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DOWNLOAD TIME:- 2019-04-12 01:36:30 (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 : 1230821389 RAILWAY NAME : SOUTHERN RAILWAY (CHENNAI)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : MARISELVAM B

FATHER'S NAME: BOOMINATHAN

MOTHER'S NAME : VANITHA

DATE OF BIRTH : 29-03-1992

AGE AS ON 01-07-2019 : 27 YEARS, 3 MONTHS, 2 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO : 726817658532

MINIMUM EDUCATIONAL 10TH

QUALIFICATION :

10TH BOARD : STATE BOARD

10TH REGISTRATION NO / ROLL NO : 123010

YEAR OF PASSING 10TH : 2007

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 9600411985 E-MAIL ID : MARISELVAM043@GMAIL.COM

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : 22 VEERAPATHIRAN CHETTIAR STREET , MANINAGARAM ARUPPUKOTTAI , VIRUDHUNAGAR

STATE NAME : TAMIL NADU DISTRICT NAME : VIRUDUNAGAR

CITY : RAJAPALAYAM PINCODE : 626101

DO YOU BELONG TO TOWN

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 931086437 AMOUNT 500

SBI REFERENCE NO CPR4045087 TIME 2019-04-12 01:19:34

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: TAMIL NADU DISTRICT: VIRUDUNAGAR

MARKS: PERCENTAGE PERCENTAGE: 87.4

DO YOU POSSESS ITI QUALIFICATION NO

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: OTHERS

QUALIFICATION: ENGINEERING

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
17 SOUTHERN TRACK MAINTAINER ENGINEERING 1435 412 232 522 289 2890 578 0 0 0 0 0 0 0 1
RAILWAY GRADE IV

8 SOUTHERN ASSISTANT TRAFFIC 879 216 137 381 179 1792 358 0 0 0 0 0 0 0 2
RAILWAY POINTSMAN

1 SOUTHERN ASSISTANT MECHANICAL 546 202 101 363 135 1347 269 14 23 22 10 0 0 0 3
RAILWAY (WORKSHOP)

10 SOUTHERN ASSISTANT TRACK ENGINEERING 235 91 46 164 60 596 119 0 0 0 0 0 0 0 4

RAILWAY MACHINE

3 SOUTHERN ASSISTANT C AND W MECHANICAL 210 87 32 156 54 539 108 0 10 8 11 0 0 0 5

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

1 ICF CHENNAI ASSISTANT MECHANICAL 160 31 75 64 37 367 73 10 6 6 0 0 0 0 7

(WORKSHOP)

16 SOUTHERN HOSPITAL ASSISTANT MEDICAL 128 46 27 80 31 312 62 6 5 5 2 0 0 0 8

RAILWAY

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

RAILWAY AND TELECOM

15 SOUTHERN ASSISTANT WORKS ENGINEERING 96 30 11 0 15 152 30 0 3 3 0 0 0 0 10

RAILWAY (WORKSHOP)

13 SOUTHERN ASSISTANT TRD ELECTRICAL 85 23 10 35 17 170 34 0 5 4 0 0 0 0 11

RAILWAY

4 SOUTHERN ASSISTANT DEPOT STORES 77 25 8 47 17 174 35 1 4 3 0 0 0 0 12

RAILWAY (STORES)

5 SOUTHERN ASSISTANT LOCO SHED MECHANICAL 73 28 11 51 18 181 36 2 4 2 0 0 0 0 13

RAILWAY (DIESEL)

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

RAILWAY

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

RAILWAY (WORKSHOP)

6 SOUTHERN ASSISTANT LOCO SHED ELECTRICAL 19 3 1 5 3 31 6 2 1 1 0 0 0 0 16

RAILWAY (ELECTRICAL)

2 SOUTHERN ASSISTANT BRIDGE ENGINEERING 5 2 1 4 1 13 3 0 0 0 0 0 0 0 17

RAILWAY

7 SOUTHERN ASSISTANT ELECTRICAL 2 0 1 2 1 6 1 0 0 0 0 0 0 0 18

RAILWAY OPERATIONS
(ELECTRICAL)

8). COMMUNITY DETAILS

COMMUNITY UR

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

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

15). MOTHER TONGUE TAMIL

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

IDENTIFICATION MOLE ON LEFT SIDE OF CHEST

MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION SCAR ON LEFT HAND LITTLE FINGER

MARKS/MOLES/CUT MARKS-
II

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

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 726817658532

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:- 2019-04-12 01:36:30(ORIGINAL)