Form
Form
94
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NATIONAL DEFENCE 5A ACADEMY
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ONLINE APPLICATION FORM 5
: : MULTI TASKING STAFF - OFFICE &
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Application No : 232/ MT/ -0
5 85 OBC/ 00227585
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Post Applied For : MULTI
0 22 TASKING STAFF - OFFICE& TRAINING
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Gender :BC/MALE 94
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Applied Caste / Class Type T : OBC .43
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Category -2 : OBC
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Nationality MA : INDIAN
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Personal Details B
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Name : -2 AVDHESH KUM AR
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Name (M atric.) SH : AVDHESH KUM AR M other's Name : GUDDI DEVI
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AV Full Name
Father's : DHARAM PAL SINGH Religion : HINDU0.94
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DOB : 20 - APR - 2005 Identification
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Phone No (STD Code) :
F e -202 Type
bCaste : OBC
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M arital Status : SINGLE 585 Caste : SAINI
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State/ UT of Origin : UTTAR/M T/OB
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Address Details . 1
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Correspondence : VILL FAZALPUR Permanent A M- Address : VILL FAZALPUR
Address 55
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State/ : UTTAR PRADESH
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State/ UT : UTTAR PRADESH 1 4
0 24 District 6 0.9 : AM ROHA
District : AM ROHA - 2 3 . 1
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PO : GULARIYA 3 -F - 49
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Educational & Additional/MDetails T/ b-
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0622330 01 - AUG BHUPENDRA UTTAR M-4
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06567 - 2023 SINGH : 5 6 55 A
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Uploaded Documents - 2 32/M 5 5
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Document Type Document No 1 :5 Document Name
AVD 2 41
1. PHOTO 20 pas spo r t _pho t o _1706940767938.jpeg
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2. SIGNATURE -F SIGNATURE_1706940963121.jpeg
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3. ID CARD * * * *8*5* * * 7356 Aadhar c ard_1706941099740.jpeg
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Declaration 6 :5
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• I hereby confirm M
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that I have read the “General Instructions” 24 provided at home page.
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• I acceptD HEall the rules & regulations and eligibility 3 -F criteria against each post given in the “General Instructions”
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provided at the home page in https:// 5ndacivrect.gov.in 8 5
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• I hereby declare that the information C /00 provided by me in this online application form is true, complete and
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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.
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Place: HAMROHAE :
6Date: 03 - FEB - 2024
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Application No : 232/ MT/ OBC/ 00227585 Gender : MALE
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MULTI TASKING STAFF - OFFICE& 6 0.9
Applied Post : .1
Category : OBC
TRAINING .43
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Applied Caste / AM
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Candidate Name : AVDHESH KUM AR 1 1: Percentage : 80.67
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ID Card Document 8 5- 10th/ 12th/ ITI/ DIPLOMA Certificate
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