Entry

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sex
M
INDIAN ARMY
COMMON APPLICATION FORM FOR NON UPSC ENTRIES

1. Entry
UES (PFY)
UES (FY)
TGC/PG
SSC(T)
SSCW(T)
TES(10+2)
SSCW(PG)
NCC(WOMEN)
NCC (MEN)
JAG

6. (a) Candidates Full Name as in Matric Certificate (CAPITAL LETTERS)

6. (b) Fathers Full Name as in Matric Certificate (CAPITAL LETTERS)

7. Date of Birth )(dd/mm/yyyy)

As in Matric Certificate

10. Previous Attempts at SSB

SSB
Allahabad
Bhopal
Bangalore
Mysore
Varanasi
Dehradun

13. For jAG Entry

Aggregate % of marks
obtained in LLB
Whether you meet the eligibility
for enrolment as advocate in
Bar Council
Yes
No

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17. For Widows of Defence Personnel with 04 years upper age
limit relaxation
Graduate in any discipline
BE/Btech in streams as notified

18.Present Address (Address for Communication):(Write your Full address including name in CAPITAL Letters
A.SEKHAR BABU,S5-385,2ND.APSP CAMP,KURNOOL,ANDHAR PRADESH

District
State

Permanent Address

District
State

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nationality marital status roll number
1 1 0

4 2. Sex M
1 Male M
2 Female F
3
4 5. Roll Number
5 For office use only
6
7
8
9
10

05-May-89

11. TES Entry

Batch No & Chest No Write Exact Percentage of
Marks in Only
Edn Board
CBSE ICSE State Boar

14. For AEC & MF(TGC Entry)

Army Edn Corps

Military Farms

15. For NCC (Spl) Entry

1 (a) NCC C
2 Certificate Grade
(Write A or B
(b) Aggregate %
Marks in degree

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 1
2

PITAL Letters

KURNOOL
ANDHRA PRADESH Pin 518003

Pin

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candidate name fathers name
AULAPATI SEKARBABU AULAPATI VENKATAIAH

COURSE SER NO

3. Nationality 1
Indian 1
Others 2

File containing photo

File containing cert

8. Educational 3
Qualification
10+2 1
Graduate 2
BE/Btech 3
Post Graduation 4

12. For UES Entry

Date of Joining Engg
10+2 in PCM College (DD/MM/YYYY)
3 ProbableMonth & year of conduct of exam
1 2 3 Academic Year
Pre final Year
Final Year
College and University

16. For Engineering Branch SSCW(T},SSC(T),UES & TGC

1 Civil
2 Mechanical
Electrical
Electronics
Computer Science
A Info Tech
Elect & Comn/Tele Comn
63 Industrial /Production/Mfg
Architecture

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 Chemical
2 Others

Tele(Mobile) 919701140092

Tele(Mobile)

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 dob
05-May-89

4. Marital Status
Unmarried
Married
Widow
Issueless Divorcee

AULAPATI SEKARBABU

AULAPATI VENKATAIAH

9. Whether ward of
battle casuality
Yes
No

06-Oct-06

Month
APRIL
APRIL
Dr.SAMEUL GEORGE INSTITUTE OF ENGINEERING&TECHNOLOGY,JNTU KAKINADA.

T),UES & TGC

1
2
3
4
5
6
7
8
9

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10
11

Email

Email

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 Edn qual 10+2 pcm bc edn bd dt joinengg prefinalmm
3 0 2 3 38996 APRIL

1
1
2
3
4

1
2

Year
2009
2010
,JNTU KAKINADA.

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SEKHARAVULAPATI@GMAIL.COM

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prefinalyyyy finalmm finalyyyy
2009 APRIL 2010

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enggcollege jagmks barcouncil
Dr.SAMEUL GEORGE INSTITUTE OF ENGINEERING&TECHNOLOGY,JNTU KAKI 0 0

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nccgd nccmks aecmf enggbranch widowqual
A 63 0 2 2

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present address padistt pastate
A.SEKHAR BABU,S5-385,2ND.APSP CAMP,KURNOOL,ANDHAR PRADKURNOOL ANDHRA PRADES

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papin patele paemail permtaddress prmtdistt permttstate
518003 919701140092 SEKHARAVULAPATI@GMAIL.CO0 0 0

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permtpin permttele permtemail course abad batch abad chest bhopa bach bhopal chest
0 0 0 0 0 0 0 0

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blore batch b lore chest mysore batch mysore chest d dun batch d dun chest varanasi batch
0 0 0 0 0 0 0

Page 18 of 19
varanasi chest photo cert
0 0 0

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