Final Year/ : Month Year
be included. Final Semester
Education Board
(c) College & University____________________________
CBSE-01, ICSE-02,
Note :- UES Candidates should get the certificate at the end of the form signed
State - 03 by VC/ Head of the Institution/ Principal of the Engineering College.

13. For JAG Entry - 14. For AEC & MF (TGC Entry) 16. For Engineering Branch -
(Write aggregate % of SSCW (T), SSC(T) ,UES & TGC
Army Edn Corps - 01
marks obtained in LLB) Civil - 01
Military Farms - 02
Mechanical – 02
15. For NCC (SPL) Entry - Electrical – 03
Whether you meet the (a) NCC ‘C’ Certificate Electronics – 04
eligibility for enrolment as Grade (Write A or B) Computer Science- 05
advocate in Bar Council Information Technology – 06
Yes - 01 (b) Aggregate % of Elect & Comn/Tele comm. – 07
Marks in Degree Industrial/Production/Mfg –08
No - 02
(for NCC Entry) Architecture – 09
Chemical – 10
17. For widows of Defence Personnel with 04 years upper Any Other Branch – 11
age limit relaxation Note: - Attach attested photocopies of
Graduate in any discipline – 01 matric certificate (for verification of
BE/B.Tech in streams as notified - 02 Date of Birth) and all other relevant
certificates and mark sheets.
18. Address : Write your complete present & permanent address including name in CAPITAL letters.
Present Address (Address for Communication) :…………………………………………………….
………………………………………………………………………………………………………...….
………………………………………………………………….District….……………………………..
State :……………………PIN……..……...…Tele/(M).………………..…..….Fax ………….………..
Permanent Address: …..……………………………………………………………………………....
………………………………………………………………………………………………………...….
………………………………………………………………….District….……………………………..
State :……………………PIN……………...…Tele/(M)……...……….…….. ..Fax ……….……...…..
E.mail :…………………………………………

19. 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 Arms/Service
in the interest of the organisation.
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 a result thereof.
6. This is the only application submitted for this course and 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, provided a lady medical officer is present (applicable only to lady cadets)
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 to join any other parallel entry i.e. from TGC/UES to SSC (T), subject to availability of
vacancies and agree to the terms and conditions of that entry. (Applicable to TGC and UES Entries only).
13. 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.
14. In case of withdrawn from Academy cost of training @ Rs.7075 per week will be paid by me.

Place :
Date : Signature of Applicant Signature of Parent/Guardian
(Only for TES Entry Applicants)

(FOR UNIVERSITY ENTRY SCHEMES (UES) CANDIDATES ONLY)


CERTIFICATE BY THE VICE CHANCELLOR OR REGISTRAR/DEAN OF CONCERNED FACULTY IN CASE OF
UNIVERSITY STUDENTS/PRINCIPAL/HEADS OF THE TECHNICAL INSTITUTIONS

Certified that Shri_______________________________________ is studying in this University/College/Institute


and that the details furnished by him in coulumn 7 and 12 of the Application Form have been checked with
references to relevant records and found correct. Certified that his character so far as known to me is good.
He is suitable for selection as an officer in Technical Arm/Service of the Indian Army.

Place : _____________ Signature ________________

Date : ______________ Seal Designation ______________

Note : Certificate signed by Heads of Departments will not be acceptable.


INSTRUCTIONS/GUIDELINES FOR FILLING UP THE APPLICATION FORM
General Instructions

1. Candidates applying for 10+2 TES/UES/JAG/SSCW (T)/SSC(T)/NCC SPECIAL ENTRY/TGC may down load the
application form from the Indian Army Website http://www.joinindianarmy.gov.in/. Before filling up the application form
candidate should carefully read the respective advertisement.
2. The Application Form must be filled in by the candidates in their own handwriting with blue or black ink.
3. Candidate should write the Course Ser No. as mentioned in the respective advertisement of Employment News.
4. Candidate should affix a self attested passport size photograph.
5. Entries in the boxes will be treated as authentic and final therefore, candidate should make these entries very
carefully and accurately.
6. No change in the entries made in original application will be allowed under any circumstances.
7. The candidates are advised in their own interest to ensure that the applications reach ADG Recruiting, AG’s Branch
Integrated HQ of Ministry of Defence (Army), West Block-III, RK Puram, New Delhi-110066 on or before the closing dates for
the respective entries. Applications received after the closing date will not be considered. For UES entry, the applications
should be addressed to respective Command HQrs (Refer advertisement for UES Entry as published in Employment News).

Instructions for filling up the Application Form

Column 1: Put √ in the respective column of Entry for which the candidate is applying. (Only one choice is applicable
except UES applicants). UES Entry applicants should enter their order of preference (1, 2, 3) of entries (UES, TGC,
SSC(T)) .
Column 2 & 3: Put √ in the respective box.

Column 4: Write the code number in the Box.


Column 5: For office use only
Column 6 (a): Write in the boxes your full name in CAPITAL LETTERS as recorded in your Matric certificate (Leave a box
blank between two parts of the name).
Column 6(b): Write your father’s Name in CAPITAL LETTERS (Leave a box blank between two parts of the name).
Column 7: Date of Birth in the format DDMMYYYY (As in Matric Certificate. Attach duly attested copy of Date of Birth
Certificate, Matric Certificate as proof of Date of Birth).
Column 8: Write the code number in the Box. Refer advertisement of the respective COURSE (Attach attested copy of
acquired Educational Qualification).
Column 9: Write the correct code number in the box
Column 10: The candidate should write the number of attempts they already made in SSB centre wise.
Column 11: Write exact percentage of 10+2 (PCM) inclusive of practical marks in the box. No rounding off is permitted.
Percentage has to be to the nearest decimal. Write the correct code number for the Education Board from which the
candidate had passed 10+2 exam. Write exact percentage obtained at the top of the covering envelope.
Column 12: UES candidates should mention date of joining engineering college and probable month and year of conduct of
Pre-final & Final Year examination. UES candidates should attach a certificate from the VC/Principal/Head of the Engineering
College in which they are studying as mentioned in the advertisement.

Column 13: Write aggregate percentage of marks to the nearest decimal also write the code number in the Box.
Column 14: Write the correct code number in the box. (Applicable for Candidates of Army Education Corps & Military
Farms).
Column 15: (Applicable for NCC Special Entry) (a) Write A or B in the Box (b) Write aggregate percentage of marks obtained
in degree, in nearest decimal place, in the box.
Column 16: Write discipline code number in the Box of your Engineering Branch.
Column 17: Write the correct code number in the box
Column 18: Write your complete present & permanent address with Name in CAPITAL letters.
Column 19: The candidate must put their signature. For TES Entry applicants, Parent’s/Guardian’s signature is required.
NOTE : Application Form for all entries should be submitted in A4 size white paper only. Other wise application would be
rejected.
ABBREVIATIONS: TES - TECHNICAL ENTRY SCHEME, UES - UNIVERSITY ENTRY SCHEME,
JAG - JUDGE ADVOCATE GENERAL (LAW BARANCH), SSCW(T) - SHORT SERVICE COMMISSION
WOMEN (TECH), SSC (T) - SHORT SERVICE COMMISSION (TECH), SSCW(PG) – SHORT SERVICE
COMMISSION WOMEN (POST GRADUATES) , AEC - ARMY EDUCATION CORPS, MF- MILITARY FARMS,
TGC - TECHNICAL GRADUATE COURSE, PG - POST GRADUATE ENTRIES.

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