‘31/2019
- Ralway Recruitment Board
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“ate (Orginal)
GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
RAILWAY RECRUITMENT BOARDS
1). Personal Detalis
Full Name of Applicant
‘Aadhar NumberiEnroliment No 359619024005
SLC Board STATE BOARD
Matriculation / SSLC Roll No 71616437
‘Year of Passing SSLC / Matriculation: 2007
Nationality: nie
Mobile Numbe 9770567266
2), Addross For Communication
2), Detalls of Bank Account in which rfund has to bem
Would you like to recive rafund amount in the
Name of the account holder
IFSC code ‘UBINS61921
Deatls of Essential Qualification
2s Qualification Details
Engineering Technology
10), Detalls of higher qualification
‘Qualification Type
‘Qualification:
1, Post Preference Detal
Cato Ralway Designation
3 Central JUNIOR ENGINEER /P WAY
3 Western JUNIOR ENGINEER /P WAY
Railway
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Full Address
State Name MADHYAPRADESH
iy SShivpuri
‘GEN 03/2018 (Recrultmont of Junior Engineer (JE), Junior Engi
‘Superintendant (DMS) and Chemical & Metallurgical Assistant (CMA))
(information Technology) [JE(T)], Depot Material
og
d
Reliion: is
em siashish123@umaiicom
196 JAL MANDIR ROAD SHIVPURI, 136 JAL MANDIR ROAD SHIVPURI
District Name ‘Shivpuri district,
Pincode 47551
No
we bank account?
TARUN UPADHYAY
Engineering VISHWAVIDYALAYA BHOPAL,
Department yg
ENGINEERING 67
ENGINEERING 50
gl u5240825475
‘Account Number 619202010008773,
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6 nro unenton One
sine Deore wamecrinstte P| cal itt nae PCat
dltret
Vacancy
SC/ST OBC Total EXSM|R+ Re Re Re Bs Bs Bs Priority
vi HELD MD VIHI LD
we Ww 7 000 0 8 OO 4
53 6 7 0000 oo 02
TA‘31/2019 ‘Application Det
Railway Recruitment Board
allway
Rellway DRAWING and ESTIMATION
67 Central DEPOT MATERIAL stores 1 43S 2 Ott OS
Railway | SUPERINTENDENT
2 JUNIOR ENGINEER / WORKS. ENGIEERNG 11100 1 4 1 0 04 0 000 6
1 JUNIOR ENGINEER / BRIDGE ENOINEERNG 8 201 3 4 1 0 00 0 0007
13 Central JUNIOR ENGINEER CHIL) ENGINEERNG 4 101 1 7 0 0 000 000 68
Railway WORKSHOP
67 Westen DEPOT MATERIAL stores 4 1 14 7 4 0040 0008
Rallway | SUPERINTENDENT
2 Westen JUNIORENGWEER/CVIL/DESIGN ENGINEERING @ 1 3 @ 20 2 0 01 0 000 10
DRAWING and ESTIMATION
1 JUNIOR ENGINEER / BRIDGE ENOINEERNG 271 1 8 0 0 000 000"
12).xam Group Details
Exam Group: Civil and Alied Engineering
13), Community Beta
‘Community ur
15). PwaD Details
‘Ace you a PwSD Candidate? No
17) £x Servicemen Detal
‘Ace You an ExServicemen ? No
18), Employee In State Central Govt Publle Sector Unit? No
18) Do you belong fo any of ho folowing age
axation categories?
_) Domiciled in Jammu and Kashmir during 1.11980 to 31.12.1989 7 No
») Serving Rally Employee No
2) employes in Quas/-admiministartveoffices(Cantoens, Coopertaive soceitisinstitutes) of Railway Organisation No
21), Are you a Candidate from Economically Backward Class whose family income is less than Rs 0000 PA? No
22), Mother Tongue Hina
23), Details of Visible Identification Marks/Moles on the Body
Identification MarkiMoless | MOLE ON HEAD
Idontiestion MarkiMolesl MOLE ON FINGURE
24), Choice of Exam language in addition to english(Engish fs default angus ino
25), Declan
\nerby declare that have gone trough the eligibility criteria forthe post(s) applied for and met all the requirements ther in, that all the deals
furnished by me in the application are true and complete to the best of my knowledge & belef and nothing has been concealed or suppressed. | also
understand that in caso, any ofthe details furnished is found untrue during any stage of recruitment or thereaftor ralay administration shall
iaqualty me forthe posts) applied for and for shall beable for any other action under th extant rules.
Signature
Download Time:- | 2018-0131 1:24:22(0riginal
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