3/10/2018 Applicant Print

Railway Recruitment Board - Online Registration

APPLICATION FORM

Registration No. 1980275020

RRB Unit Gorakhpur

Name POOJA SINGH

Date of Birth 05-07-1987 Gender FEMALE

SHIV SHANKER
Father's Name Mother's Name JASUN DEVI
SINGH
Matriculation/10 th/SSLC Roll number / ITI / NAC Certificate Number 0651106
Year of Passing Matriculation/10th /SSLC / ITI / NAC 2001
Mobile Number 9120955488 E-mail ID poojabgr1987@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment Number 203042660009
Qualification 10th PASS ONLY
Community OBC (OTHER BACKWARD CLASS) - NON CREAMY LAYER
Are you a Widow not re-married /Divorcee not re-married / Judicially Separated not re-married? No
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 / Public
No
Sector Unit?
Are you a Serving Group C / Group D Railway Employee / Casual labour
No
and Substitutes?
Are you an employee in Quasi-admiministrative offices of Railway
No
Organisation?

PAYMENT DETAILS
Payment Mode Merchant Reference No Transaction ID Transaction Amount
ONLINEPAY 719005161801980275020 IGADBGKQS7 250.00

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
26 ASSISTANT POINTSMAN 6
16 HELPER / MECHANICAL / CARRIAGE and WAGON 7
17 HELPER / MECHANICAL / DIESEL ELECTRICAL 8
18 HELPER / MECHANICAL / DIESEL MECHANICAL 9

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3/10/2018 Applicant Print
27 GATEMAN 10
8 HELPER / BRIDGE 11
24 HELPER / MEDICAL 12
25 HOSPITAL ATTENDANT 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 Bareilly 2001 -- 41.17(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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