PERSONAL INFORMATION
(5 PAGES)
INFORMATION ABOUT SELF
NAME/ Mob No/ Email id
PLACE OF MAXIMUM RESIDENCE
PRESENT PLACE OF RESIDENCE
DATE OF BIRTH
Page | 1
MONTHLY INCOME/ POCKET MONEY/ MONTHLY EXPENSES
COMMISSION SOUGHT
NATURE OF COMMISSION:
SERVICE CHOICE:
PAST SSB EXPERIENCE
ENTRY/DATE/ REASON FOR REJECTION/NOT JOINING
1.
2.
3.
4.
INFORMATION ABOUT PARENTS, BROTHERS & SISTERS
FATHER/GUARDIAN'S EDUCATION QUALIFICATION ,JOB &
INCOME
MOTHER'S EDUCATION QUALIFICATION, JOB & INCOME
IN CASE FATHER IS NOT ALIVE-YEAR OF DEATH
IN CASE MOTHER IS NOT ALIVE-YEAR OF DEATH
BROTHER'S EDUCATION, JOB & INCOME ( FOR ALL BROTHERS)
SISTER'S EDUCATION, JOB & INCOME ( FOR ALL SISTERS)
PERSONAL INFORMATION
(5 PAGES)
ACADEMIC RECORD
10 TH: YEAR/ BOARD/MEDIUM OF INSTRUCTION/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/
ANY OUTSTANDING ACHIEVEMENT Page | 2
11 TH: YEAR/ BOARD/MEDIUM OF INSTRUCTION/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/
ANY OUTSTANDING ACHIEVEMENT
12 TH: YEAR/ BOARD/MEDIUM OF INSTRUCTION/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/
ANY OUTSTANDING ACHIEVEMENT/ (FOR ENGINEERS ONLY) RANK IN IIT / STATE ENTRANCE EXAMINATION
GRADUATION: FROM:YEAR TO YEAR/ UNIVERSITY OR COLLEGE/MEDIUM OF INSTRUCTION/PERCENTAGE IN
EACH SUBJECT/ DAY SCHOLAR/BOARDER/ ANY OUTSTANDING ACHIEVEMENT
POST GRADUATION: FROM:YEAR TO YEAR/ UNIVERSITY OR COLLEGE/MEDIUM OF INSTRUCTION/PERCENTAGE IN
EACH SUBJECT/ DAY SCHOLAR/BOARDER/ ANY OUTSTANDING ACHIEVEMENTS
PROFESSIONAL DEGREE/DIPLOMA: FROM:YEAR TO YEAR/ UNIVERSITY OR COLLEGE/MEDIUM OF INSTRUCTION
/PERCENTAGE IN EACH SUBJECT/ DAY SCHOLAR/BOARDER/ ANY OUTSTANDING ACHIEVEMENTS
PERSONAL INFORMATION
(5 PAGES)
NCC TRAINING: YEARS/ CERTIFICATE/ ANY OUTSTANDING ACHIEVEMENTS
Page | 3
WORK EXPERIENCE
ORGANIZATION/JOINING YEAR/NATURE OF WORK/PAY/OUTSTANDING ACHIEVEMENTS
HEALTH/FITNESS/SPORTS/ EXTRA-CURRICULAR ACTIVITIES
HEIGHT IN FEET & INCHES:
WEIGHT IN KGS: WAIST IN INCHES: CHEST IN INCHES:
100 METERS RUN TIMING (CURRENT) IN SECONDS:
1600 METERS RUN TIMING (CURRENT) IN MINUTES & SECONDS:
NUMBER OF PUSH UPS (CAN DO CONTINUOUSLY AT ONE STRETCH NOW):
NUMBER OF CHIN UPS (CAN DO CONTINUOUSLY AT ONE STRETCH NOW):
NUMBER OF SIT UPS (CAN DO CONTINUOUSLY AT ONE STRETCH NOW):
(FOR GIRLS ONLY): IN CASE ABOVE IS ZERO, DURATION IN SECONDS FOR WHICH YOU CAN HANG ON A
CHIN UP ROD:
GAMES PLAYED/ PERIOD OR DURATION OF PARTICIPATION/HIGHEST LEVEL OF COMPETITION/
OUTSTANDING ACHIEVEMENTS
EXTRA-CURRICULAR ACTIVITIES/ PERIOD OR DURATION OF PARTICIPATION/ OUTSTANDING
ACHIEVEMENTS
PERSONAL INFORMATION
(5 PAGES)
Page | 4
POSITIONS OF RESPONSIBILITY HELD & ACHIEVEMENTS
SCHOOL/ COLLEGE/SPORTS/EXTRA-CURRICULAR ACTIVITIES/ NCC/ WORK PLACE
HOBBIES/INTERESTS
DURATION/ ANYTHING NOTEWORTHY
SELF DESCRIPTION
PERSONALITY STRENGTHS
PERSONALITY WEAKNESSES
WHY PEOPLE LIKE YOU
WHY PEOPLE DISLIKE YOU
HOW HAVE YOU BEEN HELPFUL AT HOME/ AT SCHOOL/AT COLLEGE/AT WORK PLACE/IN EXTRA-
CURRICULAR ACTIVITIES
PERSONAL INFORMATION
(5 PAGES)
WHY YOU CONSIDER YOURSELF SUITABLE TO BECOME AN OFFICER IN THE DEFENCE SERVICES?
Page | 5
WHAT SHORTCOMINGS MAY PREVENT YOU FROM BECOMING AN OFFICER IN THE DEFENCE SERVICES?