Application Form: 1 Commercial Apprentice (WR) 2 Assistant Station Master (WR) 3 Traffic Apprentice (WR) 4 Goods Guard (WR)

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RRB 2015

1 of 2

https://ahmedabad.rrbonlinereg.net/frmApplicationPrint.aspx

APPLICATION FORM
1. Registration No.

: 1171307120

2. RRB Unit

: AHMEDABAD

3. Name

4.Is your name printed in vernacular language as in 10th


mark sheet?

DHARMENDRA KUMAR

: No

5. Father's Name

: SATYARAM

6. Mother's Name

: LALITA DEVI

7. Date of Birth

: 14-05-1988

8. Gender

: Male

9.Matric/10th/SSLC
Roll No.

: 5222484

10.Matric/10th/SSLC
Year of Passing

: 2004

11. Religion

: HINDU

12. Email ID

: dharmendra.me1@gmail.com

13. Mobile No.

9415819974

14. Community

SC (Schedule Caste)
Certificate No

: 612144007301

Certificate Issued Date

: 06-09-2014

Certificate Issued By

: Tasildar

Nearest Rly. Station

: New Delhi

15.PWD status

No

16.Ex-Servicemen status

No

17. Do you belong to Economically Backward Class

No

18. Are you Domiciled in the state of Jammu & Kashmir during
the period from 01.01.1980 to 31.12.1989

No

19. Government / PSU employee

No

20. Job Priority Details


Job Priority

Job Name

Commercial Apprentice(WR)

Assistant Station Master(WR)

Traffic Apprentice(WR)

Goods Guard(WR)

21. Exam Cities


Choice1

Choice2

Choice3

Choice4

Choice5

Noida

Greater Noida

New Delhi

Ghaziabad

Lucknow

22. Educational Details

25-Jan-16 6:26 PM

RRB 2015

2 of 2

https://ahmedabad.rrbonlinereg.net/frmApplicationPrint.aspx

Name of
the Exam

Board / Degree

School / Inst.

Year of Passing

10th

Board-Central Board of Secondary


Education

KENDRIYA VIDYALAYA

2004

Graduation

B.E/B.Tech

NOIDA INSTITUTE OF ENGINEERING AND


TECHNOLOGY

2011

Note:If you are choosing 2016 as the year of passing you must have got your results on or before the date of applying

25-Jan-16 6:26 PM

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