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Application Form for Wing/Division

Application For The Year-2017

1: State *	Select State
2: Directorate*
3: District*	Select district
4: Gender *	Male Female
5: Apply For*	Select Application
6. Name of School/College*	Select Institute
7. Stream
8. Unit is :*	Select unit
Personal Details
9: Name*	First name can't be empty
10: Mobile Number
11:Email
12: Phone Number
Photo* 1. Photo Size Should Be Between 2kb and 50kb 2. Photo Should Be of .jpeg Format.	Upload your photo Upload your photo
13: Date of Birth*	Select date of birth
14: Your age *
15: Father's/Guardian's Name *	Select title Enter first name
16: Mother's Name *	Select title Enter first name
17: Parent's Address*	Fill the address
18: Nationality*	Select nationality
Qualification
19: Last Educational Qualification*	Enter educational qualification Enter marks in %
Address
Communication Address
20: Address *	Enter communication address
21: State *	Select communication state
22: District *	Select communication district
23: Pincode *	Enter pincode
Permanent Address	Same As Communication Address
24: Address *	Enter permanent address
25: State*	Select permanent state
26: District*	Select permanent district
27: Pincode*	Enter pincode
28: Post Office
29: Nearest Railway Station*	Enter nearest Railway station
30: Nearest Police Station*	Enter nearest police station
Bank Information
31: Bank Name
32: Branch
33: Bank Account Holder Name
34: Account Holder Relationship
35: Bank Account no
36: Branch IFSC Code
37: Aadhaar/UID No. (If allotted)
38: PAN Card No. (If allotted)
Medical Information
39: Identification Mark 1
40: Identification Mark 2
41: Blood Group
42: Medical Complaint (If any)
Co Curricular Activities
43: Sports Game 1
44: Sports Game 2
45: Sports Game 3
46: Co-Curricular Activity 1
47: Co-Curricular Activity 2
48: Co-Curricular Activity 3
Other Details
49: Have you ever been convicted by a criminal court?*	Select the field
If Yes, in what circumstances and what was the sentence?*	Enter criminal record
50: Are you are willing to be enrolled under the National Cadet Corps Act, 1948?*	Select the field
51: Are you willing to undergo service training as specified in the Act and the rules made thereunder?*	Select the field
52: Are you willing to serve in the National Cadet Corps until discharged as provided in the Act? *	Select the field
53: Have you ever previously applied for enrollment under the Act? *	Select the field
If so , with what result?*	Enter result Enter previous enrolment no.
54: Have you been dismissed from the NCC?*	Select the field
55: Kin Name/Next of Kin*	Enter kin name
56: Kin Relationship*	Enter kin relationship
	(Specify either parent/guardian/self)

57: Kin Contact Number*	Enter kin contact no.
58: Kin Address*	Enter kin address
Please enter the captcha code as shown in the image below: *


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Personal Details

Qualification

Address

Bank Information

Medical Information

Co Curricular Activities

Other Details