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Registration Slip

Registration Slip :: Page No. 2

DELHI METRO RAIL CORPORATION LTD.

(A JO INT VENTUR E O F GO VER NMENT O F INDIA AND GO VT O F DELHI)

Customer Relations Assistant (CRA)

(Please take the Printout in A-4 size Paper only)
ADVT NO. : DMRC / OM / HR / I / 2014

R e gistration Slip for Post

Registration No : 2088709

Date: 12 Apr 2014

Date of Birth: 04/10/1987

Email ID: jitendrarajchawla@gmail.com

Gender: MALE

Ex-Serviceman: NO

Qualifying Exam/Disc. :

Graduation Course - BA

Name :

JITENDRA RAJ CHAWLA

Father's/ Husband Name :

HEMRAJ CHAWLA

Address :

NEAR THE GOVERNMENT HOSPITAL ,

NEW KARSHI MANDI ROAD ,KUCHAMAN CITY ,
RAJASTHAN - (341508 )

Bank Ref. No.:

1401021517184

Journal No. :

18859978 , Dated/ Amount: 11/04/2014 / 150

2088709

Category: SC

Please write the following declaration in your Own hand writing in running hand and not in Capital Letters in the space
provided below:
Declaration: I hereby declare that all the statements made by me in the application are true and complete to the best of my
knowledge and belief and nothing has been concealed or suppressed. I also understand that in case, any of my statement
is found untrue during any stage of recruitment or thereafter shall disqualify me for the post applied for and/or I shall be
liable for any other action under the extant rules.

Copy the above declaration in your own hand writing here :

______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Candidate's Signature :

Date:
Place:

CARE TO BE TAKEN WHILE SUBMITTING HARD COPY OF THE FORM TO DMRC:

1. Candidates are advised to take 2 (two) print outs of the Registration slip (two pages). One copy to be retained by the
candidate for future reference and one copy of registration slip (two pages) should be sent to DMRC.
2. Please Paste his/her recent passport size colored photograph (3.5 cm X 3.5 cm) at appropriate place.
3. Put your signature at the allocated place and put your left thumb impression on the relevant place allocated in the page no. 1 and
page no. 2 of Registration slip. The thumb impression must be clear and complete. Ridges of the thumb impression must be clearly
visible.
4. Please fill in the declaration given on the registration slip in your own handwriting. Handwriting should be in free flow and not in
capital letters.
5. C andidates must ensure that the photograph must be in colour, not more than 3 months old from the date of the publication of this
notification and it should be of good quality with fine print. Applications with mutilated or deformed photographs will summarily be
rejected by DMRC . The other copy of the registration slip should be kept with the candidate for future reference.
6. Documents to be sent with the duly filled registration slip (two pages). a)Original copy of the payment challan meant for
DMRC . b)C andidates belonging to SC /ST categories must attach an attested copy of their SC /ST certificates with the registration slip.
OBC candidates (central list) are also required to attach the attested copy of their certificate. Please arrange all documents as
per sequence given in page no. 1.
7. The candidate has to ensure that they meet all eligibility conditions desired for the post as notified in the Advertisement failing which
his/her candidature will be summarily rejected at any stage of verification & Scrutiny of Application during the selection process.
8. Please send one copy of Registration Slip (two pages) duly completed as explained above so as to reach the address given here
under latest by 22.04.2014, positively via Ordinary Post.
DMRC LIMITED, POST BAG No. 9, LODHI ROAD POST OFFICE NEW DELHI- 110003
In case of non receipt of hard copy of application along with requisite documents, Your candidature will be summurily rejected.
9. The envelope should be properly sealed and super scribed with
UR/OBC /SC /ST/Ex-Servicemen (as the case may be).

a) Name of the post & post code. and b) C ategory

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Registration Slip

Registration Slip :: Page No. 1

2088709
Registration No :

2088709

Applied Post :

Customer Relations Assistant (CRA) - 02

Date of Birth :

04/10/1987

Name :

JITENDRA RAJ CHAWLA

Father's/Husband Name :

HEMRAJ CHAWLA

**********************************************************************************

Signature

Left Thumb Impression

Photo
Note: This Page is for official use only. You should paste your recent passport size photograph as in
registration slip, your thumb impression and sign in the above box. You have to send this duly completed
page alongwith the registration slip page no. 2.
Arrange your all documents in following sequence:
1.
2.
3.
4.

Page No. 1
Page No. 2
DMRC C hallan C opy
C ertificate(s)

Important:
1. One envelop should carry only one application.
2. Please take extra care while filling the registration slip in terms of Photo/Signature/ Thumb Impression/
Declaration (where a tick
mark is mentioned) and ensure it before sending this Registration slip to us.

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