3/24/2019 Applicant Print

Railway Recruitment Board - Online Registration

CEN No.01/2019 for Non Technical Popular Categories(NTPC)
RRB SECUNDERABAD
PRINTED APPLICATION FORM

Registration Number

2810584498
Name VIVEK KUMAR DUBEY
Date of Birth 22-01-1999 Gender MALE
RAJENDRA PRASAD
Father's Name Mother's Name USHA DEVI
DUBEY
Matriculation /10th /SSLC Roll number 0028
Year of Passing Matriculation /10th /SSLC 2013
Mobile Number 7903293617 E-mail ID pujaupadhyay5316@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment
743956687173
Number
Applied Qualification GRADUATE OR ITS EQUIVALENT
Community UR (UNRESERVED)
Nationality CITIZEN OF INDIA Religion HINDU
Are you a person with Benchmark Disabilities(PwBD)? Yes

Type of Disability Percentage Disability

LD(OAL) - LOCOMOTOR DISABILITYD (ONE ARM & ONE
60
LEG)

Are you an Ex - Serviceman? No

Were you domiciled in Jammu and Kashmir during 1.1.1980 to
No
31.12.1989?
Are you an employee in Central Government/ State Government /
No
Public Sector Unit?
Are you a Serving Group C or erstwhile Group D Railway
No
Employee or Casual labour or Substitutes?
Are you an employee in Quasi-admiministrative offices of Railway
Organisation such as Railway canteens, co-operative societies No
and institutes?

PAYMENT DETAILS
Payment Mode Merchant Reference No Transaction ID Transaction Amount
ONLINEPAY 28105844987 CPP3150127 250.00

BANK DETAILS
Do you wish to receive the refund to the same account through which you made the payment? Yes
Bank name A/C Holder name Account Number IFSC Code
-- -- -- --
Would you like to avail the scribe facility? No

JOB PRIORITY DETAILS

Category No Post Name(Rly/Prod.Unit) Order of Post Preference
5 SENIOR CLERK CUM TYPIST (ECoR) 3

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3/24/2019 Applicant Print
5 SENIOR CLERK CUM TYPIST (SCR) 1
11 JUNIOR CLERK CUM TYPIST (ECoR) 2
11 JUNIOR CLERK CUM TYPIST (SCR) 4

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation State Board Jharkhand Godda 2013 65.8(Percentage)
12TH(+2 STAGE) OR
State Board Jharkhand Godda 2015 45(Percentage)
ITS EQUIVALENT
GRADUATION OR ITS
B.A-ECONOMICS Jharkhand Godda 2018 51.75(Percentage)
EQUIVALENT

OTHER DETAILS
Mother Tongue Hindi
Choice of Language for Exam Hindi

ADDRESS FOR THE COMMUNICATION

Address Line 1 AT PO-BANDANWAR PS-PATHARGAMA DISTRICT-GODDA JHARKHAND
Address Line 2 AT PO-BANDANWAR PS-PATHARGAMA DISTRICT-GODDA JHARKHAND
State Jharkhand District Godda
Classification Village
City / Town/ Village OTHER Pincode 814147
City / Town/ Village (Others) BANDANWAR VILLAGE

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