2/18/24, 11:23 PM recruitmentrrb.in/#/pscexamservice/candidate-View-Application?

id=bbb3aa91-7551-43e9-9b32-2703dd88d96e

RAILWAY RECRUITMENT BOARD

MINISTRY OF RAILWAYS, GOVT. OF INDIA

CENTRALISED EMPLOYMENT NOTICE (CEN) No.01/2024 - ASSISTANT LOCO PILOT,ASSISTANT LOCO PILOT
RRB BILASPUR Registration No : 301240080521
Zone Preference Details
Preference (SECR),(CR)

Personal Details

Full Name of Pankaj Kumar

Applicant
Father’s RAM NATH
Name
Mother's SITA DEVI
Name
Date Of Birth 25-08-1991 Gender Male
Is Aadhaar
Verified Yes

Matriculation 5250197 Date of 29/05/2007

/10th /SSLC Passing
Roll number Matriculation
/10th /SSLC
Nationality India Religion Hindu
Mobile 9889607340 Email pankajkumar199109@gmail.com
Number Address
Permanent BLACK MOLE ON LEFT FOREARM
rrblogo1 Permanent BLACK MOLE ON LEFT PALM
visible mark visible Mark
of of
identification identification
1 2
Marital Married
Status
Is No
Application
Modified

Present Address

Address Vill Bibiya Karanpur, Post Shitlaganj, Dist Pratapgarh Up Pin 230142
State/UT UTTAR PRADESH District Pratapgarh
Village/City/Town Pratapgarh Pincode 230142

Permanent Address Details

Address Vill Bibiya Karanpur, Post Shitlaganj, Dist Pratapgarh Up Pin 230142
State/UT UTTAR PRADESH District Pratapgarh
Village/City/Town Pratapgarh Pincode 230142

Essential Qualification Details

State in which Date of

Qualification Board
studied Passing
10th CBSE UTTAR PRADESH 29/05/2007
DR BHIMRAO AMBEDKAR ENGINEERING COLLEGE OF INFORMATION
Bachelor of Engineering (B.E.) UTTAR PRADESH 28/06/2014
TECHNOLOGY

Community Details

Community SC (Scheduled Caste)

Certificate No 434194009989
Issuing Authority Certificates issued by Gazetteed Officers of the Central or of a State Government
Countersigned by t
Issuing State UTTAR PRADESH
Date of issue 10/09/2019
Do you wish to avail free rail travel pass for the exam ? Yes

Please indicate Nearest Railway Station Anand Vihar Terminal

Payment Details

Payment ONLINE Merchant 28107276407 Payment 18/02/2024 Transaction TRX2001241802202402158840 Transaction 250
Mode PAY Reference Date ID Amount
No

https://www.recruitmentrrb.in/#/pscexamservice/candidate-View-Application?id=bbb3aa91-7551-43e9-9b32-2703dd88d96e 1/2
2/18/24, 11:23 PM recruitmentrrb.in/#/pscexamservice/candidate-View-Application?id=bbb3aa91-7551-43e9-9b32-2703dd88d96e

RRB BILASPUR Registration No : 301240080521

CENTRALISED EMPLOYMENT NOTICE (CEN) No.01/2024 - ASSISTANT LOCO PILOT,ASSISTANT LOCO PILOT
Bank Details For Refund of Fee

Bank name STATE BANK OF INDIA A/C Holder Name Pankaj Kumar Account Number 20323643720 IFSC Code SBIN0014577

PwBD Details

Are you a PwBD Candidate? No

Economically Backward Class(EBC)

Are you an EBC certificate holder ? No

Ex Servicemen Details

Are you an Ex-Serviceman? No

Serving Railway Employee Details rrblogo1

Serving Railway employee No

Current Employment Details

Name of the current department/ organization Not Applicable

Do you belong to any of the following age relaxation categories ?

Are you an Ex-Serviceman? No

Are you a PwBD Candidate? No
Serving Railway employee No

Choice of Language for Examination

Choice of Language for Examination in addition to english(English is default language) English

Exam trade for part B of CBT-2

Select Exam trade for part B of CBT-2
Electrician

Declaration
I hereby declare that I have gone through the eligibility criteria for the post(s) applied for and that I meet the requisite eligibility conditions.I understand that in case any
information submitted by me is incorrect or concealed, I shall be liable for immediate disqualification or any other action as per extant rules. I also declare that I have never been
dismissed from any Government service (excluding the Defence services under the Union of India).

Place : PRATAPGARH
Date : 05/02/2024

https://www.recruitmentrrb.in/#/pscexamservice/candidate-View-Application?id=bbb3aa91-7551-43e9-9b32-2703dd88d96e 2/2