DIPR Questionnaire No.
107-A (Revised-2023)
PERSONAL INFORMATION QUESTIONNAIRE O.I.R.
1. 6HOHFWLRQ%RDUG Batch No. & Entry Chest No. UPSC/ Other Roll No.
1R 3ODFH
17 SSB(S) - Bengaluru 63738 - National Defence NDA-155/6640923
Academy
2. Candidate Name Sanskar Sachin Dhongade
3. Father/Guardian Name Sachin Suresh Dhongade
4. Mother's Name Priti Sachin Dhongade
5. (a) Place of Present Residence (District & State) with NASHIK,Nashik,Maharashtra
approximate population of place) 25000
(b) Place of Permanent Residence (District & state) NASHIK,Nashik,Maharashtra
(With Approximate population of place) 30000
(whether District HQ or not ?): no
(c) Place of Maximum Residence(Place, District & State) Dindori-Nashik,Maharashtra,
With approximate population of place) 30000
6. Fill in the details below:
State & District Religion Whether SC/ST/OBC Mother Tongue Date of Birth Marital Status
Nashik, Maharashtra Hindu OBC Marathi 16-10-2006 Unmarried
7. (a) Marital Relationship of Parents Staying Together
(b) Your age at time of Separation/Divorce NA
(c) Staying with? NA
(d) Parents alive? Father : Yes Mother:Yes
(e) if not alive, your age at time of Mother's/Father's Death. Father :NA Mother:NA
(f) Parent's/Guardian's and Siblings' Occupation/Income (as Applicable)
Particulars Education Occupation Income per Month
Father Twelfth Pass Business Digital Board Printing 60000.00
Mother Bachelor of Commere Homemaker 0.00
Younger Sister 1 Eighth Appearing student 0.00
8. Educational Record (Commencing from Matriculation/Equivalent Examination)
Qualification Stream Full Name Board/Univ Year Div & Medium of Boarder/ Outstanding
acquired of Institute ersity Marks % Instruction Day Achievement
Scholar
Matric Science Silver Oak ICSE 2022 Second English Day Second In
Universal 71.50 Scholar Maths Olypiad
School
Nashik
10+2 Science Adhyyan Maharastra 2024 First English Boarder Second In
Defence State Board 80.83 College For
Academy Academics
Nashik
DIPR Questionnaire No. 107-A (Revised-2023)
PERSONAL INFORMATION QUESTIONNAIRE O.I.R.
B.E./B.Tech/B.Ar Informati Internationa Savitribai 2025 Appearing English Boarder Nil
ch/Msc on l Phule Pune 0.00
Computer Technolo Instituteofinf University
gy ormation
Technolgyp
une
9. Age (Years & Months) Height (in Metre) Weight (in Kilogram)
18.7 1.83 83
10. Present and Past Occupation and personal monthly
income
Present Student Rs 0
Past Rs
11. (a) NCC Training No
(b) If Yes, Total Training (Give details below):
12. (a) Participation in Games and Sports
Games/Sports Duration Represented School/ Outstanding
of Participation College/University/other Achievement
Cricket 2015 to till now Inter House Winners Of Interhouse
2 Times Winners In
Academy
Volleyball 2022 to Till now Casually None
Shot Put 2016 to Till now Interschool And Academy 2 Nd In Interhouse First
In Academy Sports
Event
(b) Hobbies/Interest Running,meditation,cooking,trekkin
g,solotravelling
(c) Participation in Extra Curricular Activities
Name of Activity Group Duration of Participation Outstanding Achievment
National Service Scheme 2024 t to till now Ninety Students Paricipated In Blood
Donation Camp
Community Service 2020 to till now Yearly Feeding More Than Thousand
People
(d) Position of responsibility held in NCC/Scouting/ Sports and Extra - Managed Adhyyan Raising Day,
curricular activities and other fields Class Representative,
13. (a) Nature of Commission: Permanent,
(b)Choice of Services: Army,
14. Number of chances availed for commission in all Four Services. 2,
15. Detail of all previous interviews, if any (Army/Navy/Air Force/Coast Guard Selection Boards)
Sr No Roll No Centre SSB/Batch Date
1 NDA-153/3844244 ALLAHABAD 14 SSB(E)/15210 21-07-2024 - 25-07-2024
2 NDA-154/6643571 Jalandhar 32 SSB(N)/92427 30-01-2025 - 03-02-2025
*This is certify that all the personal information given above by me is correct and true*
Candidate Signature
