Home
Application Form for Wing/Division
Application For The Year-2022
1: State
*
Select
ARUNACHAL PRADESH
NAGALAND
MANIPUR
MIZORAM
TRIPURA
Meghalaya
ASSAM
Select State
2: Directorate
*
3: District
*
Select
Select district
4: Gender
*
Male
Female
5: Apply For
*
Select
Select Application
6. Name of School/College
*
Select
Select Institute
7. Stream
Select
Arts
Science
Commerce
Others
8. Unit is :
*
Select
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
Mr.
Ms.
Mrs.
Select title
Enter first name
16: Mother's Name
*
Select
Ms.
Mrs.
Select title
Enter first name
17: Parent's Address
*
Fill the address
18: Nationality
*
Select
Indian
Nepali
Select nationality
Bank Details
19: Account No.
20: IFSC Code.
Qualification
21: Last Educational Qualification
*
Enter educational qualification
Enter marks in %
Address
Communication Address
22: Address
*
Enter communication address
23: State
*
Select
ARUNACHAL PRADESH
NAGALAND
MANIPUR
MIZORAM
TRIPURA
Meghalaya
ASSAM
Select communication state
24: District
*
Select
Select communication district
25: Pincode
*
Enter pincode
Permanent Address
Same As Communication Address
26: Address
*
Enter permanent address
27: State
*
Select
ARUNACHAL PRADESH
NAGALAND
MANIPUR
MIZORAM
TRIPURA
Meghalaya
ASSAM
Select permanent state
28: District
*
Select
Select permanent district
29: Pincode
*
Enter pincode
30: Post Office
31: Nearest Railway Station
*
Enter nearest Railway station
32: Nearest Police Station
*
Enter nearest police station
Medical Information
33: Identification Mark 1
34: Identification Mark 2
35: Blood Group
Select
O-ve
O+ve
A-ve
A+ve
B-ve
B+ve
AB-ve
AB+ve
36: Medical Complaint (If any)
Co Curricular Activities
37: Sports Game 1
38: Sports Game 2
39: Sports Game 3
40: Co-Curricular Activity 1
41: Co-Curricular Activity 2
42: Co-Curricular Activity 3
Other Details
43: Have you ever been convicted by a criminal court?
*
Select
Yes
No
Select the field
If Yes, in what circumstances and what was the sentence?
*
Enter criminal record
44: Are you are willing to be enrolled under the National Cadet Corps Act, 1948?
*
Select
Yes
No
Select the field
45: Are you willing to undergo service training as specified in the Act and the rules made thereunder?
*
Select
Yes
No
Select the field
46: Are you willing to serve in the National Cadet Corps until discharged as provided in the Act?
*
Select
Yes
No
Select the field
47: Have you ever previously applied for enrollment under the Act?
*
Select
Yes
No
Select the field
If so , with what result?
*
Enter result
Enter previous enrolment no.
48: Have you been dismissed from the NCC?
*
Select
Yes
No
Select the field
49: Kin Name/Next of Kin
*
Enter kin name
50: Kin Relationship
*
Enter kin relationship
(Specify either parent/guardian/self)
51: Kin Contact Number
*
Enter kin contact no.
52: Kin Address
*
Enter kin address
Please enter the captcha code as shown in the image below:
*
Enter The Code: