AMITY SSB ACADMEY ADMISSION FORM
Course
DURATION
DATE OF JOINING
Name
Email ID
Mob No. (candidate)
Occupation
Father’s Name
Occupation
Income Per Month
Date of Birth (DD/MM /YYYY)
Mob No. (Parents)
Present Address
Gender
Male
Female
Educational Qualifications
SNo.
Exam Passed
Name of School / College /
Subject
Percentage
Year of Qualifying Exam
1
10th
2
10 + 2
3
Graduation ?
4
Post Graduation ?
You got information about Amity SSB Academy?
Internet
Exam Center
SMS
Just Dial
Others
Type of Course
--Select Course--
Written Coaching
SSB Coaching
Type of Entry
Date of SSB and Selection Centre
Whether previously appeared for UPSC/ ACC Written Exam
Yes
No
Whether previously appeared for SSB/CPFs interview
Yes
No
Will you require Hostel Accommodation?
Yes
No
Fee paid by Cash/Bank Draft /Online. Amount. Rs.
Please upload Photo
I have read and understood the instructions carefully before submitting this application. I hereby declare that all statements made in this application are correct to the best of my knowledge and belief.