3/13/2018 Applicant Print

Railway Recruitment Board ­ Online Registration
APPLICATION FORM

Registration No. 2881201250

RRB Unit Secunderabad

Name NAGULA SRINIVAS

Date of Birth 28­12­1993 Gender MALE

Father's Name NAGULA RAJESHAM Mother's Name NAGULA SHOBHA
Matriculation/10 th/SSLC Roll number / ITI / NAC Certificate Number 0933108920
Year of Passing Matriculation/10th /SSLC / ITI / NAC 2009
Mobile Number 8686061330 E­mail ID nagulasrinivas6@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment Number 266863193073
Qualification 10th PASS ONLY
Community OBC (OTHER BACKWARD CLASS) ­ NON CREAMY LAYER
Nationality CITIZEN OF INDIA Religion HINDU
Are you a person with Disabilities(PWD)? No
Are you an Ex ­ Serviceman? No
Have you Course Completed Apprenticeship under Act 1961? No
Domiciled in Jammu and Kashmir during 1.1.1980 to 31.12.1989 No
Are you an employee in Central Government/ State Government / Public
No
Sector Unit?
Are you a Serving Group C / Group D Railway Employee / Casual labour
No
and Substitutes?
Are you an employee in Quasi­admiministrative offices of Railway
No
Organisation?
Do you belong to Economically Backward Class? No

PAYMENT DETAILS
Payment Mode Merchant Reference No Transaction ID Transaction Amount
ONLINEPAY 75683231514 CPE7311163 500.00

BANK DETAILS
A/C Holder name Account Number IFSC Code
SRINIVAS NAGULA 33684910358 SBIN0012903

JOB PRIORITY DETAILS
Category No Post Name(Rly/Prod.Unit) Order of Post Preference
14 TRACK MAINTAINER GRADE IV 1
26 ASSISTANT POINTSMAN 2
16 HELPER / MECHANICAL / CARRIAGE and WAGON 3
20 HELPER / S and T 4
18 HELPER / MECHANICAL / DIESEL MECHANICAL 5

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3/13/2018 Applicant Print
6 HELPER / ELECTRICAL / TRD 6
3 HELPER / ELECTRICAL / GENERAL SERVICES 7
11 HELPER / P WAY 8
8 HELPER / BRIDGE 9
7 HELPER / ELECTRICAL / TRS 10
17 HELPER / MECHANICAL / DIESEL ELECTRICAL 11
22 HELPER / SIGNAL 12
25 HOSPITAL ATTENDANT 13

DETAILS OF ESSENTIAL QUALIFICATION
Year of Date of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing Result
SSLC/Matriculation State Board Telangana Karimnagar 2009 ­­ 88.5(Percentage)

OTHER QUALIFICATION
 Details of other qualification if any Post Graduate
Subject Stream(for Under & Post Graduate) SCIENCE

OTHER DETAILS
Mother Tongue Telugu
Choice of Language for Exam other than English Telugu

ADDRESS FOR THE COMMUNICATION
Address Line 1 HNO 3­6 VILLAGE SANKEPALLY
Address Line 2 MANDAL VEMULAWADA
State Telangana District Karimnagar
Classification City
City / Town/ Village OTHER Pincode 505302
City / Town/ Village (Others) RAJANNA SIRCILLA

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