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4/23/2014 Untitled Document http://nausena-bharti.nic.in/th_multiqual_officer.php?applicationno=Quz53HZy0RHZy0R0A23M0A09TPS09T36P127Yup60A23M0A23M7Yup67Yup6XQp69 1/1 APPLIC ATIO N FO RM FO R Permanent Commission (PC)Logistics Dec 14 BATCH Please Attach Photo Here (UNMARRIED MALE/ FEMALE CANDIDATES O NLY) FOR INDIAN NAVY OFFICE USE ONLY CODE NO. VALIDITY STATUS APPLICATION NO-PGG1430511557 Valid Invalid 1. CHOICE OF ENTRY- [1] PC(LOG) 2. PERSONAL PARTICULARS AS IN MATRICULATION CERTIFICATE:- NAME VATTIKUNTA ARUN KUMAR NATIONALITY: INDIAN FATHER'S NAME V LAKSHMIPATHI NAIDU FATHER'S OCCUPATION/DESIGNATION:FO RMER DATE OF BIRTH 1992/07/19 DOMICILE: Andhra Pradesh GENDER M MARITIAL STATUS:Unmarried 7. ADDRESS: CORRESPONDENCE ADDRESS PERMANENT ADDRESS ADDRESS 6-44 KAMMAPALLI PULICHERLA 6-44 KAMMAPALLI PULICHERLA DIST RICT C HITTO O R C HITTO O R ST AT E Andhra Pradesh Andhra Pradesh PINCODE 517172 517172 TELEPHONE 0877 - 2444444 0877 - 2444444 MOBILE 9494831614 --NA-- EMAIL [email protected] --NA-- 8.EDUCATION PARTICULARS: 8(a).Qual/Stream/YOP: B.Tech / Computer Science / 2013 Percentage 67.67% Maximum Marks Marks Obtained Maximum Marks Marks Obtained 1st Semester 0 0 2nd Semester 1000 651 3rd Semester 750 483 4th Semester 750 502 5th Semester 750 517 6th Semester 750 518 7th Semester 750 515 8th Semester 650 468 9. I HAVE NOT ATTENDED ANY SSB TILL TO DATE WITH THE ARMY/NAVY OR THE AIR FORCE. 10.Details of service under central/state Govt. if any (Candidates already in service should apply through proper channel and obtain NOC from the present employer.) Fill NA if not applicable:NA DECLARATION 1.I, hereby declare that I am unmarried male/female, governed by nationality condition as laid down by the Government of India and have never been debarred from appearing at any examination. I have never been arrested/prosecuted and convicted by a criminal court or involved in any other case registered by the Police. 2. I, hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my knowledge and belief. 3. I, fully understand that in the event of any information being found false or incorrect, appropriate action can be taken against me. 4.Eligibility criteria will be verified on reporting at the selection centres. If found ineligible, I understand that criminal proceedings can be initiated against me for fraudulent entry and falsification of GOI documents. I also accept that no TA/DA will be admissible to me in such cases. 5. I have completed my B.Tech as on date. Note: Please forward complete printout of this application duly signed to the address mentioned in the advertisement along with the relevant documents as per advertisement. Place : ...................... Date: .................. Signature of Applicant: ..................................... April 23, 2014, 5:59 pm

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4/23/2014 Untitled Document

http://nausena-bharti.nic.in/th_multiqual_officer.php?applicationno=Quz53HZy0RHZy0R0A23M0A09TPS09T36P127Yup60A23M0A23M7Yup67Yup6XQp69 1/1

APPLICATIO N FO RM FO R Permanent Commission (PC)Logistics Dec 14 BATCH

Please Attach PhotoHere

(UNMARRIED MALE/ FEMALE CANDIDATES O NLY)

FO R INDIAN NAVY O FFICE USE O NLY

CO DENO .

VALIDITY STATUS APPLICATIO N NO -PGG1430511557

Valid Invalid

1. CHOICE OF ENTRY- [1] PC(LOG)

2. PERSONAL PARTICULARS AS IN MATRICULATION CERTIFICATE:-

NAME VATTIKUNTA ARUN KUMAR NATIONALITY: INDIAN

FATHER'S NAME V LAKSHMIPATHI NAIDU FATHER'S OCCUPATION/DESIGNATION:FO RMER

DATE OF BIRTH 1992/07/19 DOMICILE: Andhra Pradesh

GENDER M MARITIAL STATUS:Unmarried

7. ADDRESS: CORRESPONDENCE ADDRESS PERMANENT ADDRESS

ADDRESS 6-44 KAMMAPALLI PULICHERLA 6-44 KAMMAPALLI PULICHERLA

DISTRICT CHITTO O R CHITTO O R

STATE Andhra Pradesh Andhra Pradesh

PINCODE 517172 517172

TELEPHONE 0877 - 2444444 0877 - 2444444

MOBILE 9494831614 --NA--

EMAIL [email protected] --NA--

8.EDUCATION PARTICULARS:

8(a).Qual/Stream/YOP: B.Tech / Computer

Science / 2013Percentage 67.67%

Maximum Marks Marks O btained Maximum Marks Marks O btained

1st Semester 0 0 2nd Semester 1000 651

3rd Semester 750 483 4th Semester 750 502

5th Semester 750 517 6th Semester 750 518

7th Semester 750 515 8th Semester 650 468

9. I HAVE NOT ATTENDED ANY SSB TILL TO DATE WITH THE ARMY/NAVY OR THE AIR FORCE.

10.Details of service under central/state Govt. if any (Candidates already in service should apply through proper channel and

obtain NOC from the present employer.) Fill NA if not applicable:NA

DECLARATION1.I, hereby declare that I am unmarried male/female, governed by nationality condition as laid down by the Government of India and have neverbeen debarred from appearing at any examination. I have never been arrested/prosecuted and convicted by a criminal court or involved in any othercase registered by the Police.2. I, hereby, solemnly declare that all the statements made in the above application are true and correct to the best of my knowledge and belief.3. I, fully understand that in the event of any information being found false or incorrect, appropriate action can be taken against me.4.Eligibility criteria will be verified on reporting at the selection centres. If found ineligible, I understand that criminal proceedings can be initiatedagainst me for fraudulent entry and falsification of GOI documents. I also accept that no TA/DA will be admissible to me in such cases.5. I have completed my B.Tech as on date.

Note: Please forward complete printout of this application duly signed to the address mentioned in the advertisement along with the relevantdocuments as per advertisement.

Place : ...................... Date: ..................Signature of Applicant:

.....................................April 23, 2014, 5:59 pm