Railway Recruitment Board - Online Registration

CEN No.01/2019 for Non Technical Popular Categories(NTPC)

RRB BHUBANESWAR
PRINTED APPLICATION FORM

Registration Number

1610228292
Name VIVEK BISWAL

Date of Birth 19-10-1998 Gender MALE

SANJIB KUMAR
Father's Name Mother's Name LEELAVATI BISWAL
BISWAL
Matriculation /10th /SSLC Roll number 6110849
Year of Passing Matriculation /10th /SSLC 2014
Mobile Number 9078157542 E-mail ID vbiswal710@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment Number 475964102941
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community UR (UNRESERVED)
Nationality CITIZEN OF INDIA Religion HINDU
Are you a person with Benchmark Disabilities(PwBD)? No
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 Employee
No
or Casual labour or Substitutes?
Are you an employee in Quasi-admiministrative offices of Railway
Organisation such as Railway canteens, co-operative societies and No
institutes?
Do you belong to Economically Backward Class? No

PAYMENT DETAILS

Payment Mode Merchant Reference No Transaction ID Transaction Amount

ONLINEPAY 16102282927 CPQ5155345 500.00

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
-- -- -- --

JOB PRIORITY DETAILS

Category No Post Name(Rly/Prod.Unit) Order of Post Preference
9 COMMERCIAL CUM TICKET CLERK (ECoR) 1
10 ACCOUNTS CLERK CUM TYPIST (ECoR) 2
11 JUNIOR CLERK CUM TYPIST (ECoR) 3
DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation CBSE Odisha Khordha 2014 8.6(CGPA)
Other-STATE COUNCIL OF
12TH(+2 STAGE) OR
TECHNICAL EDUCATION Odisha Balasore 2018 85.06(Percentage)
ITS EQUIVALENT
AND VOCATIONA

OTHER DETAILS
Mother Tongue Odia
Choice of Language for Exam English

ADDRESS FOR THE COMMUNICATION

AT-PLOT NO-1445/2441,FLAT NO-204,GOURI NANDAN ENCLAVE,
Address Line 1
MAHATAB ROAD,KAPILA PRASAD,BHUBANESWAR
Address Line 2 --
State Odisha District Khordha
Classification City
Bhubaneswar
City / Town/ Village Pincode 751002
(M.Corp.)
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