10/24/23, 9:24 PM Railway Recruitment Cell - 279004

Application Form for Engagement of Apprentices under the Apprentices Act 1961 over Eastern Railway for 2023-24

Registration No. 279004

Name MAMIDI VAMSI
Father's Name MAMIDI GOPALARAO
Mother's Name MAMIDI MOHINAMMA
Reservation Category OBC
Do you belong to OBC (Non Creamy Layer) Yes
Trade Electrician
Are you Differently Abled? No
Date of Birth 20/08/2003
Gender Male
Are you an Ex-Servicemen No
a. Are you a ward of any of the following None
Aadhar Card No. 975488166735
Religion HINDU
Email ID naveenmaamidi@gmail.com
Mobile No. 9908051043
Address
Present Address Communication 1-78/A,RATTI,RATTI,SRIKAKULAM,,HARIPURAM,ANDHRA PRADESH,532243.
Permanent Address Communication 1-78/A,RATTI,RATTI,SRIKAKULAM,,HARIPURAM,ANDHRA PRADESH,532243.
Nearest Railway Station PALASA
Unit Preference 4
Unit Preference 1 Howrah Unit Preference 2 Asansol Unit Preference 3 Kanchrapara Workshop
Malda
Unit Preference 5 Jamalpur Workshop Unit Preference 6 Liluah Workshop
Educational Details

https://rrcrecruit.co.in/eraprt2324live01rrc/rrb_ack_print_pay.aspx 1/2
10/24/23, 9:24 PM Railway Recruitment Cell - 279004

Name of the Year of

Roll No. Board / University Marks Obtained Max. Marks Percentage
Exam Passing
Andhra Pradesh Board of Secondary
10th 1805142874
Education
439 600 73.17 2018

Name of the Year of

Certificate No. Name of ITI Institute Marks Obtained Max. Marks Percentage
Exam Passing
ITI 222840000006837 BHAIRAVI PRIVATE ITI 1146 1300 88.15 2022
Certificates / Documents Uploaded
Uploaded Documents 10th Marksheet,10th Certificate,ITI Marksheet,ITI Certificate,Age Certificate,Community Certificate
Fee Payment Details
a. Transaction b. Date of Transaction 24-10- c. Amount ₹100.00 (Convenience Charges & Service Tax as
Number 20231024010870000923686689766017917 2023 applicable)

Declaration

1. I hereby declare that I have carefully read all the eligibility conditions mentioned in the advertisement and the above mentioned information in this application form. I accept
and complete those requirements.

Signature of the candidate Left hand thumb impression Date

24/10/2023

https://rrcrecruit.co.in/eraprt2324live01rrc/rrb_ack_print_pay.aspx 2/2