Railway Recruitment Board - Online Registration

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

RRB MALDA
PRINTED APPLICATION FORM

Registration Number

2310092993
Name PRITAM MARJIT

Date of Birth 11-05-2000 Gender MALE

Father's Name DIPAK MARJIT Mother's Name MADHABI MARJIT
Matriculation /10th /SSLC Roll number 100871B0133
Year of Passing Matriculation /10th /SSLC 2016
Mobile Number 9382508311 E-mail ID pritammarjit9614@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment
278614263271
Number
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community SC (SCHEDULED CASTE)

State District Caste

West Bengal Murshidabad TIYAR

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?

PAYMENT DETAILS

Payment Mode Merchant Reference No Transaction ID Transaction Amount

ONLINEPAY 23100929937 CPP3365415 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
-- -- -- --

JOB PRIORITY DETAILS

Category No Post Name(Rly/Prod.Unit) Order of Post Preference
9 COMMERCIAL CUM TICKET CLERK (ER) 3
 9 COMMERCIAL CUM TICKET CLERK (SER) 4
11 JUNIOR CLERK CUM TYPIST (ER) 5
11 JUNIOR CLERK CUM TYPIST (SER) 6
13 TRAINS CLERK (ER) 1
13 TRAINS CLERK (SER) 2

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation State Board West Bengal Murshidabad 2016 52(Percentage)
12TH(+2 STAGE) OR
State Board West Bengal Murshidabad 2018 64.2(Percentage)
ITS EQUIVALENT

OTHER DETAILS
Mother Tongue Bengali
Choice of Language for Exam Bengali
Would you like to avail the free travel authority? Yes

Cast Certificate
Date of issue Issued By State District Nearest Railway station
number
WB0704SC201321802 18-07-2013 Tasildar West Bengal Murshidabad Murshidabad

ADDRESS FOR THE COMMUNICATION

Address Line 1 LALBAGH STATION ROAD
Address Line 2 BEHIND DURGA MANDIR
State West Bengal District Murshidabad
Classification City
City / Town/ Village Murshidabad Jiaganj Pincode 742149
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