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Online Application

Atul Bisht has submitted an online application for the post of Assistant Commandant General Duty with the Indian Coast Guard. He has applied to appear for the test on an unspecified date and time at the Coast Guard centre in Noida, Uttar Pradesh. In the application, he provides personal details like name, gender, addresses, education qualifications, skills and experience, and declares that all information provided is true.

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Atul Bisht
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0% found this document useful (0 votes)
41 views

Online Application

Atul Bisht has submitted an online application for the post of Assistant Commandant General Duty with the Indian Coast Guard. He has applied to appear for the test on an unspecified date and time at the Coast Guard centre in Noida, Uttar Pradesh. In the application, he provides personal details like name, gender, addresses, education qualifications, skills and experience, and declares that all information provided is true.

Uploaded by

Atul Bisht
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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16/12/2021, 23:27 :: ONLINE APPLICATION ::

INDIAN COAST GUARD


ONLINE APPLICATION FORM
Application No. : 222/145442
  Roll No. :  

(1) Name of the post applied for :


Asst. Commandant General Duty Affix recent
passport size
(2) colour Photo
Centre at which you wish to appear for Test  :  

Date and Time of  Reporting at Centre :

Centre
Priority Full Address of the Centre
Name
  INDIAN COAST GUARD, DIRECTORATE OF RECRUITMENT, C-
NOIDA
1 1, NEAR INDUS VALLEY PUBLIC SCHOOL, SECTOR-62, NOIDA,
- NO
UTTAR PRADESH, PIN-201301

(3) Name of the candidate (as in Matriculation) :


  ATUL BISHT
 Gender :
Male
(4) Current postal address :
VIKAS NAGAR GARIGHAT, CITY: KOTDWARA, STATE: UTTARAKHAND, DISTRICT :
 
PAURI GARHWAL, PIN : 246149
(5) Permanent address :(The State of Permanent address has to be same as domicile certificate)
VIKAS NAGAR GARIGHAT, CITY: KOTDWARA, STATE: UTTARAKHAND, DISTRICT :
 
PAURI GARHWAL, PIN : 246149
(6) E-mail ID :   
at*************.com
     Mobile No :
  
+9*****592
(7) Mother's name :
SARIKA BISHT
(8) Father's name :
DEVENDRA SINGH BISHT
(9) Category :
General
 (10) Date of Birth :
27 Jan 2000
  (11) Nationality :
Indian
(12) Qualification :
Compl. Compl. Year of
Qualification Board/Institution AggrPercent
Subject Mark Passing
12th CBSE 74.6 Physics 73 2017
        Maths 64 2017
HEMWATI NANDAN
Graduation(B.Sc) BAHUGUNA GARHWAL 66.37 --NA-- 0 2020
UNIVERSITY
(13) Knowledge of Swimming :
NO
(14) Proficiency in sports, National Level (attach photocopies of certificate) :
NO
(15) NCC certificate obtained (attach photocopy of certificate, if yes) :
--NA--
(16) Marital Status :
Unmarried
(17) Is Wards of Coast Guard deceased/Service Personnel :
NO
(18) Is your father serving /retired from Defence : NO
(19) Is Service Personnel : NO
(20) Is EWS(Economically Weeker Sections) : NO
https://joinindiancoastguard.gov.in/Report.aspx?gnZBcj5ZUung1TE9Go3MHGinGcF45IMyNKBhbzYk0hg= 1/2
16/12/2021, 23:27 :: ONLINE APPLICATION ::

(21) Declaration :
I, hearby solemnly declare that all the statements made in the above application are true and correct to the
  best of my knowledge and belief. I fully understand that in the event of any information being found false
or incorrect, my candidature will be cancelled.
Place : DEHRADUN Signature :
Name of the Applicant :
ATUL
Date : 16/12/2021
BISHT
Print

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