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

INDIAN AIR FORCE

PEOPLE FIRST MISSION ALWAYS

Application Details for Career Air Force

Registration No. 0120AA0016582

Personal Information
Candidate Name SAGOLSEM RONALD SINGH

Candidate's Father Name S LAKSHAMAN SINGH

Candidate's Mother Name S PRAMODINI DEVI

E-mail Id sagolronald.95@gmail.com

Mobile Number 9420552156

Nationality Indian

Date of Birth(DD/MMM/YYYY) 27/Oct/1997

Marital Status Unmarried

Gender Male

Identi cation Mark BLACK MOLE ON RIGHT SIDE OF LOWER LIP

CPSS | PABT Status N_A

Airmen No

valid CPL No

Communication Address
Correspondence Address :

FLAT NO. 10 VAISHNAV LAXMI APARTMENT, ANAND

NAGAR, JAI BHAVANI ROAD, Nashik, Maharashtra, 422101

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Nearest Railway Station

NASHIK ROAD

Permanent Address :

FLAT NO. 10 VAISHNAV LAXMI APARTMENT, ANAND

NAGAR, JAI BHAVANI ROAD, Nashik, Maharashtra, 422101

Nearest Railway Station

NASHIK ROAD

Quali cation Information

10+2(HSC)
Gross Percentage 70

Physics Percentage 40

Maths Percentage 40

Graduate (Degree Name - BSc)

College ST. JOSEPHS DEGREE AND PG COLLEGE

University OSAMANIA UNIVERSITY

Maths Percentage N/A

Physics Percentage N/A

Discipline SCIENCE

Passout Date(DD/MM/YYYY) 28/09/2018

Percentage 67

Backlogs No

Course Preferences
        [1]208/21G/PC/M Administration      

      [2]208/21G/SSC/M&W Administration      

      [3]208/21G/SSC/M&W Logistics      

      [4]208/21G/PC/M Logistics      

AFCAT Exam City Choices

First Preference Nasik

Second Preference Pune

Third Preference Mumbai

Fourth Preference Delhi and NCR

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

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and will not be entitled for compensation for injuries if any, sustained during such test.

Signature of the candidate

Place:NEW DELHI

Date:2019-12-05

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