CAREER INDIAN AIR FORCE

INDIAN AIR FORCE, GOVERNMENT OF INDIA

CALL UP LETTER
(Call Letter is valid only if accompanied with original AFCAT Admit Card)
AFCAT ROLL NO. REGISTRATION NO.
Applicant's Name.
Father's Name: AFSB Centre Name &Address

Mother's Name: 3 AFSB (Gandhinagar), Sector-25,

Gandhinagar Gujarat-382024.
Date of Birth:

Identification Mark: Reporting Point ST Bus Depot, Sector-11, Gandhinagar

(Inside Pathikashram Bus Stand, towards right side of
Present Address: the entrance gate).

Tel: 079-29750823 , 09426142460

(0800h-1400h Mon-Fri)
Email id: [email protected]
Date of Reporting: 14/06/2021
Time of Reporting: 0630hrs(The candidates
reporting late will not be accepted for testing)
GENERAL INSTRUCTIONS, REPORTING AND TESTING
AT AIR FORCE SELECTION BOARDS (AFSB)
1. Reporting. This Call Letter along with your original Admit Card would be the authority for you
to report to the nominated Air Force Selection Board (AFSB) for testing. The same is to be handed over
to the Board on arrival. You must report for the interview on the date, time and address as specified
above. Late comers on any account (inclusive of late running of trains/buses/airplane) will not be
admitted for test. You would be required to show your admit card, call letter and identity proof
(preferably AADHAR card) at the reporting point ST Bus Depot, Sector-11, Gandhinagar. (Inside
Pathikashram Bus Stand, towards right side of the entrance gate). Kindly keep them handy in person.
The first day consists of Phase-I testing which may last up to 1800hrs. You are advised to take
adequate rest and come prepared for a long day of testing. You would need to be attired appropriately
in comfortable dress. You should be mandatorily in possession of a face shield, re-usable face mask,
pocket sanitizer, hand gloves and a water bottle. Candidates are also advised to carry their personal
items in a single lockable suitcase for sanitizing procedures and check through X-ray machine. On
arrival, you will be checked for visible symptoms of fever, cough and cold followed by checking of safe
status on 'Arogya Setu' App. You are advised to download the App at least 15 days prior to date of
reporting otherwise entry to the Board premises would not be permitted without 'safe' status on the App.
In case of any visible symptoms related to COVID-19, you will be routed back without testing. In
addition, before reporting at this Board you must familiarize yourself and follow the latest
instructions / norms / advisories of your home state and the state of Gujarat. In case of any
requirement of registration on state e-portal, the same must be done well in time. You are to be
prepared for quarantine procedures on arrival as well as during your return to your home state.

2. Selection Procedures. The testing schedule is in two phases and normally for a period of five
days and will be as follows.
 Schedule Activity

Day 1 Phase I-Officer Intelligence Rating Test and Picture Perception &Discussion Test,
Document Check (For Ph-II candidates) and PIQ filling with packed Breakfast &Lunch in
between. Candidates not recommended for PH-II will be routed back between 1500 to
1800h approximately.
Day 2 Phase II-Psychological Test. 0730H to 1030h / Interviews. 1130H onwards
Day 3 &4 Group Tests / Interviews. 0730H to 1600h
Day 5 Board Conference. Candidates not recommended would depart after the Conference.
Candidates who are recommended would fill up documents after the conference. The
recommended candidates of flying branch will be routed to 1 AFSB Dehradun for CPSS
testing as per the allotted date followed by the medicals, if cleared, as per the service
requirement.
3. Documents. You are required to bring the following relevant documents for verification along
with three photocopies of documents listed at 3 (b), (c) (d), (e), (g), (h), (j) and (k). They should be kept
in a folder in the sequence as enumerated below:-
(a) Original Admit Card. In case it is not available with the candidate, he/she is to furnish an affidavit
stating the valid reason. The reason also needs to be supported by documents like copy of FIR in case
of loss/theft of the same.
(b) Original Matriculation/Secondary School Passing Certificate and Mark sheets issued by
CBSE/ICSE/State Board/any other recognized Board indicating Date of Birth.
(c) Original Mark Sheet and Pass Certificate of 10+2 or equivalent (issued by the relevant Board).
(d) Proof of Passing the Qualifying Examinations.
(i) If applying on the basis of Graduation, all semesters / years mark sheets in original. In case of
computer generated mark sheet / photocopy of mark sheet, the same must be attested by College /
University authority.
(ii) If applying on the basis of Graduation, degree certificate (Original/Provisional). In case of
photocopy of degree certificate, the same must be attested by College / University authority.
(iii) If applying on the basis of Post Graduation, in addition to (i) & (ii) above PG degree
(Original/Provisional) with all semesters/years marks sheets. In case of computer generated /
photocopy of mark sheets / degree certificate, the same must be attested by College / University
authority.
(iv) Bonafide Certificate in case the candidate is appearing / appeared in the final year / semester
of qualifying examination. In case candidate is appearing in Final year / semester of PG, then he
/she is also to produce documents mentioned in (i) & (ii) above.
(e) The Bonafide Certificate (as per the format) should include the following:-

(i) Name of the College.

(ii) Name of the University
(iii) Discipline and year / semester of Graduation / Post Graduation being pursued.
(iv) Aggregate percentage till last year / semester (for which the result is declared).
(v) Likely date of Declaration of Final Result (in MM//YY Format). In case the likely date of result
declaration is beyond 15 Jun for course commencing in July or 15 Nov for course commencing in
January, the onus of producing the required documents before the specified date lies with the
candidate.
(vi) CGPA / SGPA to percentage conversion formulae issued by Collage / University.
(vii) No current backlog.
(f) The candidate should not have current backlog at the time of appearing for SSB interview. In case
the candidate has cleared the backlog of any semester, the same should be substantiated with original
or attested copy of mark sheet issued by College / University. Alternately, a certificate clearly
mentioning the year of passing & marks scored from college / University authority may be produced.
Merely re-appearing in that subject will not be construed as clearing the backlog.
(g) Original NCC 'C' Air Wing Certificate is Mandatory for NCC Entry only.
(h) NOC from employer of candidates working in Central / State Governments or Public Sector
Undertakings.
(j) Original valid Commercial Pilots' License, issued by DGCA, if applicable.
(k) Proof of Identify. Candidates to bring valid photo ID along with two self attested photocopies of
the same. Following shall be accepted as proof of identity:-
(i) AADHAAR Card
(ii) Indian Passport
(iii) Voter Identity Card
(iv) Driving License
(v) PAN Card
(vi) College ID (valid only for candidates studying in final year/semester)
(l) Candidates have to mandatorily provide details of two Gazetted Officers or trust worthy persons
(not in blood relation) and residing near their place of residence and who know them personally to
facilitate verification. The candidates should have in their possession the name, designation, postal
address with pin code and contact number of the two gazetted officers.
(m) Candidates are also advised to bring twenty five copies of recent passport size color photographs
taken in light colored clothes against white background. The candidates should be visible in full face and
both ears in photograph.
Requisite: You are advised to bring the following items for the purpose of testing:-
(a) Dress for Testing
(i) Group Test. One pair of White Shirt /T-Shirt, Shorts/Trouser/Track Suit, Socks and a
pair of sports shoes. Women candidates may bring dark colored shorts/trousers/track
pants/salwar suit. Candidates are advised to carry adequate clothing to cater for restricted
laundry services.
(ii) Interview. Two pair of formal dress (plain light colored shirt with or without tie, dark
color trousers, and formal shoes with laces). For women candidates any formal dress
would do.
(iii) Mess Premises. Formal dress.
(iv) Liberty (going out of the premise of AFSB). Formal / Casual decent dress. Medium
sizes lock to safe guard your personal luggage. However, presently candidates will not be
allowed to go out of the Board premises for their entire period of stay.
(b) Adequate writing material (Pens and lead pencils).
(c) You are advised to carry only one lockable luggage preferably which should be a hard bound
suitcase to facilitate sanitization. The same needs to be properly tagged for easy identification.
Any additional handbags / vanity bags etc will not be permitted.
(d) Note for Interviews . All candidates are to prepare a separate folder for interview, neatly
marked with name and roll number, comprising of all original educational certificate, mark sheets,
certificates of excellence and achievement in co/extra- curricular activities or any other
documents deemed fit by the candidates for interviews.
5. Boarding and Lodging. Free boarding and lodging will be provided only to the candidates at
the Board for the period of testing.
6. Travelling allowance (TA). Traveling Allowance by the shortest route for AC -III tier Mail /
Express Trains to and fro for the journey from the place of Call UP or departure (Which is nearer is
admissible). You have to furnish the hardcopy of railway ticket / bus ticket /air tickets (along with
boarding pass) to the Board on reporting day, failing which no TA will be paid. The amount of TA
shall be restricted to the maximum authorized by the Govt. rules or the actual amount paid on journey,
whichever is less. TA is admissible as per the exiting Govt. TA rules . No TA is admissible, if you have
already appeared for the same type of entry at any of the Selection Boards. No TA will be paid for
journey performed by private mode of transport, buses other than those run by Govt. Transport
Department. Hard copy of Railway / Bus Ticke t and a cancelled cheque / photocopy of first page
of bank passbook with details of account , IFSC Code are the mandatory requirements for TA
payment. The bank account should be in the name of the candidate only.
Note. TA payment will not be made in cash. TA of eligible candidates will be paid into their bank
account through electronic transfer only.
7. Medical Examination . Recommended candidates will be required to proceed to Air Force
Central Medical Establishment, New Delhi or Institute of Aerospace Medicine, Bangalore for medical
examination for a duration of four to seven days. This duration may vary to cater for the quarantine
requirement prevailing at that time at the place of medical examination. It may be noted that the Air
Force Medical Board / Services Medical Board is the final authority while deciding the medical fitness for
joining the Indian Air Force. You are requested to see the details about Medical Standards on our
website, www.afcat.cdac.in. In case of not meeting the eligibility criteria as given in the
advertisement / website, you shall be returned from the Selection Board without testing and
reimbursement of TA.
8. Discipline. Your conduct and behavior during your stay at this Board is expected to be
disciplined and orderly. Any act of indiscipline or misconduct will lead to cancellation of your candidature
and routed back without any further testing In all matters pertaining to indiscipline and / or misconduct,
the decision of the president of the Board shall be final and no appeal against his decision will be
entertained. Should you try and influence any member of the Board directly or indirectly, your
candidature will be cancelled.
9. General. Request for change of AFSB centre /Date of AFSB testing will NOT ® NOT be
entertained at this Board. No facility exists at AFSBs for safe custody of cash and valuables. Therefore,
do not bring any valuables or excess money. Candidates are not permitted to carry their mobile
phones, laptops, cameras or any other electronic gadgets inside the Selection Board premises.
If brought the same would be deposited on Day 1 and returned during departure from the Board.
If found in possession of prohibited items mentioned above during your stay, your candidature
will be cancelled and you shall be returned without further testing. You are advised to plan your
arrival well in time cater for the late arrival of trains /bus in this zone. Candidates reporting late
will not be accepted for testing. Candidates are advised to plan their departure accordingly as
they will be left to exist the Board gate at 2100h approximately on Day 5, as applicable with
respect to the branch applied for.
10. Warning. You have to mandatorily bring along with you the undertaking for COVID-19
attached with this call letter. In addition, before reporting at this Board you must familiarize
yourself and follow the latest instructions/norms/advisories of your home state and the state of
Gujarat. In case of any requirement of registration on state e-portal, the same must be done well
in time.
For attending SSB you need to have a COVID-19 negative report or an asymptomatic
certificate (attached with this call letter) from an authorized medical authority not older than
72hrs at the time of reporting. It is mandatory for a candidate to wear an N95 Mask or a double
mask (one surgical mask along with a cloth mask).

11. All correspondence (preferably e-mail) with regard to this Call Letter should be addressed to the
President of Board giving full details, including AFCAT No, Name Date of Birth and Date of
Reporting. A softcopy of the first page of the call letter is also to be attached.
12. Queries if any will be entertained on telephone between 0800h to 1400h from Tuesday to
Friday and also on our e-mail ID as stated on page one of this call letter.
13. Physical Fitness. You are to be physically fit when you report for SSB. It is recommended that
you start with physical fitness regime to be able to undergo tests at AFSBs. Do not report to the Board
for SSB if you do not meet the height requirement as specified in the notification.
14. (a) Candidate are to take printout (in separate sheets of A-4 size paper) of the following forms
provided under candidate log in at afcat.cdac.in and bring these forms duly filled to AFSB and
produce to the staff on arrival at this Board for testing. The forms will not be provided at AFSB. You
have to mandatorily carry these forms duly filled in all aspect.
(i) Declaration Form
(ii) Candidate Questionnaire
(iii) Journey particulars
(iv) Indemnity Bond
(v) Course cum Percentage Certificate
(vi) Undertaking and self-certification for Covid-19

(b) In case of any query contact 3 AFSB on the telephone number and e-mail address as
mentioned on the first page of Call letter.
(c) These instructions are general in nature. The instructions contained in the Advertisement
for your course and Call letter will be binding in determining your eligibility for test and
 interview for which this Call letter is issued. In all matters, the decision of Air Force Authority
shall be final.

15. Check list: You are required to do a self check of the following before you report this Board for
AFSB testing.

Sl Refer Document Available Remarks

No para Yes No
(a) -- Call Up letter (Downloaded from Mandatory
website)
(b) 1 Aarogya Setu App, safe status Mandatory to download the App and
keep active and show on reporting at
Board
(c) 3(a) Original Admit Card of AFCAT with Mandatory, if lost, FIR and Affidavit
signature of IO &stamp of exam center for the same to be brought.
(d) 3(b) Original and photocopies of
Matriculation/10thstd pass certificate
and Mark sheet. (Note – in case of any
mismatch of D.O.B between AFCAT Mandatory. If submitted with any
application and 10thpassing institution/ organization, photocopies
certificate, the candidate is advised of the same needs to be attested by
not to report for AFSB testing and the same head of the institution/
inform the board. organization along with rubber
(e) 3(c) Original and photocopies of Secondary stamp/seal where the documents
School/12thstd pass certificate and were submitted.
mark sheet.
(f) 3(d) Original and photocopies of all
(i&iii) Semester/year mark sheet
(Graduation/Post Graduation)
(g) 3(e) Original/provisional and photocopies of
(ii&iii) Degree/P.G certificate
(h) 3(d)iv) Bonafide certificate (if applicable) As per format available under
&3(e) candidate login.
(j) 3(g) Original and photocopies of NCC Mandatory
'C'certificate (Air Wing) for NCC Direct
entry candidates.
(k) 3(h) NOC, if working in Central/State Govt. Mandatory
or PSUs
(l) 3(k) Original and photocopies of valid ID Mandatory
proof as mentioned in Call up letter
(m) 3(l) Name and Address of 02 Gazetted Mandatory
Officer/Trustworthy person

(n) 3(m) 25 recent colour passport size Mandatory

photographs

6 Journey particulars form (attach

(o) original ticket and copy of first page of Bank accounts should be in the
 bank pass book or cancelled cheque) candidate’s name.
(p) 14 Print out of all forms in para 14 should Mandatory
be in A4 size single paper (separate
sheet for each form) and to be pre-filled
before reporting for AFSB testing
(q) You are mandatorily required to be MANDATORY
in possession of COVID-19 negative (Asymptomatic certificate attached)
report or an asymptomatic
certificate signed from a registered
medical authority within 72 hrs prior
to reporting at 3 AFSB.
*Important. Please note that Change of Center / Change of date are not permissible.
Chest No. Ph I : ………… Chest No. Ph II : ………...

FORM OF INDEMNITY BOND

(TO BE SIGNED BY THE CANDIDATE OR LEGAL/NATURAL GUARDIAN)

To,

The President of India

In Consideration of the Union of India having called me/my ward (Name)

………………………………………………………(a minor of whom I am the legal/natural guardian) to
appear before Selection Board for conducting selection tests for grant of Commission in the
Army/Navy/Air Force, I undertake and agree that neither I nor my heirs nor my executors nor
administrators will make any claim against the Union of India or against any officer or airmen of the IAF
or against any person in the service of Union of India in respect of any loss or injury to me /my ward
including injury resulting in my/his death which I/he may suffer as a result of or in connection with any of
the tests given to me/him at the service selection board and I understand and agree that no
compensation will be paid by the Union of India or by an officer or airmen of the IAF or any person in the
service of the Union of India in respect of any such loss of injury or death and I further agree so as to
bind myself, my heirs, my executors and administrators to indemnify the Union of India, any officer or
airman of the IAF and any person in the service of the Union of India against any claim which may be
made by any third party against the Union of India, or any officer or airman of the IAF or any person in
the service of the Union of India, arising out of any act or default on the part of myself/minor or in
connection with such tests before services selection board.

Dated ……day of……………….2021 (Date must be the date on which the document is signed)

Sign of Witness: _____________ Sign of the Candidate/Legal/ Natural guardian:_____________

Name: _____________________ Name: ____________________
Address ____________________ Address _________________________
___________________________ ________________________________
NOTE:
1. Delete portions which are not applicable.

2. Candidates must also note that they will not be admitted to the Services Selection Board
interview without this Certificate.

3. If you are below 18 years of age, the bond should be signed by your natural guardian
(Father/Mother) and if your natural guardians are not alive, should be signed by the legal guardian along
with the signature of the witness. Witness must be person known to the parents/legal guardian who is
above 18 years of age. If candidate is above 18 years of age, Indemnity Bond certificate to be signed by
the Candidate along with the signature of the witness. The witness in this case should be above 18
years of age known to the parents/candidate/legal guardian.

Note: Candidates below 18 years of age with incomplete Indemnity Bond will be routed back.
CH NO (PH-I): _______ 3 AFSB: DECLARATION FORM CH NO (PH-II) : _______

Next of Kin Relation: Contact No:

(Name)
DIRECT PH –II : YES/NO
S Sch/ MIL Sch/ RIMC/ AFPI/ SPI (Tick)
BODY TATTOO : YES/NO
ARMED FORCES/ GOVT/ PSU EMP : YES/NO
Name:__________________________
( IF YES, NOC AVAILABLE) : YES/NO
1. Roll NO 2. BATCH NO G-
4. NAME (as in
3. DATE OF BIRTH
/ / 10th pass
(DD/MM/YYYY) …................................................
certificate)
5. Qualifying Exam - Appearing / Appeared / Passed
(10+2/Graduation/Post Graduation)
8. Are you a habitual wearer of
 Total % of marks _______(in Qualifying exam) Glasses / Spectacles or Contact Lens?
YES/NO
 7. Current Backlog YES/NO

FOR S/OUT & REPEATERS ONLY

9. Have you appeared earlier in SSB for ARMY/ NAVY/ AIR FORCE/ COAST GUARD? YES / NO
If YES, give following details (Note: write overleaf if space is inadequate):

Sl *Type of Entry viz

No. of days
No Previous Batch Place &Date AFCAT/NCC/NDA/CDS/CG/ Result S/Out
stayed at
&Chest No. (Mandatory) UES/TES/10+2 TES/SEC/MET Not Rec, Rec
SSB/AFSB
(Mandatory)
1
2
3
4
5
6
7
8
9
10
Use overleaf in case more rows are required
10. Have you appeared for CPSS/PABT before YES/ NO. If YES PASS/FAIL
11. I hereby declare that the statement made in this form is true to the best of my knowledge and
belief. In case of any incorrect information, my candidature is liable to be cancelled. I also understand
that the decision of the IAF on eligibility condition would be final. I have no relatives or known person
working in this Selection Board.

Date: Sign of candidate: _____________________ Mob No. : __________________

* AFCAT – Air Force Common Admission Test, NCC – National Cadet Corps,
NDA – National Defence Academy, CDS – Combined Defense Services, CG – Coast Guard
UES – University Entry Scheme, TES – Technical Entry Scheme, SEC – Service Entry Commission
MET – Meteorology
 JOURNEY PARTICULARS

Roll No………….……………….. Batch No G-................................ Name …………………………………

Address (as given in the Admit Card/Application) ………………………………….……………………...

…………………………………………………………………………………………………………………….….

Nearest Railway Station to the address above………………………………………………………………

Fare Paid : Air/Bus/Rail Fare (Onward journey): Rs………… PNR/Ticket No…………..……

Air/Bus/Rail Fare (Return journey : Rs………… (Same amount as onward journey)

Total Amount: Rs…………of the a/c holder:…………………………………………..

Account No. .......................................... (The a/c must be in candidate’s name only) IFSC-..........................

Bank Name-........................................... .Branch...................................................

(Please attach a cancelled check or photocopy of the first page of your bank passbook)

Certified that I have / have not appeared for the same type of entry/course in any of the
Selection Boards previously and I am not entitled / entitled for TA/DA. I declare that the
statements made in this form are true to the best of my knowledge and belief.

Place: 3 AFSB, Gandhinagar

Date: Signature of Candidate
Mobile No………………………

Note: Ensure hard copy of your travel tickets and Boarding pass as applicable are attached with
this form before arrival/reporting at this Board.
 TO WHOM IT MAY CONCERN

BONAFIDE/CONVERSION CERTIFICATE

1. This is to certify that, the student ____________________ (Name) is a bonafide student of

__________________________________ (Subjects/Branch) of _______ (Semester/Year) in the
College/Institute.

2. The student has no current / pending backlogs. All his / her exams including all Vivas or
Degree____________________will be completed by ____________(DD/MM/YYYY) and his / her result
will be declared by______________(month & year mandatory).

3. His / Her result will be declared by _______________ ( DD/MM/YYYY is mandatory).

4. The student has obtained __________CGPA / GPA (including all subjects studied) upto ___
semester/year which is equivalent to ________________ percentage as per the conversion formula
given below.

5. Conversion formula: ________________________________

Note: In case No conversion formula exists, it should be clearly mentioned.

(Please strike out Columns which are not applicable)

Affix College/Institute seal Signature of Principal / Director/Registrar

with Official stamp
Date:
 CANDIDATE QUESTIONNAIRE: 3 AFSB

1. Personal Details:
DOB Height Weight
Board Batch Name (In Capital) Roll No
DD/MM/YY (Cms) (Kgs)
3 AFSB G-
2. Entry Details:
Entry 1.NDA 2.CDSE 3.AFCAT 4.NCC 5.FTS 6.ANY OTHER
Batch 1. FLYING 2. AE(L) 3. AE(M) 4. ADM 5.LGS 6.ACCTS 7.MET
3. Place of Residence:
Place District State
Place of Maximum Residence
Place of Permanent Residence
4. Educational Background:
 Matric / Hr Sec
Institute 1. Govt 2. Pvt 3. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentage % Division
 10 + 2/ Equivalent
Institute 1. Govt 2. Pvt 3. Sainik 4. Military 5. RIMC 6. Any other
Board 1. CBSE 2. ICSE 3. State 4. International 5. Any other
Percentage % Division
Graduation
Degree 1. B.Tech / BE 2.Any other
University 1. Centre 2. Private 3.State 4. Any other
Percentage % Division
 Post Graduation
PG Degree 1. Technical 2.Any other
University 1. Centre 2. Private 3.State 4. Any other
Percentage % Division
5. Candidate’s Employment Details
Candidates Present 1. Defense 2. Para Military 3. Govt 4. Private 5.Self Employed
Occupation 6.Business 7. Farmer 8. Any other
Monthly Income in Rs. Rs.
6. NCC Experience
Wing 1. Junior 2. Senior
Service 1. Army 2. Air Force 3. Navy
Experience in 1. <1Year 2. 1-2 Year 3. 2-5 Year 4. 5-6 Year
Years
Certificate Obtained 1. A 2. B 3. C
7. Parent / Guardian Details
Father Mother Guardian
1. Defense Forces 2. Para Military 3. Govt 4. Private
5. Self Employed 6. Business 7. Farmer 8. Any other
1. Illiterate 2. Primary 3. Higher Primary 4. Metric/10th
5. 10+2/Diploma 6. Graduate 7. Post Graduate 8. M. Phil 9. PhD
Monthly Income in Rs.
8. Previous numbers of attempts at SSB: ________________________
9. How did you get the information to join the Indian Air Force?
School/Institute Air Force Career Website News Paper Advertisement TV/Radio/Movie/Internet Other Source
(Parent/Relative etc)

10. Have you seen Induction Publicity Exhibition Vehicle (Volvo bus)? YES/NO, if YES any suggestion.

_____________________________________________________________________________________

Date: Signature of Candidate

 3 AIR FORCE SELECTION BOARD, GANDHINAGAR

SELF CERTIFIED UNDERTAKING FOR COVID-19

Name : …............................................................................ Roll No:….....................................

Batch No:............................................................................... DoB:..............................................

Mode of Travel: Air/Rail/Bus/Pvt Car Flt No/Train No/Public or Own Transport

Registration No

Start Date of Travel:................................. Arrival date at 3 AFSB:..................................

Place of Origin of Journey with address Places where journey was halted:

1...................................2.................................
3...................................4.................................
5.....................................

Mobile Numbers: …..................................... All places visited during last 21 days including any
international travel:

1...................................2.................................

Medical History during last 21 days: Any visit to COVID-19 Hospital or interaction any
COVID-19 patient : Yes / No
1. Cough : Yes / No
2. Cold : Yes / No
3. Fever : Yes / No
4. Difficulty in breathing : Yes / No

I hereby undertake the following in the event of being detected with any visible symptoms of
COVID-19 (Fever, Cough, Cold, Breathing Problem, etc) at any stage post-reporting at the AFSB:-

(a) That I will not suppress any symptoms or hide relevant info.
(b) That I will be routed back with immediate effect if detected with symptoms during
arrival/reception at the Board.
(c) That I will voluntarily withdraw my candidature if detected with symptoms during Stage-II
stay at AFSB.
(d) That I will accept the decision of Board authorities as final and binding.
(e) That I will not seek change of date or claim TA in such cases.
(f) That I will not take legal recourse against the Board's decision.

_______________________________________
(Signature of Candidate/Parent/Legal Guardian)

Note: In case the candidate is below the age of 18 yrs, the Undertaking should be signed by the Parent.
Legal Guardian.
 ADVISORY FOR COVID-19

1. Do not travel and report to AFSB, if you have any of the following:-

(a) Fever, cough, cold, breathing problem, etc.

(b) In case of recent international travel history or travel to any covid hot spots or a resident
of any covid hotspot

2. Please carry adequate quantity of personal protective gear like mask, gloves and hand sanitizer
for your duration of testing.

3. You have to mandatorily download AROGYA SETU App in your personal mobile at least 14
days before your date of reporting / receipt of call letter, the safe status will be checked at the time of
reception / arrival at this Board.

4. Please strictly abide by all the DO's and DONT's of COVID-19 advisories issued by Govt. of
India. Adhere to all the social distancing norms while travelling.

I have adhered to all the advisories on COVID-19. The information provided by me in the
undertaking / self-certification is correct. If I am found with any symptom(s) of corona virus,
I understand that I may be routed back / quarantined / admitted in local hospitals as per Govt. rules.

Date: …............................. Sign of Candidate: …................................................

Mobile No. .....................................................

 MEDICAL CERTIFICATE

COVID-19 FREE / ASYMPTOMATIC CERTIFICATE

I Dr. …..................................................................is a registered medical practioner and holding

Medical license registration number...................................................................have examined

Mr./ Ms. …......................................................................................................................S/O / D/O

…...................................................................on date …...........................................................and

have found Mr. / Ms. ….............................................................................................free from

CORONA VIRUS DISEASE. He / She is not having any symptoms of covid-19.

Date: Signature

Time: Dr. …...........................................

Place: Registered Medical Practioner

Address.......................................
…................................................
…................................................

Mobile No:....................................

License no:...................................

(Stamp of the practioner is mandatory)