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DOWNLOAD TIME:- 2019-04-23 17:45:57 (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 : 1230799544 RAILWAY NAME : SOUTHERN RAILWAY (CHENNAI)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : MANEPALLI BHAGYASRI

FATHER'S NAME: MANEPALLI SOMESWARA RAO

MOTHER'S NAME : MANEPALLI UMASRI

DATE OF BIRTH : 19-12-1998

AGE AS ON 01-07-2019 : 20 YEARS, 6 MONTHS, 12 DAYS

GENDER: FEMALE

AADHAR NUMBER/ENROLLMENT NO : 402298835265

MINIMUM EDUCATIONAL 10TH

QUALIFICATION :

10TH BOARD : STATE BOARD

10TH REGISTRATION NO / ROLL NO : 1438114974

YEAR OF PASSING 10TH : 2014

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 9949871589 E-MAIL ID : BHAGIHONEY777@GMAIL.COM

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : PRAHALADHAPURAM , GOPALAPATNAM , SIMHACHALAM

STATE NAME : ANDHRA PRADESH DISTRICT NAME : VISAKHAPATNAM

CITY : VISAKHAPATNAM PINCODE : 530027

DO YOU BELONG TO TOWN

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 931242729 AMOUNT 250

SBI REFERENCE NO IGAFZJBIZ9 TIME 2019-04-23 17:33:09

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

WOULD YOU LIKE TO RECEIVE REFUND AMOUNT IN THE SAME BANK ACCOUNT? YES

5). DEATILS OF ESSENTIAL QUALIFICATION

10TH QUALIFICATION DETAILS

QUALIFICATION: 10TH BOARD: STATE BOARD

STATE IN WHICH STUDIED: ANDHRA PRADESH DISTRICT: VISAKHAPATNAM

MARKS: CGPA CGPA: 7.7

DO YOU POSSESS ITI QUALIFICATION NO

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: OTHERS

QUALIFICATION: OTHERS

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 SOUTHERN ASSISTANT TRAFFIC 879 216 137 381 179 1792 358 0 0 0 0 0 0 0 1
RAILWAY POINTSMAN

10 SOUTHERN ASSISTANT TRACK ENGINEERING 235 91 46 164 60 596 119 0 0 0 0 0 0 0 2

RAILWAY MACHINE

1 SOUTHERN ASSISTANT MECHANICAL 546 202 101 363 135 1347 269 14 23 22 10 0 0 0 3
RAILWAY (WORKSHOP)
3 SOUTHERN ASSISTANT C AND W MECHANICAL 210 87 32 156 54 539 108 0 10 8 11 0 0 0 4
RAILWAY

1 ICF CHENNAI ASSISTANT MECHANICAL 160 31 75 64 37 367 73 10 6 6 0 0 0 0 5

(WORKSHOP)

9 SOUTHERN ASSISTANT SIGNAL S AND T 139 52 27 82 33 333 67 2 6 5 1 0 0 0 6

RAILWAY AND TELECOM

11 SOUTHERN ASSISTANT TL AND AC ELECTRICAL 152 56 37 85 37 367 73 6 5 5 2 0 0 0 7

RAILWAY

12 SOUTHERN ASSISTANT TL AND AC ELECTRICAL 60 23 11 41 15 150 30 1 1 6 0 0 0 0 8

RAILWAY (WORKSHOP)

13 SOUTHERN ASSISTANT TRD ELECTRICAL 85 23 10 35 17 170 34 0 5 4 0 0 0 0 9

RAILWAY

14 SOUTHERN ASSISTANT WORKS ENGINEERING 62 26 19 36 16 159 32 3 3 2 1 0 0 0 10

RAILWAY

15 SOUTHERN ASSISTANT WORKS ENGINEERING 96 30 11 0 15 152 30 0 3 3 0 0 0 0 11

RAILWAY (WORKSHOP)

16 SOUTHERN HOSPITAL ASSISTANT MEDICAL 128 46 27 80 31 312 62 6 5 5 2 0 0 0 12

RAILWAY

17 SOUTHERN TRACK MAINTAINER ENGINEERING 1435 412 232 522 289 2890 578 0 0 0 0 0 0 0 13
RAILWAY GRADE IV

7 SOUTHERN ASSISTANT ELECTRICAL 2 0 1 2 1 6 1 0 0 0 0 0 0 0 14

RAILWAY OPERATIONS
(ELECTRICAL)

6 SOUTHERN ASSISTANT LOCO SHED ELECTRICAL 19 3 1 5 3 31 6 2 1 1 0 0 0 0 15

RAILWAY (ELECTRICAL)

5 SOUTHERN ASSISTANT LOCO SHED MECHANICAL 73 28 11 51 18 181 36 2 4 2 0 0 0 0 16

RAILWAY (DIESEL)

8). COMMUNITY DETAILS

COMMUNITY OBC-NON CREAMY LAYER

STATE ANDHRA PRADESH DISTRICT VISAKHAPATNAM

CASTE VISWABRAHMINS

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

D) WIDOW NOT RE-MARRIED /DIVORCEE NOT RE-MARRIED / JUDICIALLY SEPARATED NOT RE-MARRIED NO

14). ARE YOU A CANDIDATE FROM ECONOMICALLY BACKWARD CLASS WHOSE FAMILY INCOME IS LESS THAN RS NO
50000 PA ?

15). MOTHER TONGUE TELUGU

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

IDENTIFICATION A MOLE ON THE RIGHT HAND

MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION A MOLE ON THE LEFT HAND

MARKS/MOLES/CUT MARKS-
II

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

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 402298835265

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:- 2019-04-23 17:45:57(ORIGINAL)