72 ASSAM GIRLS (I) COY NCC, NLP ENROLLMENT FORM : YEAR 2020
Email address *
UNITY AND DISCIPLINE
Name (In Block letter) *
Date of Birth *
MM
/
DD
/
YYYY
Father's/Guardain's Name *
Mother's Name *
Residential Address(Landmarks,State, Distt, Taluka,City/Vill, Pin Code) *
Mobile No *
e-mail ID *
Blood Group *
Sex *
Nearest Railway Station *
Nearest Police Station *
Education Qualifications & Mark in (%) *
Identification Marks (At least Two) *
Have you ever been convicted by a criminal court & if so in what circumstance and what was the sentence? attach relevant document. *
Name of the school/College and Stream(Arts/Science/Commerce) *
Willing to be enrolled and under go training under the National Cadet Corps Act, 1948. *
NCC Unit to be enrolled in *
Have you been enrolled in NCC earlier. if yes,Your Enrolled No. *
Have you been dismissed from NCC/the Territorial Army/the Indian Armed Force: Please Provide details:- *
Next of Kin with Address(with relationship) Telephone No.(O)/(R)(as applicable) *
Bank Acct No & Bank Account Holder Name of Cadet/Parents *
Banker's details/IFSC Code/ Branch Name *
Aadhaar/UID No.( If allotted)
PAN Card No.(if alloted)
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