INDIAN ARMY
Directorate General Of Recruiting
Roll No.   

ONLINE APPLICATION FORM FOR NON UPSC ENTRIES
Short Service Commission (Technical) - SSC(T) - 41 (Commencing in Oct 2013)

1.Sex 2.Entry

Paste passport size photo duly attested by Gazetted Officer on the application to be sent to Recruiting Directorate and on the application to be carried to selection centre for interview by hand

3.Course Serial No
4. Candidate's Full Name
5.Nationality 6.Marital Status
7. Date of Birth      
8. (a) Father's Full Name    (b) Mother's Full Name
9. E-mail ID
10. Permanent Address
      Current Address  --NA--
11. Previous Attempt(s) at SSB :
--NA--
12. (a) Educational Qualification
     (b) Branch/Stream of Engineering
     (c) Date of Completion of degree/Completion of final exam
     (d) College Name
     (e) University Name
     (f) State in which University Located
Marks/Grade Obtained (Whichever applicable)
13. Diploma Qualification
Percentage of Marks in 10+2 Only in PCM 
--NA--
Edn Board 

Note :-
The universities which have ‘Grade Point’ system, need to convert Grades into %age of marks scored. Filling of cumulative %age of marks scored based on the Cumulative Grade at the end of third year/seventh semester/fourth year (as applicable) is compulsory; failing which the application will be rejected.

14. Certificates:
(a)
(b)
(c)

  • After applying online, candidates are requested to take a print out, paste his attested photograph in the space provided, sign it in blue ink in the space provided and send it along with attested copies of the required certificates to recruiting directorate by post. Incase of colleges having grade point system, a certificate as below signed by the college principal will be forwarded to Recruiting Directorate without fail :-
    It is certified that Mr ------------has obtained cumulative grade 'X' which is equivalent to 'Y' % as per university/college rules.
    Candidates are also required to carry one more ink signed copy of the application, without fail along with the attested photograph pasted on it, all original certificates along with the certificate from the college Principal regarding conversion of cumulative grade into %age of marks and with a valid proof of identity to the selection centre when called for the interview. If a candidate does not send the said documents by post to Recruiting Directorate and does not carry the above said documents to the selection center for the interview, his candidature will be cancelled. Applying second time on line will also lead to cancellation of candidature.
  • It may be noted that depending upon the total number of applications received by this office, Recruitng Directorate reserves the right to shortlist and to fix cut off percentage of marks for SSB interview. No representation will be entertained in this aspect.
  • Any incorrect details filled in above application will lead to cancellation of candidature and suitable action will be taken against the candidate
15. Declaration :
1. I have read and understood the instructions and undertake to abide by them.
2. I hereby declare that all statements made in the application are correct and true.
3. I undertake not to have any objections in the event of my final selection on allotment of any Arm/Service in the interest of the organisation.
4. I have never been debarred from appearing in any examination or UPSC and nor have I been arrested or convicted by a criminal court or involved in any other case registered by police.
5. I undertake not to make any claim or compensation if at any stage of selection, my ineligibility is detected and my candidature is cancelled as result thereof.
6. This is the only application submitted for SSC (Tech) - 41 course and any duplicate application if detected, my candidature be cancelled.
7. Any misinterpretation and wrong declaration/concealment of information in the application will render my candidature to be cancelled and I may be debarred from this course.
8. I have never been withdrawn from NDA, IMA or OTA or any service training academy on disciplinary grounds.
9. I am employed with ________________________ & I have informed my employer in writing that I am applying for commission in the Army.
10. In the eventuality of being recommended by SSB, I will have no objection to be medically examined by board of Male/Female doctors, provided a lady medical officer is present (applicable only to lady cadets)
11. I undertake to be debarred & my candidature be cancelled, if at any stage of selection I indulge in any violation of local orders concerning discipline aspects.
12. I undertake to join any other parallel entry i.e. from TGC to SSC (T), subject to availability of vacancies and agree to the terms and conditions of that entry.
13. I undertake not to marry till I complete the full training at the training academy, in case inducted. I also understand that in case of my final selection, my appointment will be provisional subject to satisfactory police and educational verification.
14. In case of resignation from Academy, cost of training will be paid by me.
15. This application is accepted provisionally subject to meeting eligibility criteria.
 
Place :    
Date :     Signature of Applicant