Professional Documents
Culture Documents
Office Use
Office Use
Registration No
15034182938
1.Candidate Name
VINAY
2.Parent Name
PRATAPSINGH
TEJ BAHAUAR
3.Nationality
Indian
6.Qualification
Intermediate
SINGHCHUHAN
CHUHAN
4.Date Of Birth
21-12-1997
5.Marital Status
Un Married
EPCB
7.Intermediate/Voca 71
8.Name of
tional/Diploma
English %
nal/Diploma
Intermediate
Intermediate
Education
Education
10.Matric Roll No
1578738
11.Aggregate
13.EMail Id
pratapfact@gmail. 14.SOAFP
UP Board of
9.Matric Board
71
12.Mobile No
No
15.Discharged from No
com
16.Stream Applied
19.Exam Center
UP Board of
8795511305
Forces
Group-XY
3 ASC Kanpur
Choice 1
17.Identification
mark
leg
20.Exam Center
Choice 2
21.Exam Center
1 ASC Ambala
Choice 3
22.Permanent
EWS
23.Communication
EWS
24.Preference for
1st preference: X
Address
250/876,RATANP
Address
250/876,RATANP
UR
UR
only
COLONY,PANKI,
COLONY,PANKI,
Kanpur
Kanpur
Nagar,Uttar
Nagar,Uttar
Pradesh,208020,
Pradesh,208020,
Shoe Size(BATA):
Signature of parent/guardian
(If candiddate below 18 yrs on the day of filling application)
Name(Gaurdian if applicable ) :
Place:
Paste your
photograph
50341 82938
Date:
-----------------------Tear off and Paste on Envelope------------------- -----------------------Tear off and Paste on Envelope-------------------
To,
President
Central Airmen Selection Board
PO Box: 11807
New Delhi-110010
15034182938
Group-XY
50341 82938
71