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DOWNLOAD TIME:- 2019-03-31 21:13:27 (ORIGINAL)

GOVERNMENT OF INDIA
MINISTRY OF RAILWAYS
RAILWAY RECRUITMENT BOARDS
CEN NO. RRC-01/2019 (RECRUITMENT FOR VARIOUS POSTS IN LEVEL 1 OF 7TH CPC PAY MATRIX)

REGISTRATION NO : 1210133282 RAILWAY NAME : SOUTH EAST CENTRAL RAILWAY (BILASPUR)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : SOURABH SRIVASTAVA

FATHER'S NAME: SUNIL SRIVASTAVA

MOTHER'S NAME : RENU SRIVASTAV

DATE OF BIRTH : 01-07-1995

AGE AS ON 01-07-2019 : 24 YEARS, 0 MONTHS, 0 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO :

MINIMUM EDUCATIONAL 10TH


QUALIFICATION :

10TH BOARD : STATE BOARD

10TH REGISTRATION NO / ROLL NO : A09/272018/075

YEAR OF PASSING 10TH : 2011

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 9406169219 E-MAIL ID : LIVESOURABH@GMAIL.COM

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : BANRANG COLONY AMBEDKAR NAGAR , AMBIKAPUR ROAD , PATHALGAON

STATE NAME : CHHATTISGARH DISTRICT NAME : JASHPUR

CITY : JASHPUR PINCODE : 496118

DO YOU BELONG TO VILLAGE


CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 910169024 AMOUNT 500

SBI REFERENCE NO CPQ5665589 TIME 2019-03-31 20:43:48

4). DETAILS OF BANK ACCOUNT IN WHICH REFUND HAS TO BE MADE

WOULD YOU LIKE TO RECEIVE REFUND AMOUNT IN THE SAME BANK ACCOUNT? YES

5). DEATILS OF ESSENTIAL QUALIFICATION

10TH QUALIFICATION DETAILS

QUALIFICATION: 10TH BOARD: STATE BOARD

STATE IN WHICH STUDIED: CHHATTISGARH DISTRICT: JASHPUR

MARKS: PERCENTAGE PERCENTAGE: 64.17

DO YOU POSSESS ITI QUALIFICATION NO

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE:

QUALIFICATION:

7). POST PREFERENCE DETAILS

VACANCY
CAT.NO RAILWAY DESIGNATION DEPARTMENT UR SC ST OBC EWS TOTAL EXSM R- R- R- R- B- B- B- PRIORITY
VI HI LD MD VI HI LD
1 SOUTH EAST ASSISTANT MECHANICAL 41 13 7 7 8 76 15 3 2 1 0 0 0 0 1
CENTRAL RAILWAY (WORKSHOP)
(BILASPUR)

4 SOUTH EAST ASSISTANT DEPOT STORES 5 2 1 4 1 13 3 1 0 0 0 0 0 0 2


CENTRAL RAILWAY (STORES)
(BILASPUR)
8 SOUTH EAST ASSISTANT TRAFFIC 349 61 32 106 61 609 122 0 0 0 0 0 0 0 3
CENTRAL RAILWAY POINTSMAN
(BILASPUR)

9 SOUTH EAST ASSISTANT SIGNAL S AND T 16 1 1 4 3 25 5 0 0 1 0 0 0 0 4


CENTRAL RAILWAY AND TELECOM
(BILASPUR)

10 SOUTH EAST ASSISTANT TRACK ENGINEERING 62 23 11 43 15 154 31 0 3 3 0 0 0 0 5


CENTRAL RAILWAY MACHINE
(BILASPUR)

11 SOUTH EAST ASSISTANT TL AND ELECTRICAL 10 2 2 7 2 23 5 3 2 0 2 0 0 0 6


CENTRAL RAILWAY AC
(BILASPUR)

13 SOUTH EAST ASSISTANT TRD ELECTRICAL 21 9 4 8 5 47 9 0 1 1 1 0 0 0 7


CENTRAL RAILWAY
(BILASPUR)

14 SOUTH EAST ASSISTANT WORKS ENGINEERING 30 12 6 21 8 77 15 11 19 21 2 0 0 0 8


CENTRAL RAILWAY
(BILASPUR)

17 SOUTH EAST TRACK MAINTAINER ENGINEERING 205 79 39 143 52 518 104 0 0 0 0 0 0 0 9


CENTRAL RAILWAY GRADE IV
(BILASPUR)

3 SOUTH EAST ASSISTANT C AND MECHANICAL 48 15 11 18 10 102 20 0 2 2 2 0 0 0 10


CENTRAL RAILWAY W
(BILASPUR)

6 SOUTH EAST ASSISTANT LOCO ELECTRICAL 10 2 1 5 2 20 4 1 0 0 0 0 0 0 11


CENTRAL RAILWAY SHED (ELECTRICAL)
(BILASPUR)

8). COMMUNITY DETAILS

COMMUNITY UR

9). PWBD DETAILS

ARE YOU A PWBD CANDIDATE? NO

10). EX SERVICEMEN DETAILS

ARE YOU AN EX-SERVICEMEN ? NO

11). APPRENTICESHIP COURSE DETAILS

HAVE YOU COMPLETED APPRENTICESHIP COURSE UNDER APPRENTICESHIP ACT 1961 ? NO

12). EMPLOYEE IN STATE / CENTRAL GOVT / PUBLIC SECTOR UNIT ? NO

13). DO YOU BELONG TO ANY OF THE FOLLOWING AGE RELAXATION CATEGORIES ?

A) DOMICILED IN JAMMU AND KASHMIR DURING 1.1.1980 TO 31.12.1989 ? NO

B) SERVING RAILWAY EMPLOYEE NO

C) EMPLOYEE IN QUASI-ADMIMINISTARTIVE OFFICES(CANTEENS, COOPERTAIVE SOCEITIES/INSTITUTES) OF RAILWAY ORGANISATION NO

14). ARE YOU A CANDIDATE FROM ECONOMICALLY BACKWARD CLASS WHOSE FAMILY INCOME IS LESS THAN RS NO
50000 PA ?

15). MOTHER TONGUE HINDI

16). DETAILS OF VISIBLE IDENTIFICATION MARKS/MOLES/CUT MARKS ON THE BODY

IDENTIFICATION MOLE ON FOREHEAD


MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION MOLE ON EAR


MARKS/MOLES/CUT MARKS-
II

17). CHOICE OF EXAM LANGUAGE IN ADDITION TO ENGLISH(ENGLISH IS DEFAULT LANGUAGE) HINDI

18). YOU HAVE TO BRING ANY ONE OF THESE CURRENT VALID PHOTO-ID CARD IN ORIGINAL FOR APPEARING IN PAN CARD
THE CBT AND SUBSIQUENT STAGES

ID CARD NO FLPPS0944L

19). DECLARATION

I HEREBY DECLARE THAT I HAVE GONE TROUGH THE ELIGIBILITY CRITERIA FOR THE POST(S) APPLIED FOR AND MEET ALL THE REQUIREMENTS THERE IN,
THAT ALL THE DETAILS FURNISHED BY ME IN THE APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE & BELIEF AND NOTHING
HAS BEEN CONCEALED OR SUPPRESSED. I ALSO UNDERSTAND THAT IN CASE , ANY OF THE DETAILS FURNISHED IS FOUND UNTRUE DURING ANY STAGE
OF RECRUITMENT OR THEREAFTER RAILWAY ADMINISTRATION SHALL DISQUALIFY ME FOR THE POST(S) APPLIED FOR AND /OR I SHALL BE LIABLE FOR
ANY OTHER ACTION UNDER THE EXTANT RULES.

SIGNATURE

DOWNLOAD TIME:- 2019-03-31 21:13:27(ORIGINAL)