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DOWNLOAD TIME:- 2019-04-22 01:41:48 (ORIGINAL)

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
RAILWAY RECRUITMENT BOARDS
CEN NO. RRC-01/2019 (RECRUITMENT FOR VARIOUS POSTS IN LEVEL 1 OF 7TH CPC PAY MATRIX)

REGISTRATION NO : 1200836842 RAILWAY NAME : SOUTH CENTRAL RAILWAY (SECUNDERABAD)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : PRADEEP KUMAR

FATHER'S NAME: KESHAV RAM

MOTHER'S NAME : BANSHA DEVI

DATE OF BIRTH : 03-08-1995

AGE AS ON 01-07-2019 : 23 YEARS, 10 MONTHS, 28 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO : 700172372307

MINIMUM EDUCATIONAL ITI/NAC

QUALIFICATION :

ITI REGISTRATION NO / ROLL NO : 35036314289324

YEAR OF PASSING ITI : 2015

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 9648044868 E-MAIL ID : PRADEEPITI868@GMAIL.COM

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : VILL SAMANTHA , POST SAMERSINGHPUR , THANA BHITI

STATE NAME : UTTAR PRADESH DISTRICT NAME : AMBEDKAR NAGAR

CITY : AKBARPUR PINCODE : 224152

DO YOU BELONG TO VILLAGE

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 901288990 AMOUNT 250

SBI REFERENCE NO CPR6910503 TIME 2019-04-22 01:16:12

4). DETAILS OF BANK ACCOUNT IN WHICH REFUND HAS TO BE MADE

WOULD YOU LIKE TO RECEIVE REFUND AMOUNT IN THE SAME BANK ACCOUNT? YES

5). DEATILS OF ESSENTIAL QUALIFICATION

ITI QUALIFICATION DETAILS

QUALIFICATION: ITI DISCIPLINE: FITTER

NAME OF INSTITUTE: RAMSUMAIR PRIVATE ITI FAIZABAD DATE OF PASSING: 01-07-2015

STATE IN WHICH STUDIED: UTTAR PRADESH DISTRICT: FAIZABAD

MARKS: PERCENTAGE PERCENTAGE: 76.66

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: OTHERS

QUALIFICATION: ARTS

7). POST PREFERENCE DETAILS

VACANCY
CAT.NO RAILWAY DESIGNATION DEPARTMENT UR SC ST OBC EWS TOTAL EXSM R- R- R- R- B- B- B- PRIORITY
VI HI LD MD VI HI LD
16 SOUTH HOSPITAL ASSISTANT MEDICAL 14 6 3 10 4 37 7 6 2 3 0 0 0 0 1
CENTRAL
RAILWAY

1 SOUTH ASSISTANT MECHANICAL 246 96 49 171 62 624 125 6 13 12 4 0 0 0 2

CENTRAL (WORKSHOP)
RAILWAY

3 SOUTH ASSISTANT C AND W MECHANICAL 122 48 25 79 31 305 61 0 6 6 0 0 0 0 3

 CENTRAL
RAILWAY

5 SOUTH ASSISTANT LOCO MECHANICAL 88 36 18 64 23 229 46 3 2 3 1 0 0 0 4

CENTRAL SHED (DIESEL)
RAILWAY

6 SOUTH ASSISTANT LOCO ELECTRICAL 40 15 7 29 10 101 20 2 2 1 1 0 0 0 5

CENTRAL SHED (ELECTRICAL)
RAILWAY

9 SOUTH ASSISTANT SIGNAL S AND T 129 53 25 93 33 333 67 4 5 3 1 0 0 0 6

CENTRAL AND TELECOM
RAILWAY

8 SOUTH ASSISTANT TRAFFIC 778 295 148 533 195 1949 390 0 0 0 0 0 0 0 7
CENTRAL POINTSMAN
RAILWAY

2 SOUTH ASSISTANT BRIDGE ENGINEERING 65 25 13 44 16 163 33 0 0 0 0 0 0 0 8

CENTRAL
RAILWAY

4 SOUTH ASSISTANT DEPOT STORES 34 13 13 34 11 105 21 1 2 2 0 0 0 0 9

CENTRAL (STORES)
RAILWAY

11 SOUTH ASSISTANT TL AND AC ELECTRICAL 68 28 13 49 18 176 35 6 1 1 0 0 0 0 10

CENTRAL
RAILWAY

12 SOUTH ASSISTANT TL AND AC ELECTRICAL 33 13 7 23 9 85 17 1 1 2 1 0 0 0 11

CENTRAL (WORKSHOP)
RAILWAY

13 SOUTH ASSISTANT TRD ELECTRICAL 161 62 30 111 41 405 81 0 5 8 4 0 0 0 12

CENTRAL
RAILWAY

14 SOUTH ASSISTANT WORKS ENGINEERING 25 10 5 17 6 63 13 2 1 1 0 0 0 0 13

CENTRAL
RAILWAY

17 SOUTH TRACK MAINTAINER ENGINEERING 1860 732 366 1320 475 4753 951 0 0 0 0 0 0 0 14
CENTRAL GRADE IV
RAILWAY

8). COMMUNITY DETAILS

COMMUNITY OBC-NON CREAMY LAYER

STATE UTTAR PRADESH DISTRICT AMBEDKAR NAGAR

CASTE AHIR

9). PWBD DETAILS

ARE YOU A PWBD CANDIDATE? NO

10). EX SERVICEMEN DETAILS

ARE YOU AN EX-SERVICEMEN ? NO

11). APPRENTICESHIP COURSE DETAILS

HAVE YOU COMPLETED APPRENTICESHIP COURSE UNDER APPRENTICESHIP ACT 1961 ? NO

12). EMPLOYEE IN STATE / CENTRAL GOVT / PUBLIC SECTOR UNIT ? NO

13). 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 RAILWAY ORGANISATION NO

14). ARE YOU A CANDIDATE FROM ECONOMICALLY BACKWARD CLASS WHOSE FAMILY INCOME IS LESS THAN RS YES
50000 PA ?

NOTE : FURNISH THE DETAILS AS PER THE EBC CERTIFICATE AND THE CERTIFICATE IN ORIGINAL HAS TO BE FURNISHED DURING DV IF SHORTLISTED.

CERTIFICATE/CARD NO 482171002630 CERTIFICATE DATE 29-05-2017

INCOME AS PER EBC CERTIFICATE 48000 STATE AS PER THE EBC CERTIFICATE UTTAR PRADESH

15). MOTHER TONGUE HINDI

16). DETAILS OF VISIBLE IDENTIFICATION MARKS/MOLES/CUT MARKS ON THE BODY

IDENTIFICATION NO MARK
MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION NO MARK
MARKS/MOLES/CUT MARKS-
II

17). CHOICE OF EXAM LANGUAGE IN ADDITION TO ENGLISH(ENGLISH IS DEFAULT LANGUAGE) HINDI

18). YOU HAVE TO BRING ANY ONE OF THESE CURRENT VALID PHOTO-ID CARD IN ORIGINAL FOR APPEARING IN AADHAAR CARD
THE CBT AND SUBSIQUENT STAGES

ID CARD NO 700172372307

19). 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.

SIGNATURE

DOWNLOAD TIME:- 2019-04-22 01:41:48(ORIGINAL)