RTG DTE 6 Additional Directorate General Of Recruiting

Roll No. 549523 INDIAN ARMY ONLINE APPLICATION FORM FOR NON UPSC ENTRIES Technical Graduate Course (TGC)-115 (Commencing in July 2012) 1.Sex Male 2.Entry
Paste passport size photo dully attested by Gazetted Officer on the application to be sent to recruiting Directorate and on the application to be carried to selection centre for interview by hand

3.Course Serial No P 1)Technical Graduate Course (TGC) -115 4. Candidate's Full SHREYAS GAUR Name 5.Nationality Indian 6.Marital Status Unmarried

7. Date of Birth

25 Mar 1988 (b) Mother's Full Name ARCHANA GAUR

8. (a) Father's Full OM PRAKASH Name 9. E-mail ID 10. Permanent Address Current GAUR

shreyasgaurbits@gmail.com Addr: House no.899,ashish nagar(east),risali City : bhilai District : State : Chhatisgarh Pin 490006 Tele(Mobile) +918928733533 Addr: E-178/5,URjanagar colony,chandrapur super thermal power station chandrapur District : CHANDRAPUR State : Maharashtra Pin

Address : 442404 Tele(Mobile) : +918928733533 11. Previous Attempt(s) at SSB : --NA-Page 1 Of 3 12. (a) Educational Qualification Engg Grad (B.E./B.Tech./M.Tech.)

Mechanical (incl Industrial/Industrial Engg (b) Branch/Stream of Engineering (Management)) (c) Date of Completion of 04 Aug 2010 degree/Completion of final exam (d) College name (e) University Name SCIENCE (f) State in which University Rajasthan Located 13. Marks/Grade Obtained (Whichever applicable) Semes % age of marks Cumulative %age of SGPA CGPA/DGPA(Cumu % age of ter / scored marks scored (upto 2 (if lative) Marks Year (if applicable) decimals) applicab based on le) Cumulat Tota Mar %a Tota Mar Cumulat ive l ks ge l ks ive Grade Mar Scor Mar Scor %age /DGPA ks ed ks ed (upto 2 decimals ) 1st Semester 2nd Semester/1st Year 3rd Semester 4th Semester/2nd Year 5th Semester 6th Semester/3rd Year 7th Semester 8th Semester/4th Year 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.16 0.00 8.17 0.00 8.63 0.00 8.69 0.00 8.82 0.00 8.87 0.00 9.01 80.00 81.60 81.70 86.30 86.90 88.20 88.70 90.10 BITS PILANI KK BIRLA GOA CAMPUS BIRLA INSTITUTE OF TECHNOLOGY &

9th Semester (Architecture Only) 10th Semester (Architecture Only)

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Note :1. Filling of cumulative %age upto 2 decimal is compulsory.The Universities which have grade point system, need to convert Grades into %age of marks scored.Filling of final cumulative %age of marks scoredbased on the cumulative grade at the end of third year/seventh semester/fourth year (as applicable) is compulsory;failing which the application will be rejected. 2. Candidates who have been penalised with an 'Year Back/Failed' by one or more year during degree course are ineligible to apply. 13. Certificates: (a) (b) (c)

Page 2 Of 3 Note 1. After applying online, candidates are requested to take a print out, paste his/her attested photograph in the space provided, sign it in blue ink in the space provided and send it along with attested copies of the required certificates to recruiting directorate by post. Incase of colleges having grade point system, a certificate as below signed by the college principal will be forwarded to Recruiting Directorate without fail :It is certified that Mr ------------has obtained cumulative grade 'X' which is equivalent to 'Y' % as per university/college rules. Candidates are also required to carry one more ink signed copy of the application, without fail along with the attested photograph pasted on it, all original certificates along with the certificate from the college Principal regarding conversion of cumulative grade into %age of marks and with a valid proof of identity to the selection centre when called for the interview. If a candidate does not send the said documents by the post to recruiting directorate and does not carry the above said documents to the selection center for the interview, his candidature will be cancelled. Applying second time on line will also lead to cancellation of candidature. 2. It may be noted that depending upon the total number of applications received by this office for TGC/SSC (T) Men course, recruitng 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 incorrect details filled in above application will lead to cancellation of candidature

and suitable action will be taken against the candidate 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 Arm/Service in the interest of the organistion. 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 result thereof. 6. This is the only application submitted for this course any duplicate application if detected, 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 servic training academy on displinary grounds. 9. I have obtain permission from my employer & will be release to join army if selected for 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 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.

13. In case of resignation from Academy, cost of training will be paid by me. 14. I Undertake to join any other parallel entry i.e. from TGC to SSC (T), subject to availability of vacancies and agree to the terms and conditions of that entry. 15. This application is accepted provitionally subject to meeting eligibility criteria.

Place : Signature of Date : Applicant

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