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    RRB Final

    Uploaded by

    Shubham Pawar
    1. The document is a registration form for the Common Recruitment Process for RRBs (CRP RRBs XI) for recruitment of Group 'B' - Office Assistants (Multipurpose) completed by an applicant named Shubham Rajendra Pawar. 2. The applicant provides personal details like name, date of birth, address, contact information, educational qualifications, preferred banks, and uploads required documents. 3. By completing the form, the applicant declares that the information provided is true and correct, and agrees to the terms and conditions of the recruitment process.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    RRB Final

    Uploaded by

    Shubham Pawar
    36 views5 pages
    1. The document is a registration form for the Common Recruitment Process for RRBs (CRP RRBs XI) for recruitment of Group 'B' - Office Assistants (Multipurpose) completed by an applicant named Shubham Rajendra Pawar. 2. The applicant provides personal details like name, date of birth, address, contact information, educational qualifications, preferred banks, and uploads required documents. 3. By completing the form, the applicant declares that the information provided is true and correct, and agrees to the terms and conditions of the recruitment process.

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    1. The document is a registration form for the Common Recruitment Process for RRBs (CRP RRBs XI) for recruitment of Group 'B' - Office Assistants (Multipurpose) completed by an applicant named Shubham Rajendra Pawar. 2. The applicant provides personal details like name, date of birth, address, contact information, educational qualifications, preferred banks, and uploads required documents. 3. By completing the form, the applicant declares that the information provided is true and correct, and agrees to the terms and conditions of the recruitment process.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views5 pages

    RRB Final

    Uploaded by

    Shubham Pawar
    1. The document is a registration form for the Common Recruitment Process for RRBs (CRP RRBs XI) for recruitment of Group 'B' - Office Assistants (Multipurpose) completed by an applicant named Shubham Rajendra Pawar. 2. The applicant provides personal details like name, date of birth, address, contact information, educational qualifications, preferred banks, and uploads required documents. 3. By completing the form, the applicant declares that the information provided is true and correct, and agrees to the terms and conditions of the recruitment process.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    360122

    Common Recruitment Process for RRBs (CRP RRBs XI) for Recruitment of Group 'B' -
    Office Assistants (Multipurpose)

    Registration Number : 2110528030

    Full Name : Shubham Rajendra Pawar

    Category : ST

    Are you a person with : NO


    benchmark disability of 40%
    and above ?

    Type of Disability : -

    Sub-Type of Disability for 'ID & : -


    Others'

    Sub-Type of Disability : -

    Sub-Type of Multiple Disability : -

    Are you as per PWBD : -


    guidelines eligible to use
    compensatory time at the time
    of examination ?

    Are you suffering from cerebral : -


    palsy and your writing speed is
    affected?

    If Yes, Do you need : -


    compensatory time at the time
    of examination?

    Whether your dominant : -


    (Writing) hand is affected?

    If Yes, Do you need : -


    compensatory time at the time
    of examination?

    Are you as per PWBD : -


    guidelines eligible to use the
    services of a scribe and wish
    to avail the same ?

    Are you a child/ family member : NO


    of those who died in 1984 riots
    ?

    Religion to which you belong : Hindu

    Do you belong to Religious : NO


    Minority Community ?

    Are you an Ex-Serviceman : ? : NO

    Are you a Disabled Ex- : NO


    Serviceman (DISXS) ?

    Period of service rendered in : -


    defence services as an Ex-
    serviceman (in months)

    Have you joined a Government : -


    job on the civil side after
    availing of the benefits given
    as an ex-serviceman?

    Are you a Dependent of a : NO


    Servicemen killed in action
    (DXS) ?

    Are you a matriculate Ex- : -


    Serviceman who has obtained
    the Army Special Certificate of
    Education or corresponding
    certificate in the Navy or Air
    Force after having completed
    not less than 15 years of
    service in the Armed Forces of
    the Union ?

    Percentage of Marks : -

    Are you seeking relaxation : NO


    under widow / divorced women
    / women judicially Separated
    from their husbands and who
    are not re-married ?

    Have you appeared for the : YES


    CWE/CRP - RRB earlier ?

    How many attempts ? : 2

    Select the CWE/CRP-RRB : CRP-RRB-IX, CRP-RRB-X


    attempted earlier
    Nationality / Citizenship : Indian

    State/UT for which you want to : Maharashtra


    apply for

    Centre of Preliminary : Aurangabad


    Examination
    Centre of Main Examination : Aurangabad

    I intend to bring the following : YES


    ID when appearing for the
    examination: (I confirm my
    name on this ID and this
    application exactly match)

    ID Proof : Aadhar Card

    ID Proof No. : XXXXXXXX4997

    Kindly indicate Medium of : English and Marathi


    Paper - how you would like the
    paper to be presented to you ?

    Application Fee / Intimation charges


    Payment In : ONLINE

    Fees : 148.30

    Tax : 13.35 (CGST) + 13.35 (SGST)

    Amount : 175.00

    Payment Status : PAID

    Reference ID : 20220625111212800110168186661544023
    Transaction Date : 25-06-2022

    Personal Details

    Date of Birth : 13-05-1998

    Age completed as on : 24
    01.06.2022

    Gender : MALE

    Aadhaar Card Number : XXXXXXXX4997

    PAN Card Number : XXXXXX053Q

    Do you have twin brother / : NO


    sister ?
    Gender of the twin : -

    Name of the twin : -

    Marital Status : Unmarried

    Father's Name : Rajendra Shriram Pawar

    Mother's Name : Sangita Rajendra Pawar

    Spouse's Name : -

    Address for Correspondence

    Address 1 : Near zp school

    Address 2 : Karegaon

    Address 3 : Shrirampur

    District : Ahmadnagar

    State : MAHARASHTRA

    Pincode : 413717

    Permanent address

    Address 1 : Near zp school

    Address 2 : Karegaon

    Address 3 : Shrirampur

    District : Ahmadnagar

    State : MAHARASHTRA

    Pincode : 413717

    State for GST invoicing : Permanent Address (MAHARASHTRA)

    Contact Details

    Mobile No : +91 9665422507

    Alternative Number : +91 9766344553


    (Mobile No/Landline No)
    Email ID : shubham9665422507@gmail.com

       

    Educational Qualification (as on 27.06.2022)

    Exam Passed Degree/ Subject / Stream Date of % of Marks Class / Grade


    Passing

    Graduation / Equivalent Agriculture 30-06-2019 68.00 Second Class


    Do you have Computer Knowledge ? : YES

    If yes, Details of Computer Knowledge : MS CIT

    Whether local language of the state : YES


    selected was studied in standard VIII
    or any level above standard VIII in
    Government recognized Boards of
    Education/ School or having any
    certificate to the effect for standard
    VIII or any level above standard VIII ?
    : Marathi

    1 Maharashtra Gramin Bank


    Banks in order of Preference
    2 Vidharbha Konkan Gramin Bank

    Other Details :

    For the safety and wellbeing of candidates, : NO


    Pre-Exam Training may not be held. In case it
    is possible to hold Pre-Exam Training, are you
    desirous of taking Pre-Exam Training ?
    (Applicable Only for SC/ST/ Minority
    Community/Exsm/DISXS/DXS/PWBD) ?:
    If Yes ,Centre for Training : -

    Whether any prosecution/ detention / : NO


    fine/conviction/ sentence against you has
    been awarded by any court of law for any
    offence?
    If yes, particulars of the same: : -

      Languages Known Read Write Speak

     Marathi  YES  YES  YES

     Hindi  YES  YES  YES

     English  YES  YES  YES

    Uploaded Document Details :

    1. Left thumb impression

    2. Hand written declaration

     
    Declaration:

    I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the said
    post and all the statements made in the application are True, Complete and Correct to the best of my knowledge and
    belief. I understood that in the event of any information being found untrue or incorrect at any stage or I am not
    satisfying any of the eligibility criteria stipulated, and also in case of creating influence/ undue pressure regarding
    recruitment shall tantamount to cancellation of my candidature.
    I will follow all the Guidelines regarding Social Distancing Mode of Exam given in advertisement and subsequently.
    Any violation may result in cancellation of my candidature.

    I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

     
     
     
     
     
     
      
    Date:
    25-06-2022

    Left thumb impression

    Hand written declaration

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