RAILWAY RECRUITMENT CELL, WEST CENTRAL RAILWAY, JABALPUR

APPLICATION FOR Apprentices Act - 1961, Year 2022-2023

Notification No. 03/2022 Act Apprentice

Registration No: 20068895

Division/Unit : JBP Division

Name of Trade : Computer Operator and Programming Assistant

1 Name of the Candidate amar nath gupta

2 Father's Name ram bhawan gupta
3 Mother's Name manju gupta
4 Date of Birth (DD-MM-YYYY) 10-09-1997
5 Community OBC
6 Gender Male
7 PwBD(PH) and Disabilities Present No , %
8 Ex-Serviceman No
9 Marital Status Unmarried
10 Nationality Indian
11 Religion Hindu
12 Visible Identification Marks on body-1 BLACK MOLE ON LOWER LIP
13 Visible Identification Marks on body-2 BLACK MOLE ON RIGHT CHEST
14 Active Mobile Number 8858807913
15 Aadhar Number 742620761494
16 Email Address VIKRAMGUPTA445@GMAIL.COM
BAHADURPUR,BAHADURPUR,BASTI,KALWARI
17 Address For Correspondence With Pincode
District Basti, State : Uttar Pradesh, Pin : 272302
Academic Marks
Board/ University Year of Passing Total Marks Marks %
Qualification Obtained
Matriculation UP BOARD ALLAHABAD 2012 429 600 71.5
Trade Year of Marks
Board/ University/ Institute Council Total Marks Marks %
Qualification Passing Obtained
indian pvt itc basti chandrashekhar azad
ITI NCVT 2022 537 600 89.5
nagar basti
Declaration : I hereby declare that all the particulars given above by me are true to complete and correct to best of my
knowledge and belief. I am aware that in the event of any information furnished by me found false/incorrect at any stage, my
candidature will be rejected summarily and I am also liable for criminal action. I will abide by instructions given in the
notification.

Date: 17-12-2022 13:51:37

Signature of the Candidate

Uploaded Documents Status
1. Education Certificate(Matric) 2. ITI Certificate 3. Caste Certificate (OBC)