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BCAS Nomination Form

This document is a nomination/registration form for candidates applying for AVSEC courses under the Bureau of Civil Aviation Security, Government of India. It includes sections for personal details, educational qualifications, previous courses attended, work experience, and declarations from the sponsoring organization. The form also requires signatures from both the candidate and the sponsoring authority, along with a section for BCAS official use to confirm acceptance of the nomination.

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0% found this document useful (0 votes)
154 views2 pages

BCAS Nomination Form

This document is a nomination/registration form for candidates applying for AVSEC courses under the Bureau of Civil Aviation Security, Government of India. It includes sections for personal details, educational qualifications, previous courses attended, work experience, and declarations from the sponsoring organization. The form also requires signatures from both the candidate and the sponsoring authority, along with a section for BCAS official use to confirm acceptance of the nomination.

Uploaded by

jangid.blal
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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BUREAU OF CIVIL AVIATION SECURITY

MINISTRY OF CIVIL AVIATION


GOVERNMENT OF INDIA
NEW DELHI

BCAS-TRG-DIV APPEN DIX:,,U,,

Part -I

Passport size (70%


1. Name of the Candidate:
(Surname) (First name) (Middle name) face white
background Matte
2 Sex: Male E Female E] finish)
3 Designation of Candidate :-

4 E-mail ID:

5 Mobile No.:-
Signature of
6 Date of Birth ( DDIMIY/YY) Individual
7 Natio na lity (Ind ian )

8. Educational Qualification (Academic)

9. Educational Qualification (Tech nical)

PART: II
Details of Previous AVsEc courses Attended bv Nominee*
Sr Course Name PERIOD Marks Remarks
No FROM TO RESULT
obtained

F
*(Note- Non disclosure of any information pertaining to previous AVSEC Courses will
amount to disqualification of the candidate)
PART: IIt
workinq ExDerience
S.No organization Designation Period Rema rks

From To
AEP No,

Emptoyee Code,_
Date:
Signature of the candidate
Ptace of Posting:
PART: IV

NOMINATION / REGISTRATION FORM

1. Course Name:

2 Exam Centre: _
3 Duration of Course - From: To:

4 Name & contact address ofsponsoring Organization:

5. Name &Contact address of paying organization

Declaration bv Sponsorino Orqanization

I _certify that the above mentioned nominee is medically fit and fluent in
spoken& writing English. He / She is on regular pay roll of thls organization as security
employee and falls within the parameters of the course target population as defined in NCASTP.
The security program of my organization is approved by Competent Authority and the
information disclosed under this form is correct as per best of my knowledge.

1. Name of sponsoring authority:


2. Deslgnation :

Date: Signature with seal


PART: V

(For BCAS use only)


The nomination of Ms/ Mr: is accepted/not accepted

Date: Signature of BCAS Official

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