22/12/2018 Application Form Preview

A F C AT A P P L I C AT I O N F O R M

1.Before nal submission, please verify all the details in the completed
Application Form.
2.After successful submission of form no information can be edited.
3.Registration Number will be generated after successful submission of
completed Application Form.
4.Please check your registration number in print preview.

INDIAN AIR FORCE

PEOPLE FIRST MISSION ALWAYS

Application Details for Career Air Force

Registration No.

Personal Information
Candidate Name G Pavithra

Candidate's Father Name G Nagaraja Gouda

Candidate's Mother Name G Seethamma

E-mail Id pavigouda22@gmail.com

Mobile Number 8861633387

Nationality Indian

Date of Birth(DD/MMM/YYYY) 09/Nov/1996

Marital Status Unmarried

Gender Female

Identi cation Mark On the neck below the chin

https://afcat.cdac.in/afcatreg/form-submission?finalpreview=AFCAT 1/4
22/12/2018 Application Form Preview

CPSS | PABT Status N_A

Airmen No

valid CPL No

Communication Address
Correspondence Address :

Door No-16,Goudr Oni,paramadevanahalli,ballari,P D

Hallikarnataka-583111, Ballary, Karnataka, 583111

Nearest Railway Station

ballari junction

Permanent Address :

Door No-16,Goudr Oni,paramadevanahalli,ballari,P D

Hallikarnataka-583111, Ballary, Karnataka, 583111

Nearest Railway Station

ballari junction

Quali cation Information

10+2(HSC)

Gross Percentage 64

Physics Percentage 58

Maths Percentage 64

Graduate (Degree Name - BE)

College Ballari Institute of Technology and Management

University visvesvaraya Technological university

Maths Percentage N/A

Physics Percentage N/A

Discipline Electronics and Communication Engineering

Passout Date(DD/MM/YYYY) 01/08/2018

Percentage 60

Backlogs No

Course Preferences
        [1]206/20G/SSC/M&W Administration      

AFCAT Exam City Choices

First Preference Bengaluru

Second Preference Belagavi

Third Preference Mysore

Fourth Preference Mangalore

https://afcat.cdac.in/afcatreg/form-submission?finalpreview=AFCAT 2/4
22/12/2018 Application Form Preview

Fifth Preference Hyderabad

DECLARATION BY THE CANDIDATE

I hereby declare that all statements made in this application are correct. I understand that I am liable to be disquali ed at any
stage, if the information given is found to be incorrect/incomplete/false. I undertake to produce all original certi cates and
statement of marks at the time of appearing in the Selection test. I am willing to undergo physical and medical test, at my own risk
and will not be entitled for compensation for injuries if any, sustained during such test.

Signature of the candidate

Place:ballari

Date:2018-12-22

impression

https://afcat.cdac.in/afcatreg/form-submission?finalpreview=AFCAT 3/4
22/12/2018 Application Form Preview

 H O M E ( . / E X A M - C AT E G O R Y )

S AV E A N D C O NT I N U E 

COPYRIGHT © 2018 | INDIAN AIR FORCE ()| DESIGNED AND DEVELOPED BY: C-DAC () Best viewed in Google Chrome
Vesrion 52.0.2743.82 / Firefox 52.0.1 and above

 (https://www.facebook.com/IndianAirForce/)  (https://twitter.com/iaf_mcc)
 (https://www.instagram.com/IndianAirForce_mcc)

https://afcat.cdac.in/afcatreg/form-submission?finalpreview=AFCAT 4/4