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Mahajyoti Registration Form

This document is an application form for military recruitment training for the year 2025-26 submitted by Tushar Duryodhan Patil. It includes personal details such as name, address, educational background, and required documents. The applicant has declared that the information provided is accurate and agrees to the terms of the training scheme.

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dineshmohite141
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219 views4 pages

Mahajyoti Registration Form

This document is an application form for military recruitment training for the year 2025-26 submitted by Tushar Duryodhan Patil. It includes personal details such as name, address, educational background, and required documents. The applicant has declared that the information provided is accurate and agrees to the terms of the training scheme.

Uploaded by

dineshmohite141
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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महात्मा ज्योतिबा फु ले संशोधन व प्रशिक्षण संस्था

(महाज्योती)

(महाराष्ट्र शासनाच्या इतर मागास बहुजन कल्याण विभागाची


स्वायत्त संस्था )

Application for MILITARY BHARTI TRAINING 2025 - 26

Registration Form

Application No. MJ/MILITARY/2025/23798


PRE-EXAMINATION TRAINING FOR
Course Applied For
MILITARY RECRUITMENT 2025-26
Date of Application 04-03-2025

Select District for Examination Center*


Preference 1 : Dhule
Preference 2 : Jalgaon
Preference 3 : Nashik

Applicant's Full Name*


Patil Tushar Duryodhan

Applicant's Father/Guardian Name*


Patil Duryodhan Maharu

Gender*
Male

Date of Birth*
26-03-2006

Are you an Orphan?* If Yes then select type


No
Social Category* Caste*
OBC KUNBI

Income Group*
Non-Creamylayer

Aadhar No.*
618304564434

Nationality*
Indian

Domicile*
Jalgaon - Maharashtra

Present Address*
536, Dalwel, Post Mondale, Dalwel, Parola, Jalgaon, 425111

Permenant Address
Same as Present Address

Mobile No.* Alternate Mobile No. (Optional)


9096879531 8180980991

Email ID*
[email protected]

Height(in cm.)*
170

Chest/Bust Normally(in cm.)* Chest After Pumping(in cm.)(Only for


77 Male)
85

10th*
Name & Place of School - N E S high school PAROLa
Board - Nashik
Year of Passing - 2022
Percentage of Marks - 65%

12th
Name & Place of School/College - Rani laxmibai junior college parola
Board - Nashik
Year of Passing - 2024
Percentage of Marks - 53%

Passport Size Photo*


Uploaded

Signature*
Uploaded

Aadhar Card*
Uploaded

Caste Certificate*(Not Complusary for Orphan)


Uploaded

Valid Non-Creamylayer Certificate*(Not Complusary for Orphan)


Uploaded

SSC Marksheet/Certificate*
Uploaded

HSC Marksheet/Certificate
Uploaded

Domicile Certificate
Uploaded

Orphan Certificate(Compulsory only for Orphan)


Not Uploaded

Declaration: I hereby declare that I have read the details of the scheme and
I agree with all terms and conditions mentioned in the same. Also I hereby
declare that information given in the application is true and correct as per my
knowledge. I have not taken any benefit of any scheme of MAHAJYOTI and
SARATHI. I am not working in any private or Public Sector Company or
establishment. If above mentioned information found incorrect and false, I will
be liable for action of recovery of amount spend on me.

Date : 04-03-2025
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