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Personal Information Questionnaire: Marks

The document requests personal information from an individual applying for a military commission, including name, family details, education history, extracurricular activities and leadership experience, previous attempts at military selection, and preferences for type and branch of commission.

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swatigairola.2017
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30 views

Personal Information Questionnaire: Marks

The document requests personal information from an individual applying for a military commission, including name, family details, education history, extracurricular activities and leadership experience, previous attempts at military selection, and preferences for type and branch of commission.

Uploaded by

swatigairola.2017
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PERSONAL INFORMATION QUESTIONNAIRE

1.
Selection Board No Batch No Chest No UPSC Roll NO

2. Name in CAPITALS (As in the application form)


3. Father’s Name
4. (a) Place of maximum residence
(b) Present Address (with approximate population of
the city/town/village)
(c) Permanent Address (with approximate population
of the city/town/village)

(Where District HQ or not) ______________________


5. Fill in the details below :-
State & Religion Whether Mother Date of Married/Single/
Distt SC/ST Tongue birth Widower

6. (a) Parents alive Yes/No


(b) If not alive, your age at the time of father’s/mother’s death
(c) Parents/Guardians Occupation/income(as applicable)
Particulars Education Occupation Income per month
Father
Mother
Guardian
Brother & Sisters

7. Educational Record (commencing from Matriculation/Equivalent Examination):-

Ser Qualification Name of institution Year & Division Medium of Boarder Outstanding
No acquired Marks % instruction /Day achievement
Scholar if may
1 Matric
2 10+2
3 BA
4 MA
5 MBA
6 Professional

8. Age (Years Months) Height (in Metre) Weight (in Kilograms)

9. Present Occupation and personal monthly income, if any ___________________

10. (a) N.C.C. Training Yes/No


(b) Total Trg. (if yes) (Give details below) :-

Total Training Wing Division Certificate obtained

11. (a) Participation in games & sports :-

Games/Sports Period or duration of Represented School/ Outstanding


Participation College/University achievement, if any
2

(b) Hobbies/Interest ________________________

(c) Participation in exta-curricular activities :-

Name of activity Group Duration of participation Outstanding achievement if any

(d) Position of responsibility/offices held in NCC/Scouting


/Sports team/Extra-curricular group and other fields :-

11. (a) Nature of Commission _______________________


(b) Choice of Service _______________________

12. Number of chances availed for commission in all three services _______________

13. Details of last interview, if any (Air, Navy, Army Selection Boards) : -

Ser Type of Place and Date Batch and Recommendation/


No Entry SSB Chest No Not recommended
PERSONAL INFORMATION QUESTIONNAIRE

Name :

Unit :

Length of Service :

Father’s Profession/ Income :

Father’s Educational Qualification :

Mother’s Educational Qualification/Profession :

Details of Brothers & Sisters :

Academic Record from Cl X onwards :

Sl No Qualifications Name of Year Division Medium Boarder Outstanding


acquired Institution & Marks of /Day achievements
% Instruction Scholar if any

Participation in NCC/ Sports etc :

Achievements in Games/Sports :

Achievement in cocurricular/Extra-curricular activities:-

Leadership Experience :

Hobbies/ Interests :

Details of previous SSB Interviews :

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