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Registration Number: Gorakhpur

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Railway Recruitment Board - Online Registration

CEN No.01/2019 for Non Technical Popular Categories(NTPC)


RRB GORAKHPUR
PRINTED APPLICATION FORM

Registration Number

1910075443
Name BHOLENATH NISHAD

Date of Birth 19-12-1997 Gender MALE


RADHESHYAM
Father's Name Mother's Name URMILA DEVI
NISHAD
Matriculation /10th /SSLC Roll number 2830468
Year of Passing Matriculation /10th /SSLC 2014
Mobile Number 7619870566 E-mail ID bholenathnishad71@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment
865209456488
Number
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community OBC (OTHER BACKWARD CLASS) - NON CREAMY LAYER

State District Caste


Uttar Pradesh Gorakhpur KEWAT

Nationality CITIZEN OF INDIA Religion HINDU


Are you a person with Benchmark Disabilities(PwBD)? No
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 canteens, co-operative No
societies and institutes?
Do you belong to Economically Backward Class? Yes
Would you like to avail fee concession? Yes

Certificate/Card Number Date Of issue


583171064463 25-11-2017

PAYMENT DETAILS

Payment Mode Merchant Reference No Transaction ID Transaction Amount


ONLINEPAY 19100754437 CPO5382168 250.00

BANK DETAILS

Do you wish to receive the refund to the same account through which you made the payment? Yes
Bank name A/C Holder name Account Number IFSC Code
-- -- -- --

JOB PRIORITY DETAILS


Category No Post Name(Rly/Prod.Unit) Order of Post Preference
9 COMMERCIAL CUM TICKET CLERK (NER) 1
13 TRAINS CLERK (NER) 2
11 JUNIOR CLERK CUM TYPIST (RDSO) 3
11 JUNIOR CLERK CUM TYPIST (NER) 4
10 ACCOUNTS CLERK CUM TYPIST (RDSO) 5
10 ACCOUNTS CLERK CUM TYPIST (NER) 6

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation State Board Uttar Pradesh Gorakhpur 2014 76.66(Percentage)
12TH(+2 STAGE) OR
State Board Uttar Pradesh Gorakhpur 2016 66.6(Percentage)
ITS EQUIVALENT

OTHER DETAILS
Mother Tongue Hindi
Choice of Language for Exam Hindi

ADDRESS FOR THE COMMUNICATION


Address Line 1 VILL. BADHANI PARSAUNA
Address Line 2 POST SARAHARI
State Uttar Pradesh District Gorakhpur
Classification Village
City / Town/ Village Gorakhpur Pincode 273165
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