3/18/2019 Applicant Print

Railway Recruitment Board - Online Registration

Online Registration CEN 02/2019 for Paramedical Categories
RRB MUMBAI
PRINTED APPLICATION FORM

Registration
Number

2420033047
Name BHABAL DIPALEE SHRIKANT
Date of
08-12-1989 Gender FEMALE
Birth
Father's SHRIKANT
Mother's Name SHWETA SHRIKANT BHABAL
Name BALKRISHNA BHABAL
Matriculation /10th /SSLC Roll
A156219
number
Year of Passing Matriculation /10th
2005
/SSLC
Mobile
9664341764 E-mail ID deepalibhabal123@gmail.com
Number
Aadhaar
Card I have Aadhaar Card
Status
Aadhaar
Number /
Aadhaar 910868740934
Enrollment
Number
Community OBC (OTHER BACKWARD CLASS) - NON CREAMY LAYER
Nationality CITIZEN OF INDIA Religion HINDU
S.No. Applied Qualification
1 B.Sc with Micro Biology plus Diploma in Medical Lab technology (DMLT) or equivalent

Are you a Widow not re-married /Divorcee not re-married / Judicially Separated not re-
No
married?
Are you a person with Benchmark
No
Disabilities(PwBD)?
Are you an Ex - Serviceman? No
Were you domiciled in Jammu and
Kashmir during 1.1.1980 to No
31.12.1989?
Are you an employee in Central
Government/ State Government / No
Public Sector Unit?
Are you a Serving Group C or
erstwhile Group D Railway
No
Employee or Casual labour or
Substitutes?
Are you an employee in Quasi-
admiministrative offices of Railway
Organisation such as Railway No
canteens, co-operative societies
and institutes?

PAYMENT DETAILS
Payment Mode Merchant Reference No Transaction ID Transaction Amount

https://print.rrbregonline.com/mumbai/UI_Printapp.aspx?igr=JFVIE5cL2ZiVzXBRqtoKZ17mh6Uum4e7R3RbTjoO00w= 1/2
3/18/2019 Applicant Print
ONLINEPAY 724600008382420033047 2019031811121280011016893 250.00

BANK DETAILS
Do you wish to receive the refund to the same account through which you made the payment? Yes

JOB PRIORITY DETAILS

S.No. Post Name(Rly/Prod.Unit) Order of Post Preference
1 LAB SUPERINTENDENT GRADE III (CR) 1

DETAILS OF ESSENTIAL QUALIFICATION

Name of the Exam State Year of Passing
SSLC/Matriculation -- 2005
12TH(10 +2) OR ITS EQUIVALENT Maharashtra 2007

OTHER DETAILS
Mother Tongue Marathi
Choice of Language for Exam English

ADDRESS FOR THE COMMUNICATION

Address
2ND SHRIKANT PALEKAR MARG,KAWARJI BLDG.NO. 20
Line 1
Address
ROOM NO. 2,MARINE LINES EAST
Line 2
State Maharashtra District Mumbai Suburban
Classification City
City /
Town/ OTHER Pincode 400002
Village
City /
Town/
MUMBAI
Village
(Others)

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