Subrat Rrb App From.pdf

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3/28/2019

Application Details - Railway Recruitment Board

DOWNLOAD TIME:- 2019-03-28 12:28:22 (ORIGINAL)

GOVERNMENT OF INDIA MINISTRY OF RAILWAYS RAILWAY RECRUITMENT BOARDS CEN NO. RRC-01/2019 (RECRUITMENT FOR VARIOUS POSTS IN LEVEL 1 OF 7TH CPC PAY MATRIX) REGISTRATION NO :

1130111432

RAILWAY NAME :

EAST COAST RAILWAY (BHUBANESWAR)

1). PERSONAL DETAILS FULL NAME OF APPLICANT :

SUBRAT LENKA

FATHER'S NAME:

JAYARAM LENKA

MOTHER'S NAME :

SUSAMA LENKA

DATE OF BIRTH :

02-01-1992

AGE AS ON 01-07-2019 :

27 YEARS, 5 MONTHS, 29 DAYS

GENDER:

MALE

AADHAR NUMBER/ENROLLMENT NO :

218816749107

MINIMUM EDUCATIONAL QUALIFICATION :

10TH

10TH BOARD :

STATE BOARD

10TH REGISTRATION NO / ROLL NO :

03RA188

YEAR OF PASSING 10TH :

2007

NATIONALITY :

CITIZEN OF INDIA

RELIGION :

HINDU

MOBILE NUMBER :

9776938200

E-MAIL ID :

[email protected]

2). ADDRESS FOR COMMUNICATION FULL ADDRESS :

AT GANGADA , PO DERIKI , VIA NAUGAON

STATE NAME :

ODISHA

DISTRICT NAME :

JAGATSINGHAPUR

CITY :

JAGATSINGHAPUR

PINCODE :

754113

DO YOU BELONG TO CITY/TOWN/VILLAGE :

VILLAGE

3). PAYMENT DETAILS REFERENCE NO

830148863

AMOUNT

500

SBI REFERENCE NO

CPP8676321

TIME

2019-03-28 12:08:04

4). DETAILS OF BANK ACCOUNT IN WHICH REFUND HAS TO BE MADE WOULD YOU LIKE TO RECEIVE REFUND AMOUNT IN THE SAME BANK ACCOUNT?

YES

5). DEATILS OF ESSENTIAL QUALIFICATION 10TH QUALIFICATION DETAILS QUALIFICATION:

10TH

BOARD:

STATE BOARD

STATE IN WHICH STUDIED:

ODISHA

DISTRICT:

JAGATSINGHAPUR

MARKS:

PERCENTAGE

PERCENTAGE:

47.2

DO YOU POSSESS ITI QUALIFICATION

NO

6). DETAILS OF HIGHER QUALIFICATION QUALIFICATION TYPE:

OTHERS

QUALIFICATION:

COMMERCE

7). POST PREFERENCE DETAILS

VACANCY CAT.NO

RAILWAY

DESIGNATION

DEPARTMENT UR SC ST OBC EWS TOTAL EXSM R- R- R- R- B- B- B- PRIORITY VI HI LD MD VI HI LD

8

EAST COAST RAILWAY

ASSISTANT POINTSMAN

TRAFFIC

163 64

31 113

41

412

82

0

0

0

0

0

0

0

1

4

EAST COAST

ASSISTANT DEPOT (STORES)

STORES

2

1

1

7

1

0

0

0

1

0

0

0

2

1

2

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3/28/2019

Application Details - Railway Recruitment Board RAILWAY

12

EAST COAST RAILWAY

ASSISTANT TL AND AC (WORKSHOP)

ELECTRICAL

17

7

4

5

EAST COAST RAILWAY

ASSISTANT LOCO SHED (DIESEL)

MECHANICAL

14

10

6

EAST COAST RAILWAY

ASSISTANT LOCO SHED (ELECTRICAL)

ELECTRICAL

11

7

EAST COAST RAILWAY

ASSISTANT OPERATIONS (ELECTRICAL)

ELECTRICAL

1

EAST COAST RAILWAY

ASSISTANT (WORKSHOP)

3

5

45

9

1

1

1

1

0

0

0

3

10 1

4

39

8

2

1

3

5

0

0

0

4

5

2

4

3

25

5

2

1

1

1

0

0

0

5

1

2

1

2

1

7

1

2

1

0

0

0

0

0

6

MECHANICAL

84

33

16 58

21

212

42

4

2

2

4

0

0

0

7

EAST COAST RAILWAY

ASSISTANT C AND W MECHANICAL

25

6

2

16

6

55

11

0

2

2

4

0

0

0

8

11

EAST COAST RAILWAY

ASSISTANT TL AND AC

ELECTRICAL

2

1

0

1

1

5

1

1

0

0

0

0

0

0

9

13

EAST COAST RAILWAY

ASSISTANT TRD

ELECTRICAL

34

20

5

11

8

78

16

0

3

2

3

0

0

0

10

14

EAST COAST RAILWAY

ASSISTANT WORKS

ENGINEERING

55

20

10 35

13

133

27

14 4

4

6

0

0

0

11

17

EAST COAST RAILWAY

TRACK MAINTAINER GRADE IV

ENGINEERING

457 196 98 353

123

1227

245

0

0

0

0

0

0

0

12

9

EAST COAST RAILWAY

ASSISTANT SIGNAL AND TELECOM

S AND T

40

9

87

17

2

3

2

2

0

0

0

13

10

EAST COAST RAILWAY

ASSISTANT TRACK MACHINE

ENGINEERING

129 34

22

223

45

0

4

5

6

0

0

0

14

13

6

12

19

12 26

8). COMMUNITY DETAILS COMMUNITY

UR

9). PWBD DETAILS ARE YOU A PWBD CANDIDATE?

NO

10). EX SERVICEMEN DETAILS ARE YOU AN EX-SERVICEMEN ?

NO

11). APPRENTICESHIP COURSE DETAILS HAVE YOU COMPLETED APPRENTICESHIP COURSE UNDER APPRENTICESHIP ACT 1961 ?

NO

12). EMPLOYEE IN STATE / CENTRAL GOVT / PUBLIC SECTOR UNIT ?

NO

13). DO YOU BELONG TO ANY OF THE FOLLOWING AGE RELAXATION CATEGORIES ? A) DOMICILED IN JAMMU AND KASHMIR DURING 1.1.1980 TO 31.12.1989 ?

NO

B) SERVING RAILWAY EMPLOYEE

NO

C) EMPLOYEE IN QUASI-ADMIMINISTARTIVE OFFICES(CANTEENS, COOPERTAIVE SOCEITIES/INSTITUTES) OF RAILWAY ORGANISATION

NO

14). ARE YOU A CANDIDATE FROM ECONOMICALLY BACKWARD CLASS WHOSE FAMILY INCOME IS LESS THAN RS 50000 PA ?

NO

15). MOTHER TONGUE

ORIYA

16). DETAILS OF VISIBLE IDENTIFICATION MARKS/MOLES/CUT MARKS ON THE BODY IDENTIFICATION MARKS/MOLES/CUT MARKS-I

ONE BLACK MOLE IN MY FOREHEAD

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3/28/2019 IDENTIFICATION MARKS/MOLES/CUT MARKS-II

Application Details - Railway Recruitment Board ONE CUT MARK IN MY RIGHT THIGHLEG

17). CHOICE OF EXAM LANGUAGE IN ADDITION TO ENGLISH(ENGLISH IS DEFAULT LANGUAGE)

ODIA

18). YOU HAVE TO BRING ANY ONE OF THESE CURRENT VALID PHOTO-ID CARD IN ORIGINAL FOR APPEARING IN THE CBT AND SUBSIQUENT STAGES

AADHAAR CARD

ID CARD NO

218816749107

19). DECLARATION I HEREBY DECLARE THAT I HAVE GONE TROUGH THE ELIGIBILITY CRITERIA FOR THE POST(S) APPLIED FOR AND MEET ALL THE REQUIREMENTS THERE IN, THAT ALL THE DETAILS FURNISHED BY ME IN THE APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE & BELIEF AND NOTHING HAS BEEN CONCEALED OR SUPPRESSED. I ALSO UNDERSTAND THAT IN CASE , ANY OF THE DETAILS FURNISHED IS FOUND UNTRUE DURING ANY STAGE OF RECRUITMENT OR THEREAFTER RAILWAY ADMINISTRATION SHALL DISQUALIFY ME FOR THE POST(S) APPLIED FOR AND /OR I SHALL BE LIABLE FOR ANY OTHER ACTION UNDER THE EXTANT RULES. SIGNATURE

DOWNLOAD TIME:-

2019-03-28 12:28:22(ORIGINAL)

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