6/19/23, 8:14 PM Common Recruitment Process for RRBs (CRP-RRBs-XII) for Recruitment of Group "A" - Officers (Scale-I)

320127
Common Recruitment Process for RRBs (CRP-RRBs-XII) for Recruitment of Group "A" -
Officers (Scale-I)

Registration Number : 2250125226

Full Name : Shikha Janghela
Category : OBC (NCL)

Are you a person with benchmark disability : NO

of 40% and above ?

Type of Disability : -
Sub-Type of Disability for 'ID & Others’ : -

Sub-Type of Disability : -
Sub-Type of Multiple Disability : -

Are you as per PWBD guidelines eligible : -

to use compensatory time at the time of
examination ?

Are you suffering from cerebral palsy and : -

your writing speed is affected : ?

If Yes, Do you need compensatory time at : -

the time of examination?
Whether your dominant (Writing) hand is : -
affected ?
If Yes, Do you need compensatory time at : -
the time of examination?
Are you as per PWBD guidelines eligible : -
to use the services of a scribe and wish to
avail the same ?

Are you a person with specified disability : NO

covered under the definition of sec 2(s) of
the RPwD Act, 2016 and not covered
under sec 2(r) of the said act and having
difficulty in writing?
If Yes, Do you need compensatory time at : -
the time of examination?
Are you a person with specified disability : -
covered under the definition of sec 2(s) of
the RPwD Act, 2016 and having difficulty
in writing and not covered under sec 2(r) of
the said act and eligible to the use the
services of Scribe and wish to avail the
services of Scribe?
I certify that, I will upload (in current : -
application) the certificate from competent
https://ibpsonline.ibps.in/crprrb12my23/registration_print.php?q=MmEzNTFjYWY5N2UwNzdjZGRlYjFiMzg2NGRhOWM3MmF8MjI1MDEyNTIyNg==# 1/5
6/19/23, 8:14 PM Common Recruitment Process for RRBs (CRP-RRBs-XII) for Recruitment of Group "A" - Officers (Scale-I)
medical authority of a Government
healthcare institution as per Ministry of
Social Justice and Empowerment,
Department of Empowerment of Persons
with Disabilities (Divyangjan) OM No. F.
No. 29-6/2019-DD-III dated 10.08.2022.
Are you a child/ family member of those : NO
who died in 1984 riots ?
Religion to which you belong : Hindu

Do you belong to Religious Minority : NO

Community ?
Are you an Ex-Serviceman ? : NO

Period of service rendered in defence : -

services as an Ex-serviceman (in months)
Have you joined a Government job on the : -
civil side after availing of the benefits given
as an ex-serviceman ?
Nationality / Citizenship : Indian
Have you appeared for the CWE/CRP - : NO
RRB earlier ?
How many attempts ? : -

Select the CWE/CRP-RRB attempted : -

earlier
State/UT for which you want to apply for : Madhya Pradesh

Centre for Preliminary Examination : Bhopal

Centre for Main Examination : Bhopal
Kindly indicate Medium of Paper - how you : English and Hindi
would like the paper to be presented to
you ?
I intend to bring the following ID when : YES
appearing for the examination : (I confirm
my name on this ID and this application
exactly match)
ID Proof : Aadhar Card

ID Proof No. : XXXXXXXX3440

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 720.34
Tax : 129.66 (IGST)
Amount : 850.00

Payment Status : PAID

Reference ID : YHD41954011769
Transaction Date : 19-06-2023

Personal Details
Date of Birth : 21-10-1999

https://ibpsonline.ibps.in/crprrb12my23/registration_print.php?q=MmEzNTFjYWY5N2UwNzdjZGRlYjFiMzg2NGRhOWM3MmF8MjI1MDEyNTIyNg==# 2/5
6/19/23, 8:14 PM Common Recruitment Process for RRBs (CRP-RRBs-XII) for Recruitment of Group "A" - Officers (Scale-I)

Age completed as on 01.06.2023 : 23

Gender : FEMALE
Aadhaar Card Number : XXXXXXXX3440
PAN Card Number : XXXXXX664A
Do you have twin brother / sister ? : NO
Gender of the twin : -
Name of the twin : -

Marital Status : Unmarried

Father's Name : Santosh Kumar Janghela
Mother's Name : Surekha Janghela
Spouse's Name : -
Address for Correspondence
Address 1 : Jawahar Navodaya Vidyalaya
Badi
District : Raisen
State : MADHYA PRADESH
Pincode : 464665
Permanent address

Address 1 : Jawahar Navodaya Vidyalaya

Badi
District : Raisen

State : MADHYA PRADESH

Pincode : 464665
State for GST invoicing : Correspondence Address
(MADHYA PRADESH)

Contact Details

Mobile No : +91 8839172669

Alternative Number : -
(Mobile No/Landline No)
Email ID : shikhajanghela2525@gmail.com

Educational Qualification(as on 21.06.2023)

Exam Passed Degree/Subject/Stream Date of % of Marks Class/Grade

Passing

Graduation / Equivalent Others - Computer Science 04-06-2022 78.00 First Class

Engineering

Whether local language of the state : NO

selected was studied in standard VIII or
any level above standard VIII in
Government recognized Boards of

https://ibpsonline.ibps.in/crprrb12my23/registration_print.php?q=MmEzNTFjYWY5N2UwNzdjZGRlYjFiMzg2NGRhOWM3MmF8MjI1MDEyNTIyNg==# 3/5
6/19/23, 8:14 PM Common Recruitment Process for RRBs (CRP-RRBs-XII) for Recruitment of Group "A" - Officers (Scale-I)
Education/ School or having any
certificate to the effect for standard VIII
or any level above standard VIII ?

: -
Do you have computer knowledge? : YES

If yes, Details of Computer Knowledge : Microsoft Office overall

Work experience details (as on 21.06.2023) (Start from present Employer)

Name of the Designation Total Period of Service Nature of Reason of Years of

Employer From To Duties leaving Experience
(YY/MM/DD)

Presently : NO
working?

Persistent Systems Software Engineer 13/06/2022 17/02/2023 Software medical 0/8/5

developme reason
nt

Total Experience in months : 8

1 Madhya Pradesh Gramin Bank

Banks in order of Preferences 2 Madhyanchal Gramin Bank

Other Details :

For the safety and wellbeing of candidates, : NO

Pre-Exam Training may not be held. In case it
is possible to hold Pre-Exam Training, are you
desirous of taking Pre-Exam Training ?
(Applicable Only for SC/ST/ OBC/Minority
Community) ?:

If Yes ,Centre for Training : -

Whether any prosecution/ detention/ : NO
fine/conviction/ sentence against you has been
awarded by any court of law for any offence?

If yes, particulars of the same : -

Languages Known Read Write Speak

English YES YES YES

Hindi YES YES YES

Uploaded Document Details :

1. Left Thumb Impression

2. Hand Written Declaration

https://ibpsonline.ibps.in/crprrb12my23/registration_print.php?q=MmEzNTFjYWY5N2UwNzdjZGRlYjFiMzg2NGRhOWM3MmF8MjI1MDEyNTIyNg==# 4/5
6/19/23, 8:14 PM Common Recruitment Process for RRBs (CRP-RRBs-XII) for Recruitment of Group "A" - Officers (Scale-I)

Declaration:

I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the said post
and all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I
understand that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the
eligibility criteria stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to
cancellation of my candidature. I will follow all the Guidelines regarding Social Distancing Mode of Exam given in
advertisement and subsequently. Any violation may result in cancellation of my candidature.

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

I have understood that as per the advertisement, a candidate can apply for only one post in officer’s cadre i.e. for Officer
Scale-I or Scale-II or Scale-III.

Date: 11-06-2023

Left Thumb Impression

Hand Written Declaration

https://ibpsonline.ibps.in/crprrb12my23/registration_print.php?q=MmEzNTFjYWY5N2UwNzdjZGRlYjFiMzg2NGRhOWM3MmF8MjI1MDEyNTIyNg==# 5/5