10/9/2014 RRB 2014

APPLICATION FORM

1. Registration No. : 221109932

2. RRB Unit : KOLKATA

3. Educational Details : DIPLOMA IN CIVIL ENGINEERING

4. Name : SAMIR BARAN BERA

5. Father's Name : RANAJIT BERA 6. Mother's Name : SHYAMALI BERA

7. Date of Birth : 20-07-1990 8. Gender : Male

9. Religion : HINDU 10. Email ID : samirbera11@gmail.com

10. Mobile No. : 8093388278

12. Community : UR

13. Do you belong to PWD : No

14. Are you an Ex-Servicemen : No

15. Do you belong to Economically Backward Class : No

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

: No
during the period from 01.01.1980 to 31.12.1989

17. Government / PSU employee : No

18. Job Priority Details

Job Priority Job Name

1 Junior Engineer (P-Way) (SER)

2 Junior Engineer (Works) (SER)

3 Junior Engineer Drawing/ Drawing & Design (Civil) (SER)

19. Educational Details

Name of
Degree Subject / Specialization School / Inst. Year of Passing
the Exam

10th -- -- WEST BENGAL BOARD OF SECONDARY EDUCATION 2006

Diploma -- Civil WEST BENGAL STATE COUNCIL OF TECHNICAL EDUCATION 2011

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