RAILWAY RECRUITMENT CELL, WEST CENTRAL RAILWAY, JABALPUR

APPLICATION FOR Apprentices Act - 1961, Year 2022-2023

Notification No. 03/2022 Act Apprentice

Registration No: 20000488

Division/Unit : BPL Division

Name of Trade : Electronics Mechanic

1 Name of the Candidate DIWAKAR WARKADE

2 Father's Name sanjay warkade
3 Mother's Name taravati warkade
4 Date of Birth (DD-MM-YYYY) 14-07-2004
5 Community ST
6 Gender Male
7 PwBD(PH) and Disabilities Present No , %
8 Ex-Serviceman No
9 Marital Status Unmarried
10 Nationality Indian
11 Religion Hindu
12 Visible Identification Marks on body-1 mole on neek
13 Visible Identification Marks on body-2 mole on right leg
14 Active Mobile Number 9301825479
15 Aadhar Number 355546560093
16 Email Address divakarvarakde@gmail.com
gram chikhlar betul,betul post office ho,betul,kothi bazaar betul
17 Address For Correspondence With Pincode
District Betul, State : Madhya Pradesh, Pin : 460001
Academic Marks
Board/ University Year of Passing Total Marks Marks %
Qualification Obtained
Matriculation madhya pradesh board 2020 321 400 80.25
Trade Year of Marks
Board/ University/ Institute Council Total Marks Marks %
Qualification Passing Obtained
ITI govt. industrial training institute, betul NCVT 2022 1079 1300 83
Declaration : I hereby declare that all the particulars given above by me are true to complete and correct to best of my
knowledge and belief. I am aware that in the event of any information furnished by me found false/incorrect at any stage, my
candidature will be rejected summarily and I am also liable for criminal action. I will abide by instructions given in the
notification.

Date: 20-11-2022 14:17:08

Signature of the Candidate

Uploaded Documents Status
1. Education Certificate(Matric) 2. ITI Certificate 3. Caste Certificate (ST)