INDIAN ARMY

Additional Directorate General of Recruiting

APPLICATION FORM

ARMY EDUCATION CORPS & MILITARY FARMS (Course Commencing in January 2013)
Photograph ONLY FOR MALE CANDIDATES duly attested by a Course
ARMY EDUCATION CORPS (AEC) MILITARY FARMS (MF)

Tick

Gazetted Officer

Personal Details

1. Candidate's Name (As given in Matriculation Certificate)

2. Nationality : (Please Tick)

Indian

Nepalese

Others

3. Date of Birth (dd/mm/yyyy) (As given in Matriculation Certificate)

4.Marital Status : Married/Unmarried

5. Fathers Name (As given in Matriculation Certificate):

6. Mothers Name (As given in Matriculation Certificate):

7. E-mail ID: ___________________________________________________ Mobile No.

_________________

9. (a) Address for Communication : __________________________________________________________ _____________________________________________ City/Town:________________________________ District:_________________________ State_____________________________ PIN__________________ (b) Permanent Address :___________________________________________________________________ District:_________________________ State_____________________________ PIN__________________ 10. SSB History : Appeared before in SSB Interview (Please Tick):
Entry SSB/Location

Yes

No
Month/Year

11. (a) Educational Qualification : B.Sc (Agriculture)/MA/M.Sc (b) Subject: (c) Division Obtained: ______________________________________________________ (d) Percentage Obtained : (i) Graduation _________ (ii) Post Graduation ______________________ (e) College Name :____________________________________________________________________ (f) University Name :__________________________________________________________________ (g) State in which University Located
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:___________________________________________________

12. Marks/Grade Obtained (whichever applicable)

Semester/Year %age of marks scored (If applicable) Total Marks %age Marks Scored Cumulative %age of marks scored Total Marks Cumulative Marks Scored %age SGPA (If applicable) CGPA /DGPA %age of Marks based on Cumulative Grade/ DGPA

1st Semester 2nd Semester/ 1st Year 3rd Semester 4th Semester/ 2nd Year 5th Semester (MCA only) 6th Semester/ 3rd Year

Note :- The universities which have Grade Point system, need to convert Grades into %age of marks scored. Filling of cumulative %age of marks scored based on the Cumulative Grade at the end of second year/ third year (as applicable) is compulsory; failing which the application will be rejected. 13. Certificates attached with application form :(a) (b) (c) (d)
14. 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 TGC-116(AEC & MF) course and any duplicate application if detected at any stage, 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 only for TGC/UES Entry). 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 resignation from Academy, cost of training will be paid by me 15. This application is accepted provisionally subject to meeting eligibility criteria.

Place: Date:
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Signature of Candidate

Note
1 Army Education Coprs(AEC) Candidates are requested to take a print out of this application form duly filled, paste his / her attested photograph in the space provided, sign it in blue ink in the space provided and sent it along with attested copies of the required certificates as notified in the advertisement to Additional Directorate General of Recruiting (TGC Entry),

Adjutant Generals Branch, Integrated Headquarters of Ministry of Defence (Army), West Block-III, R.K.Puram, New Delhi-110066 by post.
2. Military Farms (MF) Candidates are requested to sent the duly filled application form along with attested copies of the required certificates notified in the advertisement to Integrated Headquarters of Ministry of Defence (Army), QMGs Branch Directorate of Military Farms (MF-1), West Block-III, RK Puram, New Delhi 110066 by post. 2. It may be noted that depending upon the total number of applications received by this office, Recruiting Directorate reserves the right to shortlist and to fix cut off percentage of marks for SSB interview. No representation will be entertained in this aspect. 3. Any wrong details filled in above application will lead to cancellation of the candidature and suitable action will be taken against the candidate. 4. Applying second time for this course will lead to cancellation of candidature.

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