2/17/24, 11:46 PM recruitmentrrb.in/#/pscexamservice/candidate-View-Application?

id=230fcf8e-219f-4947-94a4-928d656dd07e

RAILWAY RECRUITMENT BOARD

MINISTRY OF RAILWAYS, GOVT. OF INDIA

CENTRALISED EMPLOYMENT NOTICE (CEN) No.01/2024 - ASSISTANT LOCO PILOT,ASSISTANT LOCO PILOT
RRB BHOPAL Registration No : 151240046887
Zone Preference Details
Preference (WCR),(WR)

Personal Details

Full Name of SHIVAM VISHWAKARMA

Applicant
Father’s BALMUKUND
Name
Mother's GUDDI BAI
Name
Date Of Birth 21-07-2000 Gender Male
Is Aadhaar
Verified Yes

Matriculation 162459064 Date of 16/05/2016

/10th /SSLC Passing
Roll number Matriculation
/10th /SSLC
Nationality India Religion Hindu
Mobile 7224075418 Email shivamvishw3@gmail.com
Number Address
Permanent MOLE ON LEFT CHEEK
rrblogo1 Permanent MOLE ON CHEST
visible mark visible Mark BELOW NECK
of of
identification identification
1 2
Marital Unmarried
Status
Is No
Application
Modified

Present Address

Address JAWAHAR LAL NEHRU MARG OFFICER COLONY BHAGAT SINGH WARD
State/UT MADHYA PRADESH District Sagar
Village/City/Town KHURAI Pincode 470117

Permanent Address Details

Address JAWAHAR LAL NEHRU MARG OFFICER COLONY BHAGAT SINGH WARD
State/UT MADHYA PRADESH District Sagar
Village/City/Town KHURAI Pincode 470117

Essential Qualification Details

Qualification Board State in which studied Date of Passing

10th BOARD OF SECONDARY EDUCATION MADHYA PRADESH MADHYA PRADESH 16/05/2016
Diploma in Engineering GOVERNMENT POLYTECHNIC COLLEGE KHURAI MADHYA PRADESH 08/06/2021

Community Details

Community OBC (Other Backward Classes)

Do you come under OBC Non-Creamy Layer? Yes
Certificate No RS/427/0118/990/2019
Issuing Authority Sub- Divisional Officer
Issuing State MADHYA PRADESH
Date of issue 23/02/2019

Payment Details

Payment ONLINE Merchant 28107276407 Payment 17/02/2024 Transaction TRX2001241702202401812928 Transaction 500
Mode PAY Reference Date ID Amount
No

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2/17/24, 11:46 PM recruitmentrrb.in/#/pscexamservice/candidate-View-Application?id=230fcf8e-219f-4947-94a4-928d656dd07e

RRB BHOPAL Registration No : 151240046887

CENTRALISED EMPLOYMENT NOTICE (CEN) No.01/2024 - ASSISTANT LOCO PILOT,ASSISTANT LOCO PILOT
Bank Details For Refund of Fee

Bank name CANARA BANK A/C Holder Name SHIVAM VISHWAKARMA Account Number 110011756338 IFSC Code CNRB0004257

PwBD Details

Are you a PwBD Candidate? No

Economically Backward Class(EBC)

Are you an EBC certificate holder ? No

Ex Servicemen Details

Are you an Ex-Serviceman? No

Serving Railway Employee Details rrblogo1

Serving Railway employee No

Current Employment Details

Name of the current department/ organization Not Applicable

Do you belong to any of the following age relaxation categories ?

Are you an Ex-Serviceman? No

Are you a PwBD Candidate? No
Serving Railway employee No

Choice of Language for Examination

Choice of Language for Examination in addition to english(English is default language) English

Exam trade for part B of CBT-2

Select Exam trade for part B of CBT-2
Fitter

Declaration
I hereby declare that I have gone through the eligibility criteria for the post(s) applied for and that I meet the requisite eligibility conditions.I understand that in case any
information submitted by me is incorrect or concealed, I shall be liable for immediate disqualification or any other action as per extant rules. I also declare that I have never been
dismissed from any Government service (excluding the Defence services under the Union of India).

Place : SAGAR
Date : 17/02/2024

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