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RSRTC REGISTRATION

1. Exam Details /

Form Number /

819513

Post of /

Engineering Cadre

Preferred Test Center /

Preference 1
Preference 2

:
:

Kota
Jaipur

2. Applicant's Details
Applicant's Full Name /

ROHIT KUMAR

Applicant's Father's Name /

TEJPAL MEENA

Applicant's Mother's Name /

RAMESH BAI

Date of Birth /

18-Sep-1980

Gender /

Male

Marital Status /

Married

If Married, No. of alive children as on

01.06.2002 /

01.06.2002

If Married, No. of children born and alive after

01.06.2002 /

01.06.2002

If Married, No. of children alive at the time of

filling of application form /

Home state /

Rajasthan

Home District(if Rajasthan) /

KOTA

3. Category/Special Category/
Category /

ST

Other Category /

--NA--

Specific Category for Female /

NA

4. Corresponding Details /
Full Address /

H NO 1472
VINOBA BHAVE NAGAR
KOTA

City/Village / /

KOTA

Tehsil /

LADPURA

District /

KOTA

State /

RAJASTHAN

Pin Code /

324005

Basic Phone /

NA

72.9.100.234/rsrtcregjune2013/printform.aspx

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7/28/13

RSRTC REGISTRATION

Basic Phone /

NA

Mobile /

9414285825

EMail /

meenarohit1980@gmail.com

5. Qualification /
Year of Passing

Board/University

Percentage

1996

RBSE AJMER

55.27

10 th Standard /

After Completion of 10th You did :: Diploma

10+2 Standard /

2005

BTER JODHPUR

52.9

Graduation /

NA

NA

NA

Post Graduation /

NA

NA

NA

6. Employer Details /
Experience Details

No

Name of Employer /

Post/

Period of Service
0 Year(s) 0 Month(s) 0 Day(s)

7. Declaration /
I here by declare that the information given through this Application form are
true and correct to the best of my knowledge.
/

8. Receipt Details /
Depot Name
Jhalawar

Amount Deposited
175

72.9.100.234/rsrtcregjune2013/printform.aspx

Receipt Number
H0065642

Receipt Date
27-Jul-2013

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