Railway Recruitment Board - Online Registration

CEN No.01/2019 for Non Technical Popular Categories(NTPC)

RRB AHMEDABAD
PRINTED APPLICATION FORM

Registration Number

1110213006
Name RUSHIL GOPALBHAI BAGDA

Date of Birth 15-05-2000 Gender MALE

GOPALBHAI MEENABEN GOPALBHAI
Father's Name Mother's Name
JETHABHAI BAGDA BAGDA
Matriculation /10th /SSLC Roll number A4069486
Year of Passing Matriculation /10th /SSLC 2016
Mobile Number 8469205203 E-mail ID rushilbagda25@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment Number 267939750630
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community SC (SCHEDULED CASTE)

State District Caste

Gujarat Ahmedabad SCHEDULED CASTE

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
No
or 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?

PAYMENT DETAILS

Payment Mode Merchant Reference No Transaction ID Transaction Amount

POSTAL-CHALLAN NT21130068898 265.00

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

Category No Post Name(Rly/Prod.Unit) Order of Post Preference
9 COMMERCIAL CUM TICKET CLERK (WR) 1
 11 JUNIOR CLERK CUM TYPIST (WR) 2
13 TRAINS CLERK (WR) 3

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation State Board Gujarat Ahmedabad 2016 65.88(Percentage)
12TH(+2 STAGE) OR
State Board Gujarat Ahmedabad 2018 67.47(Percentage)
ITS EQUIVALENT

OTHER DETAILS
Mother Tongue Gujarati
Choice of Language for Exam Gujarati
Would you like to avail the free travel authority? No

ADDRESS FOR THE COMMUNICATION

Address Line 1 40, HILLPARK SOCIETY OPP, CHANDRA MAULI SCHOOL
Address Line 2 NR VASTRAPUR RAILWAY STATION, VEJALPUR
State Gujarat District Ahmedabad
Classification City
City / Town/ Village Ahmadabad City Pincode 380015
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