Print Date:09-09-2016 01:54 PM

INDIAN ARMY
Directorate General of Recruiting
SSC(JAG)-18/901151

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JAG Application Details

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Personal Details
1. Roll No
SSC(JAG)-18/901151
2. Post Applied For
SSC(JAG)-18
3. Candidate's Name (As per Matric
KATAM BHANU
Certificate)
4. Father's Name
KATAM SAMBAIH
5. Mother's Name
KATAM LAKSHMI
6. Date of Birth (As per Matric Certificate)
13-10-1991
7. Nationality
INDIAN
8. Gender
Male
9. Marital Status
Unmarried
10. Mobile No
9505834783
11. Email Address
kbhanu6004@gmail.com
12. Permanent Address
13. Correspondence Address
Address
katam bhanu S/O
Address
katam bhanu S/O
SAMBAIAH Door no:
SAMBAIAH Door no:
3-198-1a, i.p.g
3-198-1a, i.p.g
colony, j.g palem
colony, j.g palem
village, tenali madal,
village, tenali madal,
guntur district,
guntur district,
pin.no:522201
pin.no:522201
andhra pradesh.
andhra pradesh.
City / Town / Village tenali
City / Town / Village tenali
District
Guntur
District
Guntur
State
Andhra Pradesh
State
Andhra Pradesh
PIN
522201
PIN
522201
14. SSB Details
(a) Entry
(b) Location
(c) Year/Month
(d) Result
SSC(JAG)
Bengaluru
September-2016
Screened out

Print Date:09-09-2016 01:54 PM

INDIAN ARMY
Directorate General of Recruiting
SSC(JAG)-18/901151

2016
3000.00
1951.00
65.03
mahatma gandhi law college
beside ranga reddy district court, chithra
layout, n.t.r nagar, sarroor nagar mandal,
ranga reddy district.
hyderabd
Telangana
Ranga Reddy
500074
Yes
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Education Details
Year of Passing LLB
Total Marks
Marks Obtained
Marks Percentage Obtained
Name of College/Institute
Address

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15.
(a)
(b)
(c)
(d)
(e)

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City / Town
State
District
Pin
16. BAR Council Certificate
17. Whether Collage/University recognized
by Bar Council of India for LLB Course
18. List of Documents to be taken for SSB:(a) One copy of the Print out of application duly signed and affix photograph self attested.
(b) Self attested copy of Matriculation or equivalent certificate for age proof.
(c) Self attested copy of 12th Class Certificate & Marks sheet.
(d) Self attested copy of graduation Degree/Provisional Degree (in case of three years LLB
after graduation).
(e) Self attested copy of LLB Degree/Provisional Degree.
(f) Self attested copy of Marks sheets of all years/Semesters.
(g) Self attested copy of registration with Bar Council of India/State/Certificate from
college/University that the LLB Course in the said institution is recognized by Bar
Council of India.
(h) All certificates in original. Originals will be returned after verification at the Service
Selection Board itself. Any candidate who does not carry these entire documents for the
SSB interview, his candidature will be cancelled.
(j) The second copy of the printout of online application is to be retained by the candidate
for his reference. No need to send any hard copy to DG Recruiting.
(k) Candidates must submit only one application. Receipt of multiple applications from the
same candidate will result in cancellation of candidature.
Declaration
1. I hereby declare that all the statements made in the application are true to the best of
my knowledge and belief.
2. l have never been debarred from appearing at any examination nor have l ever been
withdrawn from OTA on disciplinary grounds, nor have I ever been arrested, prosecuted

Print Date:09-09-2016 01:54 PM

INDIAN ARMY
Directorate General of Recruiting
SSC(JAG)-18/901151

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or convicted by criminal court or involved in any other case registered by the police.
I undertake not to make any claim or compensation if at any stage of my selection, my
ineligibility for candidature is detected any time my candidature is cancelled as a result
thereof.
This is the only application submitted by me for Judge Advocate General, Dept/Short
Service Commission and if any duplicate application is detected, my candidature be
cancelled and I may be debarred permanently from applying for commission in the
Armed Force.
Any wilful misrepresentation of facts and concealment of information will result in
cancellation of my candidature and may also debar me either permanently or for a
specified period from applying for future course.

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6.
I affirm that all information supplied by me as above is true and correct, I also fully
understand that if at any stage, it is discovered that any attempt has been made by me to
wilfully conceal or misrepresent that facts, my candidature may be summarily rejected or
employment terminated.
Place:
Date:09-09-2016

Signature of Applicant