0% found this document useful (0 votes)
74 views3 pages

Form

1. The document is an online application form for the post of Multi Tasking Staff - Office & Training at the National Defence Academy. 2. The applicant is Avdhesh Kumar, a 22 year old male from the OBC category with Saini caste from Uttar Pradesh. 3. He has completed his education till 12th grade from a school in Amroha district of Uttar Pradesh and is currently residing in his hometown of Fazalpur village.

Uploaded by

mintoosaini9756
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
74 views3 pages

Form

1. The document is an online application form for the post of Multi Tasking Staff - Office & Training at the National Defence Academy. 2. The applicant is Avdhesh Kumar, a 22 year old male from the OBC category with Saini caste from Uttar Pradesh. 3. He has completed his education till 12th grade from a school in Amroha district of Uttar Pradesh and is currently residing in his hometown of Fazalpur village.

Uploaded by

mintoosaini9756
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

0.

94
3 .16
4 9.4
M-
NATIONAL DEFENCE 5A ACADEMY
6 :5
ONLINE APPLICATION FORM 5
: : MULTI TASKING STAFF - OFFICE &
4 11
02 TRAINING
-2
eb
3 -F
Application No : 232/ MT/ -0
5 85 OBC/ 00227585
7
Post Applied For : MULTI
0 22 TASKING STAFF - OFFICE& TRAINING
0
Gender :BC/MALE 94
/ O . 1 60.
Applied Caste / Class Type T : OBC .43
3 2/M M -49
Category -2 : OBC
55
A
R 5 6 :
Nationality MA : INDIAN
4 11:
U 2
K 20
S H
- F eb-
E 03
V DH 5 85-
A 22 7
C /00
Personal Details B
/ M T/O
32
Name : -2 AVDHESH KUM AR
A R
K UM
Name (M atric.) SH : AVDHESH KUM AR M other's Name : GUDDI DEVI
D HE
AV Full Name
Father's : DHARAM PAL SINGH Religion : HINDU0.94
9 . 4 3.16
DOB : 20 - APR - 2005 Identification
4
M- : NO
MAark
1 : 5 6:55
41
Phone No (STD Code) :
F e -202 Type
bCaste : OBC
- 0 3 -
M arital Status : SINGLE 585 Caste : SAINI
C / 0 0227
State/ UT of Origin : UTTAR/M T/OB
PRADESH
- 2 32
R
H K UMA 4
A V DHE
S
6 0.9
Address Details . 1
9 .43
4
Correspondence : VILL FAZALPUR Permanent A M- Address : VILL FAZALPUR
Address 55
5 6: UT
State/ : UTTAR PRADESH
1 :
State/ UT : UTTAR PRADESH 1 4
0 24 District 6 0.9 : AM ROHA
District : AM ROHA - 2 3 . 1
eb PO .4 : GULARIYA
PO : GULARIYA 3 -F - 49
0 Pin AM : 244221
8 5- 5
Pin : 244221 7 5 :5
0 22 : 56
0 1
B C/ 2 41
O 0
Educational & Additional/MDetails T/ b-
2
F e
32 3-
Sr. -2 5 -0 M arks /
No
Qualificati
AR School/ College
RollMNo. 7 58 State/ U Board/ Passing Total IsGrade Grade
Aggre
on Name 2 T University Year M arks gate %
. KU / 0 02 Obtained
H C
H ES / OB UTTAR
D M T
A V / PRADESH
32
-2 BOARD OF
A R HIGH
M UTTAR
210634 GOVT INTER SCHOOL
1 10TH KU PRADES 2021 600 No 484 80.67
S H 046 COLLEGE AM ROHA AND
E H
V DH INTERM ED
A IATE
EDUCATIO
N
0.94
.16
9 .43
-4
5 AM
:5
56
1:
0.94
.16
9.43
Miscellaneous Qualification -4
5 AM
:5 Aggr
56 Pass Total M arks /
Qualification Roll No.
School/ College 1:
1 UT
State/
Board /
ing M ark
Is
Grade
e
Name 2 4 University Grade gate
20 Year s Obtained
e b- %
3-F UTTAR
-0
5 85 PRADESH
227 BOARD OF
GOVT INTER /00 HIGH
223555019 BC UTTAR 94
12TH / O COLLEGE SCHOOL 2023 . 1 60. 500 No 436 87.20
4 MT PRADESH 3
2/ AM ROHA AND -49.4
3 M
-2 INTERM 5 A EDI
:5ATE
M AR 11:
5 6
KU 024 EDUCATION
-2
E SH - Feb
0 3
RecruitmentV DH Type : ADVT APPLIED CANDIDATE 5 85- Departmental/ Government :
A 2 2 7
0
Certificates B C/0
/O
3 2 /MT
-2 Life
A R Documen Tim
Sr. Document UM/ t/ Issue Valid Up
No. Certificate S H KName Certificat Date Authority Name State/ UT District e
To
D HE Vali
AV e No.
0.94 d
9 . 4 3.16
0622330 01 - AUG BHUPENDRA UTTAR M-4
1 OBC
06567 - 2023 SINGH : 5 6 55 A
:PRADESH AM ROHA YES
4 11 . 9 4
2
b-20 0
5 - 0 3-Fe 3 .16
2758 .4
B C /002 - 49
T/O AM
Uploaded Documents - 2 32/M 5 5
MAR 6:
Sr. No. HES H KU
Document Type Document No 1 :5 Document Name
AVD 2 41
1. PHOTO 20 pas spo r t _pho t o _1706940767938.jpeg
e b-
2. SIGNATURE -F SIGNATURE_1706940963121.jpeg
- 03
3. ID CARD * * * *8*5* * * 7356 Aadhar c ard_1706941099740.jpeg
2 75 .94
4. 10TH CERTIFICATE 0 2 210634046 10t
6 0h_1706941313633.jpeg
0
B C/ . 4 3.1
O 9
M T/ M -4
/
-2
32 5A
Declaration 6 :5
5
AR 1 1:
• I hereby confirm M
KU
that I have read the “General Instructions” 24 provided at home page.
H - 20
S eb
• I acceptD HEall the rules & regulations and eligibility 3 -F criteria against each post given in the “General Instructions”
V - 0
A
provided at the home page in https:// 5ndacivrect.gov.in 8 5
2 7
2
• I hereby declare that the information C /00 provided by me in this online application form is true, complete and
B
correct to the best of my knowledge T /O and belief. I understand that in the event of any information being found
false or incorrect at any 2 /Mstage, my candidature/ appointment is liable to.94be cancelled/ terminated.
3 0
-2 .16
R .4 3
U MA - 49
K M
S H
5 5A
Place: HAMROHAE :
6Date: 03 - FEB - 2024
V D 1 :5
A 1
0 24
2
b-
- Fe
03
8 5-
5
2 27
00
B C/
FOR OFFICEUSE ONLY O
M T/
2 /
Application No : 232/ MT/ OBC/ 00227585 Gender : MALE
4
MULTI TASKING STAFF - OFFICE& 6 0.9
Applied Post : .1
Category : OBC
TRAINING .43
- 49
Applied Caste / AM
: OBC Qualification: 10TH
Class : 55
56
Candidate Name : AVDHESH KUM AR 1 1: Percentage : 80.67
24
- 20
F eb
0 3-
ID Card Document 8 5- 10th/ 12th/ ITI/ DIPLOMA Certificate
75
22
Community Certificate
C/00 Experience Certificate
0.9
4
6
OB 3. 1
PwBD Certificate T/ ESM Certificate - 4 9.4
/M M
2 32 5 5A
Sports Certificate - 6 :
Retrenched/Departmental
5 Candidate
R 11:
U MA 202
4
K b-
H -Fe
E S
85 -03
V DH 2275
A
C /00
/OB
2/ MT
-23
R
U MA
S HK
D HE
AV
.94
.43.160
A M-49
1:5 6:55
-20 24 1
-03 -Feb
22 7585
B C/00 .94
MT/O .16
0
- 232/
UM AR 9 .43
HE SH K -4
AVD 5 AM
6:5
1 :5
2 41
20
eb
-
0 .94
-F .16
- 03 3
85 .4
5 -49
2 27 M
/00 5A
BC :5
O :56
T/ 11
/M 02
4
32 2
-2 b-
R Fe
A 0 3-
UM 5-
H
K
7 58
ES 22
DH
C/00
AV OB
T/
/M
32
-2
MAR
KU
SH
DHE
AV
4
60.9
3.1
4 9.4
AM-
: 55
56
1 1:
0 24

You might also like