Professional Documents
Culture Documents
4. Father’s Name:………
5. Father’s Occupation/Designation:…………………..
6. Permanent Address:
District
7. Correspondence Address
District
State PIN Mobile
Email
8. Nationality
9. Domicile :
VI
VII
VIII
16. Have yo attended any SSB interview earlier.(If Yes ,give details for all earlier
attempts)
DECLARATION
1.
2. I, hereby, declare that I am unmarried male, governed by nationality conditions as
laid down by the Govt of India and have been debarred from appearing at any
examination. I have neither been arrested/ prosecuted and convicted by a criminal
court or involved in any other case registered by the police
3. I, herby, solemnly declare that all the statements made in the above application are
true and correct to the best of my knowledge and belief.
4. I fully understand that in the event of any information being found false or
incorrect, appropriate action can be taken against me.
Place:…………………………. Signature:……………………….
Date:………………………….. Name of the Applicant………………