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APPLICATION FORM

1. Registration No. 4114976


2. RRB Unit

Ahmedabad

3. Name

ARVIND KUAMR AWASTHI

4. Father's Name

RAM AVTAR AWASTHI

5. Mother's Name

SUMAN AWASTHI

6. Date of Birth

10/10/1987

7. Gender

Male

8. Matric/10th/SSL
3174448
C Roll No.

9. Matric/10th/SSL
2006
C Year of passing

10. Religion

11. Email ID

HINDU

12. Mobile No.

8126536027

13. Community

bhanupriyamishra.mishra@gmail.co
m
UR (Unreserved)

14. Type of Disability


Orthopaedically Handicapped(One Arm)
15. Are you an ExServicemen

No

16. Do you belong


to Economically
Backward Class

No

17. Are you Domiciled in the state of Jammu & Kashmir during the period from 01.01.1980 to
31.12.1989 No
18. Government /
PSU employee

No

19. Selected
language in which
you want to appear
for the exam

HINDI

20. Post Preference(s)


Post Applied
WR - Ticket

Post
Preference
1

21. Correspondence Address


125/A HARDEV NAGAR, JARAULI1, KANPUR NAGAR-208027,
KANPURKANPUR NAGAR, UTTAR

PRADESH, 208027

Examiner
WR Commercial 2
Clerk
WR - Trains
3
Clerk
WR - Jr. Clerk
4
cum Typist
22. Educational Details
Name
of the
Exam
th

10

12

th

Roll No.

Board / University

School / Inst.

Year of
Passing

3174448

U.P. Board of High


School & Intermediate
Edu.

SGVP INTER
COLLEGE

2006

0807300

U.P. Board of High


School & Intermediate
Edu.

SDIC TILASARA

2011

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