Refer Para 10 & 13 Air HO/40701/PA(RC - IAFPC FORM FOR … · WILLINGNESS CERTIFICATE I. I, Service...
8
econ 'A' to De co e tea Pv Tue candidate and to De verilie 1. Name in full (in Block Capital). 0 . * . . O O . . . . . D Q Q 0 Q 0.199 Q Q 0 Q Q.g,. . Q . . O O 000 0.0 O . 0 0 . 000 , U g g g g Q O D O Q Q Q Q Q Q DO O O . o 0.0 Q Q B O O O O 0 0 O O O O O O 9 O O 0 O O 0 0 O 000 . Father's Name. Service number with rank. 38 4. (a) Are you a citizen of India if so, Whether by birth of descent or registration Of naturalization of otherwise. ' o o...oo..o*..*.oo.oo*.o.o.oooooooo .. O 0 O . 00 . . 0 . 8 0 O O O 0 0 O O O O 0 09 O 0 0 O 008 (b)' If you are not a citizen of India to what place do you claim to belong? 5. (a) Are you married (b) If so, have you more than one wife ~living? 0 O O 0 O 0 O O 0 O O 0 0 0 O 0 D O O 9 0 0 0 O 00 0 0 0 O 000 oooo O O 0 0 O O O 9 O O O O O O O O D D O 0 O 0 D 8 O O ODO ------- O 00 0 0 O 0 O 0 O 0 0 0 0 0 O 00 0 0 0 0 O 8 O U O O O O O 000 -~-~ ~~__ 8 0 O O 0 0 O O 0 O 0 0 8 0 O DO U 0 O 0 O O O 00 O 0 0 0 000 -~~ 0 0 8 0 O O O 9 O O 0 00 O O O O O O 0 0 0 0 0 0 0 O O O 0000 6. What is your religion class or Sub-Class (if a member of Scheduled Caste/Scheduled Tribe). House address in full. to Village/Town. House Noe/House Ne. APPendix A' Refer Para 10 & 13 Air HO/40701/PA(RC dated 08 Jan 10 & Dara 7 of SOP 01/2012 (To be raised in duplicate) FORM OF APPLICATION FOR LATERAL ENTRY OF WANT N KS IN DSC respective Record Office of the warrant rank` Initial of the Applicant
Transcript of Refer Para 10 & 13 Air HO/40701/PA(RC - IAFPC FORM FOR … · WILLINGNESS CERTIFICATE I. I, Service...
econ 'A' to De co e tea Pv Tue candidate and to De verilie
1. Name in full (in Block Capital). 0
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. Father's Name.
Service number with rank.38
4. (a) Are you a citizen of India if so, Whetherby birth of descent or registration Ofnaturalization of otherwise. '
o
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.. O 0 O . 00 . . 0 . 8 0 O O O 0 0 O O O O 0 09 O 0 0 O 008(b)' If you are not a citizen of India to whatplace do you claim to belong?
5. (a) Are you married
(b) If so, have you more than one wife~living?
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6. What is your religion class or Sub-Class (if amember of Scheduled Caste/ScheduledTribe).
House address in full.to
Village/Town.
House Noe/House Ne.
APPendix �A'Refer Para 10 & 13 Air HO/40701/PA(RC
dated 08 Jan 10 & Dara 7 of SOP 01/2012
(To be raised in duplicate)FORM OF APPLICATION FOR LATERAL ENTRY
OF WANT N KS IN DSC
respective Record Office of the warrant rank`
Initial of the Applicant
~~~~~Street/Road. `
I
PO.
ParganahlTehsil.
Dist/State/PIN No.
Teleobile No.
. . . . . . . . . . . . ' . . . . . . . . . . . . . . . . . DOD
_______________________
0 8 0 D 8 B D 0 O o 0 U G O R 4 O 6 O 0 8 a o c a a c Bo a 490
_______________________
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of0 . 0 Woo 069 9 C 0 0 6 O o o 0 o 0 Q Q O O 0 Q O Q 800
_______________________
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_______________________
U Q 8 0 Q C M O O O U O 8 O B 8 9 0 O 0.0 O 0 B 0 0 0 O 8 8 009
8. Details of Punishments:-
(imprisonment..-.
Q
8 Q 0 O 8 O O O O O 0 0 9 0 O O 0 B O 9 0 0 0 O 0 O 0 Q 8 006
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O O 0 O 0 O 0 O 0 8 9 9 6 O 0 O 0 O O O 0 0 O 0 O O 0 W 6 O 00(b) Red I entries (i) Upto the ray of Sgt
(ii) In Warrant rank o
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.0.0... O 0 9 0 O 0 0 0 09 O O O O O 9 O 00 O O O 0 09. Do you now belong to the Indian Air Force,the Reserve, any Police Force? If so givedetails.
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109 Exact Date of BihlAge
Paiculars of educational qualification116
(a) iv
(b) Air Force
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Initial of the Applicant
12. ~~~Particulars of previous service :- ooeooooo b 0 O O O 0 U O O O D O O D U 0 D D D 0 Q O DO
Rank|Capacity Unit/Office PeriodFrom To
~-
_____
13. Do you desire your former service in theIndian Air Force to reckon towards pension,gratuity, increments of pay, if such areadmissible, and agree to recovery beingeffected of any gratuity, you may havereceived on or since discharged in themanner as prescribed in the rules ?
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ld. Are you willing to be commissioned As aJCO ? (mention rank, i.e., Sub MajlRis Maj,SublRis or Nb Sub/Nb Ris.
Are you willing to be vaccinated orRe-vaccinated?
15.
16. (a) Are you willing to go wherever orderedBy land, sea or air and not to allow any casteUsage to interfere with your military duty?
(b) You will like to be employed for servingAny where within India, if this ispermissible under the rules ?
.oooo*o.o.ooooo*o....o*...oo.o.oo
- _,
3
ServiceN0..........0.000...( ) Rank ............ Name ...........o..o.oo.ope.o...o.....
Initial of the Applicant
17. Are you aware that during your Service youare not permitted to or to subscribe in aid ofany political association or movement?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18. Are you free from debt?Answer �Yes' or �No'
.............**.....*..*.ow......
:(a) . . . . . . . . . . . . . . . . . . . . . . . . ..19. Give a list of documents as proof of Civil \Service educational qualification And Sportscertificates.
(b) . . . . . . . . , . . , . . . . . . . . ....(c) . . . . . . . . . . . . . . . . . . . . . .. . (d) . . . . . . . . . . . . . . . . . . . . . .. . ___
20. Certified copies of Discharge Book and PPOare to be attached for verification at CASBand AFRO
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Service No... . . .. . . . . . .. . . . .( ) Ralr . . . . . . . . . . . . Name . . . . . .. . . . . . . . . . . . . . .. . , . . . . . ,. , .
DECLARATION TO BE SIGNED BY THE CANDIDATE
I, ................................................................... declare that thestatements made in this form are true to the best of my Imowledge and belief and Iam willing to serve in the Armed Forces for so long as my services are required.
Signature of Witness Signature of applicant
Designation Date :
Signature of the OIC Pension & Welfare Wing, DAV
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SECTION B
To be completed by Medical Officer at CASH/last Stu of the applicants
Description on Recruitment
Height _________________Weight________________
Identification Marks1.
Cms Chest Measurement:-Cms Minimum Cms
CmsMaximum
2.
medically fit/unfit for the
(Cause of unfitness).
Place :
Date : Signature of Medical Officer
SECTION C
To be completed by CASH/Last unit of the applicant
is considered eligible for re-enrolment as a JCO in the DSC in terms of age, timebetween discharge and re-enrolment and medical fitness.
Place :
Date: President/Commanding Officer
o De co etc enslave & ell are In
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SECTION D
This is to certify that the particulars of the candidate given in the applicationand bio-data, applying for re-enrolment, after retirement in DSC are correct
hasmarks out of 60 marks based on hissecured
Record of Service.
Place :
Date: AFRO
SECTION E
To be completed by CASH
has seen unlv verlneu lrOITl the documents uelaneu oetow ;-
I recommend I do not recommend him for the grant of such commission forthe reason as given below:-
Place :
Date : PresidentCASH
House No. / Name.
~.-~~~~~----~--Lane/Street/Road
~ _
...*..**.*..*.o*...*.*.*..****..
Village/Town **.*.**.*****.***.*.**.*....ea o o c o
PO.
Thana
00.0 0.00 . . . . * . .**.*****. ....*00..
.***0.0. ** 0.0 . . 080 * 0.9 . ...**.....
Parganah/Tehsil. .......*..............o..*.....**
_
o....o..**........*......... D o o o 8
- ~__
.*.*..*.....**..*.....,.....o*..o
--
*
..............*.o*..*.***........
Dist/State
PIN No.
Tele/Mobile No.
Appendix �E'(Refers to para 28 & 31 Air HO/40701/PA(RC) dt 08 Jan 10)
WILLINGNESS CERTIFICATE
I. I, Service No. am wilting to accept re-enrolment in D SC in only.
; to be re-enrolled in any rank except that mentioned in Para
the rank of
2. 1 am not willing1 above.
3. I am willing to re-enrolled in DSC as JCO (GD) / JCO (CLK)lSep (GD)/Sep (Clk)
inn the event of my selection, call letter may he sent to me on the address asgiven below :-
Place :
(Signature of the Individual)Date :
A enOlx ` ti ' t Relers to areAir HO/40701/PA(RC) dt 08 Jan 10~
Index No
CONSENT CERTIFICATE
1. !, Service No, Rank Namehereby undertake that in `the event of reduction
of the establishment in DSC, I will accept reversion to ~a lower rank that to which Ihave been selected in the Corps based on the combined seniority of servingprom~~~otes vis-bvis appointed under lateral entry system.
2. I further undertake that, if need arises I will have no objection to bedischarged from service before completion of terms of engagement of 5 years incase of Nb Sub/Sub and 4 years tenure or till the age of 57 years whichever isearlier in the case of Sub Maj.
3. I will not request for posting on compassionate / medical / any other groundbefore / during / after completion of orientation training at DSC Centre.
4. I understand and accept that serving in the DSC would mean servinganywhere in the country and I am prepared to accept this all India liability as far asmy posting to any place within India is concerned.
Station:
Date : (Signature of the individual)
Signature of witness
Service No.
Rank
Name
Address
