Application for ues 2004

Application for UES 2004-2005course 1.full name (in capital)………………………………….. 2.farther’s name ………………………………………… 3.full postal address…………………………………….. …………………………………………………………… ……………………………………………………………. 4.full permanent address ………………………………… …………………………………………………………… …………………………………………..pin …………… 5.date of birth ………………………………… 6.educational qualification technical name of name of engg. qualification college university discipline max marks % of date of marks obtained aggregate final result 7.nationality:Indian –yes/no marital status: married/unmarried 8.indicate course applied for……………………… 9whether previously interviewed for any type of entry in army /air force/navy? 1o.NCC air wing(sr.div.) ‘c’ certificate …………….. I hereby declare that all the statement made in above in the above application are correct to the best of my knowledge and belief . I also understand that any discrepancy found in the above information will render me liable for cancellation of candidature. date signature of applicant counter signature of principle with stamp