Preview

Indian Coast Guard

Indian Coast Guard Application for Enrolled Personnel
 Fill Application Form
CGEPT-01/2026 & 02/2026

 City Selection   Application Status

NAME Mr. Love Ojha
 Preview
REGISTRATION NO 2506NGB0148049
 Make Payment
DATE OF BIRTH 12-Aug-2005
 Application Status
APPLIED BRANCH Navik(GD)
 Print Application Form CATEGORY Other Backward Class (OBC) (Non-
creamy)

PAYMENT STATUS Paid

DATE OF APPLICATION FORM 27-Jun-2025

SUBMITTED

  Personal Information
Note/Instructions:
1. Name as recorded in the matriculation/secondary examination marksheet.
2. Name (Candidate’s/Father’s/Mother’s Name) given in the application and all the uploaded documents i.e.
ID Card, educational certificates, category certificate (SC/ST/OBC/EWS) or any other uploaded
document should be same or else the candidature will be cancelled.
3. E-mail ID and mobile number once entered can’t be changed during the entire recruitment process.
4. Candidate is to bring same ID card (provided here) in original at all stages of recruitment.
5. Two different permanent identification marks on the body such as birthmark, mole and burn/injury mark
are to be entered as text.
6. Candidate to upload class 10th marksheet with date of birth mentioned on certificate as date of birth proof
or else Birth certificate to be uploaded.
7. Candidate is to scan the original documents (neither photocopy nor self-attested photocopy) to upload in
the online application.
8. Scanned document should be saved in .jpeg / .jpg format and size should be between 50KB to 150KB.
9. All the uploaded documents must be in Hindi or English. If, the document is in any language other than
English or Hindi then candidate is to upload both original and English translation of document as one
file/document (after merging both documents) in the online application.
10. Click here for specimen of document.
11. Candidates belonging to OBC but coming in the ‘Creamy layer’ are to apply as unreserved candidate.
12. OBC certificate shall be as per Govt. of India format (No other format will be entertained).
13. OBC candidate availing their respective quota, must ensure that valid category certificate should have
been issued (date of issue) on or before the closing date of application.
14. Validity of OBC certificate has to be atleast upto 31 Jul 2026.

NAME Mr. Love Ojha NAME AS ON ID Love Ojha FATHER'S Ramsevak

CARD NAME

MOTHER'S Rajni Devi EMAIL ID XXXXXXXXXXXXXXX MOBILE XXXXXXXXXX

NAME

NATIONALITY Indian MARITAL Unmarried GENDER Male

STATUS

DO YOU HAVE Yes ID CARD Aadhaar Card ID CARD NO. XXXXXXXX796

AADHAAR 4
CARD?
 PERMANENT Mole On Chest PERMANENT Mole On Back CATEGORY Other
IDENTIFICATIO IDENTIFICATIO Backward
N MARK 1 ON N MARK 2 ON
THE BODY THE BODY Class (OBC)
(Non-creamy)
DATE OF ISSUE 26-Feb-2024 DATE OF BIRTH 12-Aug-2005 DATE OF BIRTH 10th Class
OF CATEGORY PROOF TYPE Marksheet/Ce
CERTIFICATE
rtificate
AGE No FEE WAVIER No EMPLOYMENT Unemployed
RELAXATION CLAIMED TYPE

COMMUNITY Always valid GOT Official ICG website

CERTIFICATE (no validity INFORMATION
VALIDITY ABOUT INDIAN
date COAST GUARD
mentioned on RECRUITMENT
certificate)

Indian Coast Guard   Class 10th Details

Note/Instructions:
 Fill Application Form 1. 10th marksheet and certificate need to be uploaded at Stage-II.
2. In case of CGPA or Grade, conversion formula document need to be uploaded at Stage-II.
 City Selection 3. If you have additional certificate, the document of the same need to be uploaded at Stage-II.

 Preview EDUCATION U.P. Board of GRADING Percentage DO YOU HAVE No

BOARD High School & SYSTEM ADDITIONAL
 Make Payment INDICATED IN MARKSHEET
Intermediate MARKSHEET
Education
 Application Status
10TH 01034344 YEAR OF 2020 NO. OF 6
CERTIFICATE PASSING SUBJECTS IN
 Print Application Form NUMBER CLASS 10TH

Subject Hindi English Mathematics Science Social Sciences Drawing

Marks Obtained 83 80 65 75 82 70

Total Marks 100 100 100 100 100 100

  Class 12th Details

Note/Instructions:
1. 12th marksheet and certificate need to be uploaded at Stage-II.
2. In case of CGPA or Grade, conversion formula document need to be uploaded at Stage-II.
3. If you have additional certificate, the document of the same need to be uploaded at Stage-II.

EDUCATION U.P. Board of GRADING Percentage DO YOU HAVE No

BOARD High School & SYSTEM ADDITIONAL
INDICATED IN MARKSHEET
Intermediate MARKSHEET
Education
12TH I0131532 YEAR OF 2022 NO. OF 5
CERTIFICATE PASSING SUBJECTS IN
NUMBER CLASS 12TH

Subject Physics Mathematics Chemistry Hindi English

Marks Obtained 54 75 54 75 70

Total Marks 100 100 100 100 100

  Additional Details
1) Have you been Discharged from the Indian Army / Indian Navy / Indian Air Force or any government
organization ?
No

2) Has any warrant or summons for your appearance as witness been issued and pending before a court of law for
the time being in force ?
No

3) Are any proceedings in respect of an offence alleged to have been committed by you pending before a
criminal court in India ?
No
 4)Has any warrant or summons for your offence been issued and pending before a court of law for the time being
in force ?
No

5) Has a warrant for your arrest been issued by a court under any law for the time being in force ?
No

6) Have you, at any time preceding the date of this application, been convicted by a court of India for any offence
and sentenced in respect thereof to imprisonment ?
No

7) Have you applied in higher court for acquittal against the conviction of lower court ?
No

8) Have you ever been debarred by ICG / Army / Navy / Air Force / UPSC / Central or State govt. during any
recruitment process ?
Indian Coast Guard No

 Fill Application Form   Communication Details

 City Selection
Note/Instructions:
 Preview 1. In case of reserved category applicants, either current or permanent address of online application should
be same as the address mentioned in caste/category certificate (SC, ST, OBC(Non-Creamy Layer) &
 Make Payment EWS).
2. A valid Domicile Certificate is to be uploaded by all the candidates to determine the zone of candidate for
 Application Status zone wise recruitment. In states where both certificates i.e. Domicile and Resident certificates are issued,
only Domicile Certificate will be accepted.
 Print Application Form
Permanent Address
HOUSE/STREE NAGLA MAHASUKH LANDMARK KHERAGARH POST OFFICE KHERAGARH
T SITOULI
COUNTRY India STATE/ UT Uttar Pradesh DISTRICT Agra

SUB DISTRICT Kheragarh PIN CODE 283121 PHONE NO N.A

WITH AREA
CODE

Present/Current Address
HOUSE/STREE NAGLA MAHASUKH LANDMARK KHERAGARH POST OFFICE KHERAGARH
T SITOULI
COUNTRY India STATE/ UT Uttar Pradesh DISTRICT Agra

SUB DISTRICT Kheragarh PIN CODE 283121 PHONE NO N.A

WITH AREA
CODE

Domicile Details
DOMICILE UTTAR PRADESH RECRUITMENT North Zone DOMICILE 15423200620
STATE REGION CERTIFICATE 9
NUMBER

DATE OF ISSUE 03-Sept-2023

OF DOMICILE
CERTIFICATE

  Photo And Signature

Note/Instructions:
1. Click here for specimen of photograph.
2. While uploading Photo / Signature , file nomenclature should be as follows:
Passport photograph: Passport_Photograph
Scanned signature image: Signature
3. Any discrepancy or anomaly in clarity of images of uploaded documents in the online application will lead
to cancellation of candidature.

PHOTO LIVE PHOTO SIGNATURE

  Stage - I - Exam City Preferences

 Note/Instructions:
1. Your 5 preferences nearest to present address in increasing order of distance.
2. Non-compliance to this instruction may lead to cancellation of your candidature during document
verification.

1. LUCKNOW

2. GWALIOR

3. JAIPUR

4. JODHPUR

5. DELHI AND NCR

  List Of Uploaded Documents

Note/Instructions:
Indian Coast Guard 1. Uploading of documents/additional documents is restricted upto prior downloading of E-admit card for
Stage-II. No documents can be uploaded by the candidate after downloading Stage-II E-admit card.
Failure of uploading of documents within the time promulgated by ICG will lead to the cancellation of
 Fill Application Form
candidature. Any request for uploading new document after downloading of E-admit card for Stage-II will
not be entertained.
 City Selection
2. Affidavits duly signed by the candidate accepting their mistake of false information in online application
 Preview will not be considered at various stages of examination and their candidature will be cancelled.
3. Documents in Digilocker will not be accepted at any stage of the examination as electronic devices are
 Make Payment not permitted in examination premises. Candidates to bring their original documents at all stages of
CGEPT examination.
 Application Status
4. All candidates will be compulsorily subjected to identity check prior commencement of the examination
of Stage- I, II, III of CGEPT. The identity check will include verification/matching of Photograph, biometric,
 Print Application Form
signature and permanent identification marks on the body as mentioned in this application.

Stage-I
1. ID Proof (Aadhaar Card)
2. Date of Birth Proof (10th Class Marksheet/Certificate)
3. Domicile Certificate

Checking for Print Preview

Note/Instructions:
You are directed to completely check the print preview of the application and certify that your application is
correct in all aspects as per the advertisement. You are directed to go through the common reasons for
rejection as published on the website and certify that your application is correct and does not fall for
rejection in document verification as per the rules prescribed in the advertisement for Stage-I, II & III as
published on the website. You may edit the application and the uploaded documents if there is any mistake
or error before submitting the application. Once the application is submitted, no changes are allowed.
a. HAVE YOU SEEN THE PRINT PREVIEW BEFORE SUBMITTING THE APPLICATION ? YES

b. DO YOU WANT TO EDIT THE APPLICATION OR THE UPLOADED DOCUMENTS IF THE DETAILS IN YOUR NO
APPLICATION ARE INCORRECT OR THE DOCUMENTS ARE INCORRECTLY UPLOADED ?

c. DID YOU UTILIZE THE "EDIT" OPTION AFTER SEEING THE PRINT PREVIEW PRIOR FINAL SUBMISSION ? NO

d. DO YOU WANT TO SUBMIT THE APPLICATION FINALLY ? YES

IF YOU CHECK YES, YOU WILL BE DIRECTED TO PAYMENT PAGE AND YOUR APPLICATION WILL BE SUBMITTED
AND NO CHANGES WILL BE ALLOWED FURTHER.

  Declaration
a. I hereby declare that all the above information provided by me is correct.
b. I owe allegiance to the sovereignty, unity and integrity of India. I have not lost, surrendered or been
deprived of the citizenship of India.
c. I am eligible to apply for the said rank category as per the Indian Coast Guard (ICG) advertisement for
present batch and have also read the FAQs and common reasons for rejection during various stages of
recruitment given on website.
d. I declare that I have applied for only one post viz. either Navik (DB) or Navik (GD) or Yantrik (Mechanical) or
Yantrik (Electrical) or Yantrik (Electronics) in present cycle. I understand that if, multiple applications are
filled by me, then ,only the latest filled application will be accepted and all the other applications will be
rejected and the exam fee paid against these applications will not be refunded.
e. I declare to remember my mobile number and E-mail ID used during filling of online application, as, the
primary mode of communication of ICG with me will be either through ICG website or E-mail.
 f. I understand that Coast Guard will be uploading E-admit card, result of various stages of recruitment in my
login dashboard and will also be publishing various updates/announcements regarding recruitment on
Coast Guard recruitment website. Hence, I declare to visit ICG website and my login dashboard on
regular/daily basis. ICG will not be responsible if I fail to visit ICG website on a daily basis and comply with
the instructions therein given from time to time and will not claim re-examination.
g. I understand that capturing and verification of biometric impression is mandatory for appearing at all
stages of recruitment.
h. I understand that Indian Coast Guard reserves the right to conduct assessment/adaptability of candidates
at any stage of the recruitment process, prior issue of appointment letter to avoid impersonation. I
understand that my candidature can be cancelled on account of impersonation and the decision of Indian
Coast Guard will be final and binding on me in this regard.
i. I understand that my candidature will be cancelled and I will be debarred from future Coast Guard
Recruitment examinations in case I am found to be involved in malpractice during any stage of current
recruitment process.
j. I affirm that the information and particulars given by me in this application are true/correct and I am not
Indian Coast Guard suppressing any material information in this regard. I further affirm that the certificates (ID Proof/DOB
proof/NOC/Domicile certificate) uploaded in support of my application for recruitment of the said post are
authentic and solely pertain to me and I am fully responsible for the accuracy of the same.
 Fill Application Form
k. I declare that my SC/ST/OBC (non-creamy layer)/EWS certificate comply with the instructions given in
 City Selection the advertisement regarding the format of certificate for appointment to the post under Government of
India. If my candidature is cancelled on account of incorrect category document then I shall not be
 Preview considered against unreserved vacancy as I have submitted false information.
l. I certify that I am in possession of originals of all the documents uploaded in the online application. Failure
 Make Payment to present the original document as uploaded in online application on account of loss of documents will
lead to cancellation of candidature. I understand that no request in this regard will be entertained by ICG
 Application Status even if I produce an F.I.R. w.r.t. theft of my documents and my candidature will stand cancelled.
m. I declare that the form is filled by myself and not any other person, and for any mismatch/wrong
 Print Application Form
information/incorrect photo/signature/thumb image uploads, I will be responsible. I am aware that, my
candidature can be cancelled, in case of any mismatch/wrong information.
n. I have completely checked the print preview of the application and I certify that my application is correct in
all aspects as per the advertisement.
o. NO CLAIM / RISK UNDERTAKING:- I am a candidate for recruitment in Indian Coast Guard. I give my full
and free consent at my own risk that I shall not be entitled to claim any compensation or other relief from
the government in respect of any injury or disability which I may sustain in the course of or as the result of
any of the tests (both physical fitness test and medical test) administrated to me or attended by me during
the recruitment procedure, whether due to my own negligence or any other person or otherwise.
p. If the candidate fills multiple applications in one particular cycle,then his latest filled application will be
accepted and all previously filled application will be rejected.

Candidate Candidate
Candidate Upload Verified by (ICG Verified by (ICG
Signatue for Stage Signatue for Stage
Signature Officer) at Stage II Officer) at Stage III
II III

STAMP STAMP

Name: Name:

Rank: Rank:

Note:- Candidate will have to bring the same application form which is verified at Stage II by ICG while
reporting at INS Chilka Stage III or else the candidature will be cancelled.
 STAGE-I UPLOADED DOCUMENT : ID PROOF (AADHAAR CARD)

Indian Coast Guard

 Fill Application Form

 City Selection

 Preview

 Make Payment

 Application Status

 Print Application Form

 STAGE-I UPLOADED DOCUMENT : DATE OF BIRTH PROOF (10TH CLASS
MARKSHEET/CERTIFICATE)

Indian Coast Guard

 Fill Application Form

 City Selection

 Preview

 Make Payment

 Application Status

 Print Application Form

 STAGE-I UPLOADED DOCUMENT : DOMICILE CERTIFICATE

Indian Coast Guard

 Fill Application Form

 City Selection

 Preview

 Make Payment

 Application Status

 Print Application Form

 COMMON REASONS FOR REJECTION DURING DOCUMENT VERIFICATION

Indian Coast Guard

 Fill Application Form

 City Selection

 Preview

 Make Payment

 Application Status

 Print Application Form

 COMMON REASONS FOR REJECTION DURING DOCUMENT VERIFICATION

Indian Coast Guard

 Fill Application Form

 City Selection

 Preview

 Make Payment

 Application Status

 Print Application Form

 COMMON REASONS FOR REJECTION DURING DOCUMENT VERIFICATION

Indian Coast Guard

 Fill Application Form

 City Selection

 Preview

 Make Payment

 Application Status

 Print Application Form

Print