Application Form for Engagement of Apprentices under the Apprentices Act 1961 over Eastern Railway for 2022-23

Registration No. 625437

Name SOUMEN SING
Father's Name SUKDEV SING
Mother's Name JHARNA RANI SING
Reservation Category ST
Trade Fitter
 Are you Differently Abled? No
Date of Birth 05/08/2002
Gender Male
Are you an Ex-Servicemen   No
a. Are you a ward of any of the
None
following
Aadhar Card No. 758173691408
Religion HINDU
Email ID soumensingh1699@gmail.com
Mobile No.   6294597258
Address
Present Address Communication SONAMUI,SONAMUI, TENTULIABHUMJAN, NARAYANGARH,SONAMUI,PASCHIM MEDINIPUR,,TENTULIA BHUMJAN,WEST BENGAL,721437.
Permanent Address Communication SONAMUI,SONAMUI, TENTULIABHUMJAN, NARAYANGARH,SONAMUI,PASCHIM MEDINIPUR,,TENTULIA BHUMJAN,WEST BENGAL,721437.
 Nearest Railway Station    NARAYANGARH
1.    Howrah
2.    Malda
3.    Liluah Workshop
Unit Preference(s) 4.    Jamalpur Workshop
5.    Kanchrapara Workshop
6.    Asansol
7.    --
 Educational Details
Name of the Year of
Roll No. Board / University Marks Obtained Max. Marks Percentage
Exam Passing

10th 302151N 0060 West Bengal Board of Secondary Education 377 700 53.86 2018

Name of the Year of

Certificate No. Name of ITI Institute Marks Obtained Max. Marks Percentage
Exam Passing
ITI 221940000007095 GOVT. ITI HOWRAH HOMES 904 1300 69.54 2022
Certificates / Documents Uploaded
Uploaded Documents 10th Marksheet,10th Certificate,ITI Marksheet,ITI Certificate,Age Certificate,Community Certificate

Fee Payment Details : Exempted

  Declaration

1. I hereby declare that I have carefully read all the eligibility criteria mentioned in the notification and I fulfill all of them. I have read all the rules of examination and instructions carefully
and I undertake to abide by them.
Further, I hereby declare that all the information provided by me in this application form is true and correct to the best of my knowledge and belief.

Signature of the candidate Left hand thumb impression Date

06/10/2022  

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