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DOWNLOAD TIME:- 2019-04-11 19:59:18 (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 : 1120499759 RAILWAY NAME : EAST CENTRAL RAILWAY (HAJIPUR)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : LALAN KUMAR

FATHER'S NAME: LAXAMAN MAHATO

MOTHER'S NAME : MARCHAI DEVI

DATE OF BIRTH : 15-02-1985

AGE AS ON 01-07-2019 : 34 YEARS, 4 MONTHS, 16 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO : 750463546141

MINIMUM EDUCATIONAL 10TH

QUALIFICATION :

10TH BOARD : STATE BOARD

10TH REGISTRATION NO / ROLL NO : 0381

YEAR OF PASSING 10TH : 2000

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 9570892145 E-MAIL ID : LALANKUMARAGR.551@GMAIL.COM

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : VILL PARSAUNI WAJID , P O PARSAUNI WAJID , VIA BAKERPUR JAGAT

STATE NAME : BIHAR DISTRICT NAME : EAST CHAMPARAN

CITY : MOTIHARI PINCODE : 845413

DO YOU BELONG TO VILLAGE

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 820618953 AMOUNT 500

SBI REFERENCE NO CPR3816767 TIME 2019-04-11 19:44:09

4). DETAILS OF BANK ACCOUNT IN WHICH REFUND HAS TO BE MADE

WOULD YOU LIKE TO RECEIVE REFUND AMOUNT IN THE SAME BANK ACCOUNT? NO

NAME OF THE ACCOUNT HOLDER LALAN KUMAR ACCOUNT NUMBER 3286341759

IFSC CODE CBIN0284560

5). DEATILS OF ESSENTIAL QUALIFICATION

10TH QUALIFICATION DETAILS

QUALIFICATION: MATRICULATION BOARD: STATE BOARD

STATE IN WHICH STUDIED: BIHAR DISTRICT: EAST CHAMPARAN

MARKS: PERCENTAGE PERCENTAGE: 49

DO YOU POSSESS ITI QUALIFICATION NO

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: OTHERS

QUALIFICATION: ARTS

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 ASSISTANT TRAFFIC 170 83 53 120 47 473 95 0 0 0 0 0 0 0 1
CENTRAL POINTSMAN
RAILWAY
9 EAST ASSISTANT SIGNAL S AND T 167 62 31 114 42 416 83 8 8 10 3 0 0 0 2
CENTRAL AND TELECOM
RAILWAY

3 EAST ASSISTANT C AND W MECHANICAL 110 43 26 77 29 285 57 0 11 9 10 0 0 0 3

CENTRAL
RAILWAY

1 EAST ASSISTANT MECHANICAL 17 6 3 11 4 41 8 3 2 1 0 0 0 0 4

CENTRAL (WORKSHOP)
RAILWAY

16 EAST HOSPITAL ASSISTANT MEDICAL 8 3 2 5 2 20 4 0 1 2 0 0 0 0 5

CENTRAL
RAILWAY

2 EAST ASSISTANT BRIDGE ENGINEERING 6 2 1 4 2 15 3 0 0 0 0 0 0 0 6

CENTRAL
RAILWAY

4 EAST ASSISTANT DEPOT STORES 14 6 3 10 4 37 7 2 1 1 1 0 0 0 7

CENTRAL (STORES)
RAILWAY

5 EAST ASSISTANT LOCO SHED MECHANICAL 31 11 7 22 8 79 16 4 3 2 1 0 0 0 8

CENTRAL (DIESEL)
RAILWAY

6 EAST ASSISTANT LOCO SHED ELECTRICAL 6 2 1 5 2 16 3 1 1 1 0 0 0 0 9

CENTRAL (ELECTRICAL)
RAILWAY

7 EAST ASSISTANT ELECTRICAL 5 4 2 4 2 17 3 0 1 0 0 0 0 0 10

CENTRAL OPERATIONS
RAILWAY (ELECTRICAL)

10 EAST ASSISTANT TRACK ENGINEERING 82 32 16 57 21 208 42 0 3 3 3 0 0 0 11

CENTRAL MACHINE
RAILWAY

11 EAST ASSISTANT TL AND AC ELECTRICAL 50 18 10 34 12 124 25 4 3 6 4 0 0 0 12

CENTRAL
RAILWAY

13 EAST ASSISTANT TRD ELECTRICAL 26 17 8 19 8 78 16 0 3 3 4 0 0 0 13

CENTRAL
RAILWAY

14 EAST ASSISTANT WORKS ENGINEERING 80 32 18 56 20 206 41 9 7 7 8 0 0 0 14

CENTRAL
RAILWAY

15 EAST ASSISTANT WORKS ENGINEERING 16 6 3 9 4 38 8 4 2 2 4 0 0 0 15

CENTRAL (WORKSHOP)
RAILWAY

17 EAST TRACK MAINTAINER ENGINEERING 581 228 141 409 151 1510 302 0 0 0 0 0 0 0 16
CENTRAL GRADE IV
RAILWAY

8). COMMUNITY DETAILS

COMMUNITY OBC-NON CREAMY LAYER

STATE BIHAR DISTRICT EAST CHAMPARAN

CASTE NONIYA

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 ? YES

NOTE : INFORM YOUR EMPLOYER ABOUT THIS APPLICATION AND YOU HAVE TO PRODUCE NOC DURING DOCUMENT VERIFICATION IF SHORTLISTED.

CENTRAL/STATE/PSU/NATIONALIZED BANKS/OTHERS CENTRAL

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 YES

NOTE : INFORM YOUR RAILWAY ABOUT THIS APPLICATION AND YOU HAVE TO PRODUCE NOC DURING DOCUMENT VERIFICATION IF SHORTLISTED.
RAILWAY WESTERN RAILWAY INITIAL DATE OF JOINING 22-12-
2015

HAVE YOU COMPLETED 3 YEARS SERVICE(GROUP C/ERSTWHILE GROUP D, CASUAL LABOUR OR SUBSTITUES) IN RAILWAYS (CONTINIOUS OR YES
IN BROKEN SPELLS)

NOTE : YOU HAVE TO PRODUCE PROOF OF 3 YEARS SERVICE DURING DOCUMENT VERIFICATION.

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 NO
50000 PA ?

15). MOTHER TONGUE HINDI

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

IDENTIFICATION A MOLE MARK ON LEFT SOLDER

MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION A CUT MARK ON RIGHT EYEBROW

MARKS/MOLES/CUT MARKS-
II

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

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

ID CARD NO 750463546141

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:- 2019-04-11 19:59:18(ORIGINAL)