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CADET ENROLLMENT FORM
National Cadet Corps
4 Delhi Bn NCC,New Delhi
Enrollment Number: DL2024JDIA1400320
Open Vacancy
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Personal Information
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Full Name: Gender: MALE
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Date of Birth: 22-03-2010 Mobile No: 9873028784
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Email: 20240049032@asose.in Father's Name: KAMLESH KUMAR
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Mother's Name: RAJNI SHAHI Nationality: INDIAN
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Education Information
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Institute Type: School Study in: 9th
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Institute(NCC): DR B R AMBEDKAR SCHOOL OF ANO: PAWAN KUMAR DIWAKAR
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SPECIALIZED EXCELLENCE MADANPUR KHADAR
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Wing: Army
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Address Information
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House No: L - 35 Building Name: SAURABH VIHAR
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Area/Locality: Jaitpur City: SOUTH EAST DELHI
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State: DELHI Pincode:
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Medical Information
Blood Group: B+ Medical Complaint: NO
Identification Mark: WOUND ON RIGHT LEG
Next of Kin Information
NOK Name: KAMLESH KUMAR NOK Relationship: FATHER
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NOK Contact: 9818928784 NOK Address: L 35, SAURABH VIHAR, Jaitpur,
SOUTH EAST DELHI, DELHI - undefined
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Other Details
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Sports/Games: Cricket Co-Curricular Activities: COMPUTING
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Conviction by Criminal Court: No Willingness for Military Training: Yes
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Willingness to serve NCC: Yes Previously Applied for Enrollment: No
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Dismissed from NCC/TA/AF: No
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TARG
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Cadet's Signature ANO/CTO's Signature
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CCN
