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NATIONAL FIRE SCIENCE AND SECURITY ACADEMY
Application Form: Fire Man/ Fire Officer

Candidate should read all the instructions given in the form before filling this form

Name (As per 10th Certificate)

Father’s Name

Mother’s Name

Gender (Tick) *

MALE

FEMALE

Date of Birth

Marital Status *

Married

Unmarried

Nationality

Permanent Address

Address Line 2

City

Postal / Zip code

State

Country

Email

Mobile No.

Land Line No.

Father Mobile No.

Employment Status *

Unemployed

Govt. Employee

Private Employee

Self Employed

Physical Standards

(a) Height (Without Foot-wear)

(b) Weight (Kg)

Chest Measurement

(a) Normal (CM)

(b) Expand (CM)

Blood Group

Two References

(A) Name

Address

Phone

(B) Name

Address

Phone

1. Particular relating to sports and athletics, NCC, etc.

2. Were you convicted by a court? If so, give details.

Education Qualification (Should include qualifying examination)

Languages Known *

HINDI

ENGLISH

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