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First Name

Last Name

Fahter's Name

Date of birth
(Date of Birth as mentioned in the matriculation/
Secondary Examination Certificate)

Entry

Date of SSB

Mailing Address

District/City

State/UT

WhatsApp No

Parents Mobile No

E-mail ID

Educational Qualification (fill as per requirement)*

Qualification

Overall %age

Year of Passing

Batch Commencing On

Do you Need Accommodation Facility?

Note: Candidate those are waiting for their results can write their expected percentage.
The registration process will be considered complete only on receipt of Rs. 1000/- registration charges by the SSBOGC.

I accept ! Check the circle.

DECLARATION
I hereby declare that all the information as given above are correct to the best of my knowledge and belief. I understand and will follow all the decision of the institution with regard to conduct good discipline and best training. I further declare that I shall communicate the dates, batch details, my chest number and also the result to the SSBOGC soon after my SSB Interview gets over.

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