Government of India Ministry of Railways Railway Recruitment Boards

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4/12/2019 Application Details - Railway Recruitment Board

DOWNLOAD TIME:- 2019-04-12 09:53:47 (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 : 1250474676 RAILWAY NAME : WEST CENTRAL RAILWAY (JABALPUR)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : UMA RAGHUVANSHI

FATHER'S NAME: RAMGOPAL

MOTHER'S NAME : LALTA BAI

DATE OF BIRTH : 21-06-1993

AGE AS ON 01-07-2019 : 26 YEARS, 0 MONTHS, 10 DAYS

GENDER: FEMALE

AADHAR NUMBER/ENROLLMENT NO 273262555330


:

MINIMUM EDUCATIONAL ITI/NAC


QUALIFICATION :

ITI REGISTRATION NO / ROLL NO : 17E26091640

YEAR OF PASSING ITI : 2018

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 8964924941 E-MAIL ID : [email protected]

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : GRAM BIJANBADA BANWARI ROAD NEAR GURU TEG BAHADUR , PIPARIYA , NEAR GURU TEG BAHADUR
SAHIB SCHOOL

STATE NAME : MADHYAPRADESH DISTRICT NAME : HOSHANGABAD DISTRICT

CITY : HOSHANGABAD PINCODE : 461775

DO YOU BELONG TO VILLAGE


CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 950560911 AMOUNT 250

SBI REFERENCE NO IGAFXFJOK1 TIME 2019-04-12 09:48:59

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

ITI QUALIFICATION DETAILS

QUALIFICATION: ITI DISCIPLINE: OTHER

NAME OF INSTITUTE: GOVT.ITI PIPARIYA DISTRICT DATE OF PASSING: 06-09-2018


HOSHANGABAD

STATE IN WHICH STUDIED: MADHYAPRADESH DISTRICT: HOSHANGABAD DISTRICT

MARKS: PERCENTAGE PERCENTAGE: 80

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: POST GRADUATE

QUALIFICATION: COMMERCE

7). POST PREFERENCE DETAILS

CAT.NO RAILWAY DESIGNATION DEPARTMENT VACANCY PRIORITY

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4/12/2019 Application Details - Railway Recruitment Board
UR SC ST OBC EWS TOTAL EXSM R- R- R- R- B- B- B-
VI HI LD MD VI HI LD
9 WEST ASSISTANT SIGNAL S AND T 65 26 11 43 16 161 32 4 7 10 3 0 0 0 1
CENTRAL AND TELECOM
RAILWAY

8 WEST ASSISTANT TRAFFIC 118 70 45 109 38 380 76 0 0 0 0 0 0 0 2


CENTRAL POINTSMAN
RAILWAY

4 WEST ASSISTANT DEPOT STORES 15 5 4 10 4 38 8 3 1 1 0 0 0 0 3


CENTRAL (STORES)
RAILWAY

1 WEST ASSISTANT MECHANICAL 150 42 31 60 31 314 63 9 5 5 0 0 0 0 4


CENTRAL (WORKSHOP)
RAILWAY

2 WEST ASSISTANT BRIDGE ENGINEERING 19 8 4 14 5 50 10 0 0 0 0 0 0 0 5


CENTRAL
RAILWAY

3 WEST ASSISTANT C AND MECHANICAL 60 27 10 38 15 150 30 0 8 7 5 0 0 0 6


CENTRAL W
RAILWAY

5 WEST ASSISTANT LOCO MECHANICAL 98 37 17 65 24 241 48 12 8 8 0 0 0 0 7


CENTRAL SHED (DIESEL)
RAILWAY

6 WEST ASSISTANT LOCO ELECTRICAL 50 17 3 31 11 112 22 3 2 3 3 0 0 0 8


CENTRAL SHED
RAILWAY (ELECTRICAL)

7 WEST ASSISTANT ELECTRICAL 42 15 0 23 9 89 18 3 2 3 3 0 0 0 9


CENTRAL OPERATIONS
RAILWAY (ELECTRICAL)

10 WEST ASSISTANT TRACK ENGINEERING 73 29 14 52 19 187 37 0 6 9 5 0 0 0 10


CENTRAL MACHINE
RAILWAY

11 WEST ASSISTANT TL AND ELECTRICAL 14 4 0 8 3 29 6 2 2 2 2 0 0 0 11


CENTRAL AC
RAILWAY

12 WEST ASSISTANT TL AND ELECTRICAL 11 6 1 4 2 24 5 1 1 0 0 0 0 0 12


CENTRAL AC (WORKSHOP)
RAILWAY

13 WEST ASSISTANT TRD ELECTRICAL 78 28 8 47 18 179 36 0 7 7 4 0 0 0 13


CENTRAL
RAILWAY

14 WEST ASSISTANT WORKS ENGINEERING 155 60 31 108 39 393 79 17 13 23 4 0 0 0 14


CENTRAL
RAILWAY

16 WEST HOSPITAL MEDICAL 3 1 0 2 1 7 1 1 1 1 0 0 0 0 15


CENTRAL ASSISTANT
RAILWAY

17 WEST TRACK MAINTAINER ENGINEERING 645 258 129 466 167 1665 333 0 0 0 0 0 0 0 16
CENTRAL GRADE IV
RAILWAY

8). COMMUNITY DETAILS

COMMUNITY UR

9). PWBD DETAILS

ARE YOU A PWBD CANDIDATE? NO

10). EX SERVICEMEN DETAILS

ARE YOU AN EX-SERVICEMEN NO


?

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4/12/2019 Application Details - Railway Recruitment Board
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 NO
THAN RS 50000 PA ?

15). MOTHER TONGUE HINDI

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

IDENTIFICATION BURN ON LEFT HAND


MARKS/MOLES/CUT
MARKS-I

IDENTIFICATION MOLE ON LEFT FOR HEAD


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 AADHAAR CARD
APPEARING IN THE CBT AND SUBSIQUENT STAGES

ID CARD NO 273262555330

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 09:53:47(ORIGINAL)

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