3/28/2019 Applicant Print

Railway Recruitment Board - Online Registration

CEN No.01/2019 for Non Technical Popular Categories(NTPC)
RRB CHANDIGARH
PRINTED APPLICATION FORM

Registration Number

1710898570
Name RAJKUMAR
Date of Birth 22-09-1998 Gender MALE
Father's Name KRISHAN KUMAR Mother's Name SAVITA DEVI
Matriculation /10th /SSLC Roll number 2212661892
Year of Passing Matriculation /10th /SSLC 2013
Mobile Number 7056199248 E-mail ID ry076928@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment Number 359557525528
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community OBC (OTHER BACKWARD CLASS) - NON CREAMY LAYER
State District Caste
Haryana Rewari AHIR

Nationality CITIZEN OF INDIA Religion HINDU

Are you a person with Benchmark Disabilities(PwBD)? No
Are you an Ex - Serviceman? No
Were you domiciled in Jammu and Kashmir during 1.1.1980 to
No
31.12.1989?
Are you an employee in Central Government/ State Government /
No
Public Sector Unit?
Are you a Serving Group C or erstwhile Group D Railway Employee or
No
Casual labour or Substitutes?
Are you an employee in Quasi-admiministrative offices of Railway
Organisation such as Railway canteens, co-operative societies and No
institutes?
Do you belong to Economically Backward Class? No

PAYMENT DETAILS
Payment Mode Merchant Reference No Transaction ID Transaction Amount
ONLINEPAY 17108985707 CPP8236021 500.00

BANK DETAILS
Do you wish to receive the refund to the same account through which you made the payment? Yes
Bank name A/C Holder name Account Number IFSC Code
-- -- -- --

JOB PRIORITY DETAILS

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3/28/2019 Applicant Print

Category No Post Name(Rly/Prod.Unit) Order of Post Preference

9 COMMERCIAL CUM TICKET CLERK (NR) 1
10 ACCOUNTS CLERK CUM TYPIST (NR) 4
11 JUNIOR CLERK CUM TYPIST (NR) 2
13 TRAINS CLERK (NR) 3

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation State Board Haryana Rewari 2013 84.2(Percentage)
12TH(+2 STAGE) OR
State Board Haryana Rewari 2015 79.2(Percentage)
ITS EQUIVALENT

OTHER DETAILS
Mother Tongue Hindi
Choice of Language for Exam English

ADDRESS FOR THE COMMUNICATION

Address Line 1 VILL-BALDHAN KHURD
Address Line 2 PO-BALDHAN KALAN
State Haryana District Rewari
Classification Village
City / Town/ Village Rewari Pincode 123411

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