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Application Form

The document is an application form from the Government of India’s Ministry of Youth Affairs & Sports, requiring personal and educational details from the applicant. It mandates the inclusion of an Aadhar-linked bank account and various certifications, including a recommendation from an official or organization. The form also requests information on previous foreign visits, hobbies, medical history, and any legal cases pending against the applicant.

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13 views3 pages

Application Form

The document is an application form from the Government of India’s Ministry of Youth Affairs & Sports, requiring personal and educational details from the applicant. It mandates the inclusion of an Aadhar-linked bank account and various certifications, including a recommendation from an official or organization. The form also requests information on previous foreign visits, hobbies, medical history, and any legal cases pending against the applicant.

Uploaded by

someone.is.quite.anonymous
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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GOVERNMENT OF INDIA

Ministry of Youth Affairs & Sports


Application Form

Paste your
unsigned recent
colour
photograph

PART A: Details of the Applicant

1. Name of Applicant :

2. Aadhar No.

3. Bank Account Number (With Bank Name) ( Write Account Number which is
linked with your Aadhar Number, start with the left most box and fill only
required number of boxes, leave rest blank):

Note: Aadhar number linked bank account is a prerequisite condition for consideration for this programme.
Proof of Aadhar linked account from the concerned bank to be attached with the application form.

4. Name of Guardian :

5. Date of Birth :

Date Month Year

6. Domicile/Place of birth:

7. Gender :

Male Female Others

8. Residential Address with PIN CODE:


9. Contact Details :

Telephone No.
Mobile No.
E-mail
Address

10. Details of Educational Qualifications (to be verified at the time of final selection):

Name of the Name of Year Percentage Subjects


course/Degree Board/University of Marks

11. Details of Passport (copy to be enclosed) :

Passport Office File No.


Passport No.
Date and Place of Issue
Date of Expiry
In case passport was
applied for and not issued,
please give File No. & Date

12. Category (SC/ST/OBC/General) :

13. Physically Handicapped : Yes/No


(If so, details thereof)

14. Details of previous Foreign Visits :

Place visited Details of visit Sponsored by Year of


Visit

15. Hobbies :

16. Details of Medical History, if any:

17. If any case pending against you in any court of law at the time of filling up
this form. If Yes, give full particulars of the case /arrest/fine/conviction/
sentence etc. and /or the name of the case pending in the court at the time of
filling up this form.

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18. Languages (Indian/Foreign) known:

S.No. Read Write Speak

19. Whether worked with any youth related organization like NCC, NSS, NYKS,
other (please specify and enclose relevant documents thereof) ANY
DISTINGUISHED WORK DONE, if so, please state, clearly. (Max 150 words)

20. Describe any achievement in the field of academics or any other field, which
is relevant for considering your application. (Max 150 words)

Signature of the applicant


Date of Application…………………….

Part-B : (To be filled by recommending official / organization)

Certification of the character of the nominee and recommendation along with a


brief description about the exceptional qualities and future utility of the nominee
(Approx 100 words):

(Signature)
Name :___________________
Designation :__________________

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