:: ONLINE APPLICATION ::

Personal Details

Candidate Name*

First Name	*
Middle Name
Last Name

(As given in matriculation certificate)

Father's Name*

(As given in Matriculation Certificate/ PAN Card/ Driving Licence)

Mother's Name*

(As given in Matriculation Certificate/ Any other valid ID proof)

Email ID*

(Please enter valid E-mail ID as this would be used for further communication)

Date of Birth*

(dd/MM/yyyy) Make sure, your Date of Birth lies between 01/07/1991 and 30/06/1995

Select your Caste

GEN

Scheduled Tribe

Scheduled Caste

OBC(Non Creamy Layer)

(The date of issue of caste certificate to be as per advertisement)

Marital Status

Unmarried

Married

Whether You belong to Economically Weaker Sections(EWS)

Yes

Your Gender

Male

Female

Do you Know Swimming

Yes

Proficiency in sports (National Level)

Yes

Is Wards of Coast Guard uniform personnel deceased while in service

Yes

Is your father serving /retired from Defence

Yes

Service Type


Permanent Address (The State of Permanent address has to be same as domicile certificate)
Permanent Address*	Invalid chars. found Address is Required	State*
	Invalid chars. found Address is Required	District*
City*	Invalid chars. found CITY is Required	Pin*	(6 Digits PIN Reqd) PIN is Required
Mobile/Landline No.*	- Invalid Mob. No. Mobile No. is Required

Click here if Current/Correspondence Address different from Permanent Address


Current Address	Invalid chars. found	State*
	Invalid chars. found	District*
City*	Invalid chars. found	Pin*	(6 Digits PIN Reqd)
Mobile/Landline No*	- Invalid Mob. No.

Choice of Centre

Choice*

NCC Qualification, if any

NCC 'C' Certificate

None

Previous Attempt(s) at FSB/SSB

Appeared before in FSB/SSB? (Please Choose)

Yes

Educational Qualification(For Grading system, convert CGPA into % and then enter % into Aggr. % column.)

ExamPassed

No of Year

IsApp.

Year of Passing

Certificate No.

Board/University/Institution

TotalMarks

MarksObtained

Aggr %

10 + 2

Year - I :

Year - II :

Year - III :

Marks Entry For Compulsory Subject Of 10+2

EntryTypeID	M04_QualID	M05_SubjectID	Compulsory Subject Name	Total Marks	Marks Obtained	Percentage
4	2	1	Physics
4	2	2	Maths

Photograph & Signature Upload (File Type :jpg)

Upload Photograph * (Size for Photograph should be between 10-40 kb)	Upload Signature * (Size for Signature should be between 10-30 kb)
Photograph Required	Signature Required

Employment Details (Optional)

Is Service Personnel

Yes

Service Type

Whether employed in Central/State Govt./Public
sector Undertaking, if so, details thereof

Declaration

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. I fully understand that in the event of any information being found false or incorrect, my candidature will be cancelled.

PLACE ::*

SIGNATURE ::

DATE ::

19Apr2024

NAME OF THE APPLICANT ::

	Note : Only Numeric Values
Enter Verification Code