12/28/2015 RRB 2015

APPLICATION FORM

1. Registration No. : 1871010278

2. RRB Unit : CHENNAI

3. Name : MAHENDRAN

4.Is your name printed in vernacular language as in 10th

: No
mark sheet?

5. Father's Name : NATARAJAN 6. Mother's Name : VASANTHA

7. Date of Birth : 06-05-1983 8. Gender : Male

9.Matric/10th/SSLC 10.Matric/10th/SSLC
: 5366188 : 1998
Roll No. Year of Passing

11. Religion : HINDU 12. Email ID : mahendranvpn@gmail.com

13. Mobile No. : 9750460751

14. Community : OBC (Other Backward Caste) - Non creamy layer

15.PWD status : No

16.Ex-Servicemen status : No

17. Do you belong to Economically Backward Class : No

18. Are you Domiciled in the state of Jammu & Kashmir

: No
during the period from 01.01.1980 to 31.12.1989

19. Government / PSU employee : No

20. Job Priority Details

Job Priority Job Name

1 Commercial Apprentice(SR)

2 Traffic Apprentice(SR)

3 Assistant Station M aster(SR)

4 Goods Guard(SR)

5 Junior Accounts Assistant-cum-Typist(ICF)

6 Junior Accounts Assistant-cum-Typist(SR)

7 Senior Clerk-cum-Typist(SR)

21. Exam Cities

Choice1 Choice2 Choice3 Choice4 Choice5

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12/28/2015 RRB 2015

Namakkal Salem Tiruchirappalli Madurai Thanjavur

22. Educational Details

Name of
Board / Degree School / Inst. Year of Passing
the Exam

10th Board-Tamilnadu State Board of School Examination STATE BOARD 1998

Graduation BCA ALAGAPPA UNIVERSITY 2009

Note:If you are choosing 2016 as the year of passing you must have got your results on or before the date of applying

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