3/10/2018 Applicant Print

Railway Recruitment Board - Online Registration

APPLICATION FORM

Registration No. 1980252976

RRB Unit Gorakhpur

Name JAY WARDHAN

Date of Birth 05-07-1985 Gender MALE

Father's Name SRIKANT MALL Mother's Name VRINDRAWATI MALL
Matriculation/10 th/SSLC Roll number / ITI / NAC Certificate Number 1452820
Year of Passing Matriculation/10th /SSLC / ITI / NAC 1999
Mobile Number 7055744021 E-mail ID jaywardhan2008@rediffmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment
960739270826
Number
Qualification 10th PASS ONLY
Community OBC (OTHER BACKWARD CLASS) - NON CREAMY LAYER
Nationality CITIZEN OF INDIA Religion HINDU
Are you a person with Disabilities(PWD)? No
Are you an Ex - Serviceman? No
Have you Course Completed Apprenticeship under Act 1961? No
Domiciled in Jammu and Kashmir during 1.1.1980 to 31.12.1989 No
Are you an employee in Central Government/ State Government /
No
Public Sector Unit?
Are you a Serving Group C / Group D Railway Employee / Casual
No
labour and Substitutes?
Are you an employee in Quasi-admiministrative offices of Railway
No
Organisation?
Do you belong to Economically Backward Class? No

PAYMENT DETAILS
Payment Mode Merchant Reference No Transaction ID Transaction Amount
ONLINEPAY 719005158641980252976 IGADBGJLP6 500.00

BANK DETAILS
A/C Holder name Account Number IFSC Code
ABHAY KUMAR SINGH 37326756566 SBIN0013266

JOB PRIORITY DETAILS

Category No Post Name(Rly/Prod.Unit) Order of Post Preference
22 HELPER / SIGNAL 1
3 HELPER / ELECTRICAL / GENERAL SERVICES 2
4 HELPER / ELECTRICAL / POWER 3
5 HELPER / ELECTRICAL / TRAIN LIGHTING 4
6 HELPER / ELECTRICAL / TRD 5
16 HELPER / MECHANICAL / CARRIAGE and WAGON 6
17 HELPER / MECHANICAL / DIESEL ELECTRICAL 7
18 HELPER / MECHANICAL / DIESEL MECHANICAL 8
24 HELPER / MEDICAL 9

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3/10/2018 Applicant Print
25 HOSPITAL ATTENDANT 10
26 ASSISTANT POINTSMAN 11
27 GATEMAN 12
8 HELPER / BRIDGE 13
14 TRACK MAINTAINER GRADE IV 14
28 PORTER / HAMAL / SWEEPER CUM PORTER 15

DETAILS OF ESSENTIAL QUALIFICATION

Year of Date of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing Result
Uttar
SSLC/Matriculation State Board Mau 1999 -- 55.50(Percentage)
Pradesh

OTHER QUALIFICATION
Details of other qualification if any Post Graduate
Subject Stream(for Under & Post Graduate) ARTS

OTHER DETAILS
Mother Tongue Hindi
Choice of Language for Exam other than English Hindi

ADDRESS FOR THE COMMUNICATION

Address Line 1 518 VILLAGE AND POST - PALI
Address Line 2 SAHJANWA
State Uttar Pradesh District Gorakhpur
Classification Village
City / Town/ Village OTHER Pincode 273209
City / Town/ Village (Others) PALI

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