BCAS Nomination Form
BCAS Nomination Form
Part -I
4 E-mail ID:
5 Mobile No.:-
Signature of
6 Date of Birth ( DDIMIY/YY) Individual
7 Natio na lity (Ind ian )
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
1. Course Name:
2 Exam Centre: _
3 Duration of Course - From: To:
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.