1/25/2016

RRB2015

APPLICATION FORM
1. Registration No.

: 3171102447

2. RRB Unit

: SILIGURI

3. Name

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

mark sheet?

: No

AJAY KUMAR MEHRA

5. Father's Name

CHHANNULAL MEHRA

6. Mother's Name

: MEENA MEHRA

7. Date of Birth

31031987

8. Gender

: Male

9.Matric/10th/SSLC
Roll No.

16725842

10.Matric/10th/SSLC
: 2002
Year of Passing

11. Religion

HINDU

12. Email ID

13. Mobile No.

: 9479655798

14. Community

: mehra.ajay25@yahoo.com

SC (Schedule Caste)
Certificate No
Certificate Issued Date
Certificate Issued By
Nearest Rly. Station

15.PWD status

: No

16.ExServicemen status

: No

17. Do you belong to Economically Backward Class

: No

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

during the period from 01.01.1980 to 31.12.1989

: No

19. Government / PSU employee

: No

:
:
:
:

899B1210506
21092006
OTHERS ( SDO )
Bhopal Jn

20. Job Priority Details

Job Priority

Job Name

EnquirycumReservation Clerk(NFR)

Traffic Apprentice(NFR)

Assistant Station Master(NFR)

Goods Guard(NFR)

21. Exam Cities

Choice1

Choice2

Choice3

Choice4

Choice5

Bhopal

Indore

Nagpur

Jabalpur

Ujjain

22. Educational Details

https://siliguri.rrbonlinereg.net/frmApplicationPrint.aspx

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1/25/2016

RRB2015

Name of
the Exam

Board / Degree

School / Inst.

Year of Passing

10th

BoardMadhya Pradesh Board of Secondary Education

MP BOARD

2002

Graduation

B.A

BARKATULLAH UNIVERSITY BHOPAL

2012

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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