Railway Recruitment Board - Online Registration

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

RRB BENGALURU
PRINTED APPLICATION FORM

Registration Number

1410236397
Name SANJEEV KUMAR

Date of Birth 01-01-1997 Gender MALE

Father's Name BALAK RAM Mother's Name INDRA VATI
Matriculation /10th /SSLC Roll number 1117265
Year of Passing Matriculation /10th /SSLC 2014
Mobile Number 6396769726 E-mail ID kapildev9557736921@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment
623273088449
Number
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community OBC (OTHER BACKWARD CLASS) - NON CREAMY LAYER

State District Caste

Uttar Pradesh Bareilly BADAI

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
No
Employee or Casual labour or Substitutes?
Are you an employee in Quasi-admiministrative offices of
Railway Organisation such as Railway canteens, co-operative No
societies and institutes?
Do you belong to Economically Backward Class? No

PAYMENT DETAILS

Payment Mode Merchant Reference No Transaction ID Transaction Amount

ONLINEPAY 14102363977 CPO5689466 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

Category No Post Name(Rly/Prod.Unit) Order of Post Preference
 13 TRAINS CLERK (SWR) 1
9 COMMERCIAL CUM TICKET CLERK (SWR) 2
11 JUNIOR CLERK CUM TYPIST (RWF) 3
10 ACCOUNTS CLERK CUM TYPIST (RWF) 4
11 JUNIOR CLERK CUM TYPIST (SWR) 5

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation Other-UP BOARD Uttar Pradesh Pilibhit 2014 85(Percentage)
12TH(+2 STAGE) OR Udham Singh
Other-UK BOARD Uttarakhand 2016 70(Percentage)
ITS EQUIVALENT Nagar

OTHER DETAILS
Mother Tongue Hindi
Choice of Language for Exam Hindi

ADDRESS FOR THE COMMUNICATION

Address Line 1 VILL DAIYABOJH POST CHATHO PIPALIYA TEH BAHERI
Address Line 2 DIST BAREILLY UTTAR PRADESH
State Uttar Pradesh District Bareilly
Classification Village
City / Town/ Village Baheri Pincode 243201
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