tgc 121 505558shubham aggarwal

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  • 8/10/2019 TGC 121 505558Shubham Aggarwal

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    INDIAN ARMY

    DIRECTORATE GENERAL OF RECRUITING

    APPLICATION FORM FOR

    TECHNICAL GRADUATE COURSE-121(TGC-121)

    (Commencing July 2015)

    1. Roll No.

    505558

    2. Post Applied For

    TGC 121

    3. Candidate's Name

    Shubham Aggarwal

    4. Father's Name

    Shailendra Kumar Aggarwal

    5. Mother's Name

    Manju Aggarwal

    6. Date of Birth

    08/04/1994

    7. Nationality

    INDIAN

    8. Marital Status

    Unmarried

    9. Gender

    Male

    10. Mobile No.

    9897252065

    11. Email Address

    [email protected]

    To Be attested byGazetted Officer

    12. Permanent Address 13. Correspondance Address

    60/2 Govind Garh, SBI Colony, 60/2 Govind Garh, SBI Colony,

    Dehradun, Dehradun,

    Dehradun, Dehradun,Uttaranchal-248001 Uttaranchal-248001

    14. SSB History:

    SNo. Entry Location Year/Month

    1 NDA Varanasi 2011

    2 TES Allahabad 2011

    3 TES Allahabad 2012

    15. Educational Details:

    15(a) Type of School

    Others

    15(b) Roll No of 10+2 Examination/Diploma

    Roll No

    T/7334/117

    15(c) Education Qualification

    (B.E/B.Tech/B.Arch/M.Sc Comp Sc)

    B.Tech

    15(d) Aggregate age of Marks Obtained in

    Class XII

    92.5

    15(e) Whether done Diploma

    No

    15(g) Branch/Stream of Engineering in

    B.E/B.Tech

    Mechanical

    15(h) Stream as in Degree/Semester Marksheet

    Mechanical Engineering

    15(i) Date of Joining Engineering College

    08/08/2011

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    15(j) Expected Date of Completion of Degree

    06/30/2015

    15(k) Name of College/Institute

    GB Pant Engineering College

    15(l) Name of University

    Uttarakhand Technical University

    15(m) Type of University (Central

    University/State University/Deemed/Private)

    State University

    15(n) State in which University Located

    Uttaranchal

    15(o) Gate Score

    0.00

    15(p) Valid Upto

    -

    15(q) Marks Obtained in PCM in Class XII

    Subject Total Marks Obtained Marks Percentage

    Physics 100 94 94.00

    Chemistry 100 94 94.00

    Maths/Biology 100 92 92.00

    Cumulative Percentage 93.33

    16. Marks/Grade Obtained (whichever applicable) In Graduation

    Semester Total Marks Obtained Marks Percentage Cumulative Percentage

    1 950 697 73.37 73.37

    2 1050 801 76.29 74.83

    3 1000 661 66.10 71.92

    4 1000 721 72.10 71.97

    5 1000 768 76.80 72.93

    6 1000 844 84.40 74.84

    Note :-

    (a).

    The universities which have Grade Point system, need to convert Grades into %age of marks scored. Filling of cumulative %age of marksscored based on the Cumulative Grade at the end of third year/seventh semester/fourth year (as applicable) is compulsory; failing which theapplication will be rejected

    (b).

    For Candidates having only first year exams and not giving semester exams- Divide your first year marks in two equal halves and fill in 1st and2nd semester. eg. 700/1000 is to filled as 350/500 and 350/500.

    17.

    Certificates attached with application form :-(a)(b)

    (c)(d)

    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 involvedin 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 aresult thereof.

    6.

    This is the only application submitted for TGC-121 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 maybe 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.

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    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 alady 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 concerningdiscipline aspects

    12.

    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 ofthat 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 finalselection, 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.

    Signature of the candidate

    Place & Date : -Your Registration Date & Time:12/2/2014 2:24:24 PM Your Application Submission Date & Time:12/2/2014 2:31:43 PM

    Note :-

    1.

    After applying online, candidates are requested to take a print out, paste his attested photograph in the space provided, sign it in blue inkin the space provided and carry the application without fail along with the original certificates the certificate from the college principalregarding conversion of cumulative grade into %age of marks and with a valid proof of identity to the Selection Centre when called forthe interview. If candidate does not carry the above said documents to the Selection Centre for interview, his candidature will becancelled. No need to send printout of application to Recruiting Directorate.

    2.

    It may be noted that depending upon the total number of applications received by this office, Recruiting Directorate reserves the right toshortlist and to fix cut off percentage of marks for SSB interview. No representation will be entertained in this aspect.

    3.

    In case the engineering stream of the candidate is not listed in the vacancies notified and candidates desire to claim equivalence, they mayproduce equivalence certificate of the concerned universities for the purpose and candidate will be permitted to appear interview at theirown risk. Recruiting Directorate will examine the case for acceptance based on the certificate issued by the concerned university forequivalence.

    4.

    Any wrong details filled in above application will lead to cancellation of the candidature and suitable action will be taken against thecandidate

    5.

    Submission of multiple applications for TGC-121 will lead to cancellation of candidature.

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    CERTIFICATE BY PRINCIPAL/HEAD OF THE TECHNICAL INSTITUTIONS

    INSTITUTIONS TO BE SUBMITTED BY FINAL YEAR/SEMESTER CANDIDATES

    Certified that Shri ____________________________S/o ______________________ Date ofBirth__________________ is studying in final year/final semester of B.E/B.Tech________________ (Branch of Engineering) in this University/College/Institute and his finalyear/semester examinations will be over by 01 July 2015

    Place :_______________ Signature_________________

    Date :________________ Seal Designation _________________

    Note: Certificate signed by Heads of Departments will not be acceptable.