APPLICATION FORMAT

APPLICATION FOR 112th TGC

Roll number:
(For Office only) Affix latest
passport size
photograph
1. Full name (in Capitals) : ................................................ (Self
(Strictly as per Matriculation/Equivalent Certificate attested)
and there should be no deviation) ................................ ..............................
2. Father’s Name (in capital) ..........................................................................
3. Date of Birth ..............................................................................................
4. Postal Address with Telephone Number at which interview call letter is to
be sent
.......................................................................................................................
......................................................................................................................
Dist...............State.....................Pin Code..........................E-mail ID………
5. Permanent
Address…………………………………………………………… .....................
.................................................................……………………
....................................................................................................................
Dist...............State.....................Pin Code.......................Telephone……….
6. Nationality (a) Indian Yes /No. .....................................................................
b) Migrated from ............................................................. (fill only if not
Indian)
7. Branch/Subject for which applying:-
(a) TGC :- ............................................................................................
(Branch of Engineering)
(b) AEC : .....................................................................................(Subject)
(c) Military Farms:………………………………………………………………
8. Educational Qualification

Qualification Name of Year or

Matriculation institution Year of Division Semester %
onwards with Branch passing wise Marks Percentage
of Engg. Degree/ PG obtained/
Degree Out of
9.

10.
 9. Details of all previous interview in all three service (ARMY, A/F, NAVY) I
(Write NA if not appeared earlier.)

Type of
Commissio If recommended write ‘R’
n i.e NDA, Selection Batch/ Date of If screened out Write ‘S/o’
TES, IMA, Center Chest No reporting If not recommended write ‘N/R’
TGC, SSC, at SSB
UES or any
other

10. List of documents attached:

(a) ................................................................................................................
(b) ................................................................................................................
(c) ................................................................................................................

DECLARATION
1. I hereby declare that all the statements made in the application are true to
the best of my knowledge and belief.
2. I have never been debarred from appearing at any examination nor have I
ever been with-drawn from NDA/IMA/OTA on disciplinary grounds nor have
I ever been arrested, prosecuted or convicted by criminal court or involved
in any other case registered by the police.
3. I undertake not to make any claim for compensation if at any stage of my
selection, my ineligibility for candidature is detected and my candidature is
cancelled as a result there of.
4. This is the only application submitted by me for 112th TGC Entry course and
if any duplicate application is detected, my candidature be cancelled and I
may be debarred permanently from applying for commission in the Armed
Forces.
5. Any willful misrepresentation of facts and concealment of information will
result in the cancellation of the candidature and may also debar a candidate
either permanently or for a specified period from applying for future courses.
6. In case of withdrawn from Academy Cost of trg@ Rs. 7075 per week will
be paid by me.
7. I undertake not to have any objections in the event of my final selection on
the allotment of any Arm/Service in the interest of service made to me prior
 to passing out from IMA and OTA.
8. I have read and understood the terms and conditions given in the press
notification and undertaking to abide by them.
.
Place:
Date: (Signature of the Candidate)