GOVERNMENT OF INDIA

MINISTRY OF RAILWAYS
RAILWAY RECRUITMENT BOARDS

CEN No.01/2018 (Recruitment of Assistant Loco Pilot (ALP) & Technicians)

Registration No : 120121660

Personal Details
Full Name of Applicant : SHAIK MIDDE GOUSE BASHA

Father`s Name: SHAIK MIDDE CHINA MASTANVALI

Mother`s Name : SHAIK MIDDE BEGUM

Date of Birth : 06-07-1995

Gender: Male
Aadhar Number : 523832168869 SSLC Board : STATE BOARD
Year of Passing SSLC /
Matriculation / SSLC Roll No : 1016111447 2010
Matriculation :
Nationality : India Religion : Muslim
Mobile Number : 9966151612 E-mail id : CHANUPRIYASP@GMAIL.COM

Address For Communication

Full Address : 7 31 kota back side bazar pathakamar prakaam , prakaam , darsi
State Name : ANDHRA PRADESH District Name : Prakasam
Nearest City : Ongole Pincode : 523252

Details of Bank Account in which refund has to be made

Name of the account holder : y venkata krishna Account Number : 30635424437
IFSC code : SBIN0021657

Deatils of Essential Qualification

SSLC/Matriculation Qualification Details
Qualification: SSLC/SSC Board: STATE BOARD
State in which studied: ANDHRA PRADESH District: Prakasam
Marks: Percentage Percentage: 54
10+2 Qualification Details
Qualification: 10+2 Subject: Physics and Maths
Exam Trade: Wireman Name of institute: harshini
Year of Passing: 2012
State: ANDHRA PRADESH District: Prakasam
Marks: Percentage Percentage: 70

Details of higher qualification

Qualification Type:
Qualification:

Community Details
Community OBC-NON CREAMY LAYER
State ANDHRA PRADESH District Prakasam
Caste bc
PWD Details
Are you a PWD Candidate? No

Ex Servicemen Details
Are You an Ex-Servicemen ? No

Apprenticeship Course Details

Have you Completed Apprenticeship Course under Apprenticeship Act 1961 ? No
Employee in State / Central Govt / Public Sector Unit ? No

Do you belong to any of the following age relaxation categories ?

a) Domiciled in Jammu and Kashmir during 1.1.1980 to 31.12.1989 ? No
b) Serving Railway Employee No
c) employee in Quasi-admiministartive offices(Canteens, Coopertaive soceities/Institutes) of
No
Railway Organisation

Minority
community
candidate,is
eligible for
fee
No
Concession
& Refund.
Would you
like to Avail
the facility?
Are you a Candidate from Economically Backward Class ? No

Mother Tongue Telugu

Choice of Exam language in addition to english(English is default

ENGLISH
language)
Declaration
I hereby declare that I have gone trough the eligibility criteria for the post(s) applied for and meet all the requirements
there in, that all the details furnished by me in the application are true and complete to the best of my knowledge &
belief and nothing has been concealed or suppressed. I also understand that in case , any of the details furnished is
found untrue during any stage of recruitment or thereafter railway administration shall disqualify me for the post(s)
applied for and /or I shall be liable for any other action under the extant rules.