CONFENDITIAL
O.I.R No.________
PERSONAL INFORMATION QUESTIONNAIRE
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1. |
Selection Board (No. & Place) |
Batch No. |
Chest No. |
UPSC / Other Roll No |
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2. |
Name in CAPITALS (As in the matriculation certificate) |
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3. |
Father's Name |
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4. |
(a) Place of Maximum Residence (Place,
District, State) |
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(b) Place of Present Residence (Place,
District, State) |
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(c) Place of Permanent Residence (Place,
District, State) |
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(Whether District HQ or not) |
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5. |
Fill in the details below: - |
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State & District |
Religion |
Whether SC / ST / OBC |
Mother Tongue |
Date of Birth |
Married / Single / Widower |
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6. |
(a) Parents Alive |
Yes No |
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(b) If not alive, your age at the time of Mother's / Father's death |
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(c) Parents' / Guardians' and Siblings' Occupation / income (as applicable): - |
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Particulars |
Education |
Occupation |
Income per month |
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Father |
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Mother |
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Guardian |
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Elder Brother / Sister |
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Younger Brother / Sister |
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7. |
Educational Record (commencing from Matriculation / Equivalent Examination): - |
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Qualification acquired |
Full Name of Institution |
Board / University |
Year |
Div. & Marks % |
Medium of Instruction |
Boarder / Day Scholar |
Outstanding achievement |
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Matric@ Hr. Sec. |
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10+2 Equivalent |
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Graduation |
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Post-Graduation / Professional |
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8. |
Age (Years & Months) |
Height (in Meter) |
Weight (in Kilogram) |
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9. |
Present Occupation and personal monthly income, if any |
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10. |
(a) N.C.C. Training |
Yes No |
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(b) If Yes, Total Training (Give details below) |
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Total Training |
Wing |
Division |
Certificate Obtained |
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11. |
(a) Participation in games & sports: - |
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Games / Sports |
Period or duration of Participation |
Represented School / College / University / Other |
Outstanding achievement, if any |
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(b) Hobbies / Interest |
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(c) Participation in extra-curricular, activities: -
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Name of the activity group |
Duration of Participation |
Outstanding achievement, if any |
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(d) Position of responsibility /offices held in NCC / Scouting |
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Sports Team/Extra-curricular group and other fields |
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12. |
(a) Nature of Commission |
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(b) Choice of Service |
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13. |
Number of chances availed for commission in all three Services |
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14. |
Details of all previous interviews, if any (Army / Navy / Air Force Selection Boards) |
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Sl. No. |
Type of Entry |
SSB No. & Place |
Date |
Chest No. / Batch No |
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