DOWNLOAD TIME:- 2019-04-13 08:38:50 (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 : 1260882758 RAILWAY NAME : WESTERN RAILWAY (MUMBAI)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : DEEP YADAV

FATHER'S NAME: VED PRAKASH YADAV

MOTHER'S NAME : SUMAN YADAV

DATE OF BIRTH : 24-02-1998

AGE AS ON 01-07-2019 : 21 YEARS, 4 MONTHS, 7 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO : 653496616239

MINIMUM EDUCATIONAL 10TH

QUALIFICATION :

10TH BOARD : STATE BOARD

10TH REGISTRATION NO / ROLL NO : 14030252

YEAR OF PASSING 10TH : 2014

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 9368289722 E-MAIL ID : YDEEP738@GMA

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : VILLAGE DOONGERPUR , POST MANPUR DISTRICT MORADABAD , UTTAR PRADESH 244001

STATE NAME : UTTAR PRADESH DISTRICT NAME : MORADABAD

CITY : MORADABAD PINCODE : 244001

DO YOU BELONG TO VILLAGE

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 961205704 AMOUNT 250

SBI REFERENCE NO CPR5052404 TIME 2019-04-13 06:32:44

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

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

5). DEATILS OF ESSENTIAL QUALIFICATION

10TH QUALIFICATION DETAILS

QUALIFICATION: MATRICULATION BOARD: STATE BOARD

STATE IN WHICH STUDIED: UTTAR PRADESH DISTRICT: GHAZIPUR

MARKS: PERCENTAGE PERCENTAGE: 77

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-
VI HI LD MD VI HI
16 WESTERN HOSPITAL ASSISTANT MEDICAL 87 29 19 58 22 215 43 13 5 6 7 0 0
RAILWAY

9 WESTERN ASSISTANT SIGNAL S AND T 227 100 42 155 58 582 116 39 13 13 21 0 0

RAILWAY AND TELECOM

4 WESTERN ASSISTANT DEPOT STORES 70 24 13 50 18 175 35 4 2 1 5 0 0

 RAILWAY (STORES)

12 WESTERN ASSISTANT TL AND AC ELECTRICAL 19 6 3 11 4 43 9 1 0 2 2 0 0

RAILWAY (WORKSHOP)

8 WESTERN ASSISTANT TRAFFIC 666 265 131 473 171 1706 341 0 0 0 0 0 0
RAILWAY POINTSMAN

1 WESTERN ASSISTANT MECHANICAL 281 114 51 204 72 722 144 13 9 9 14 0 0

RAILWAY (WORKSHOP)

2 WESTERN ASSISTANT BRIDGE ENGINEERING 29 11 5 22 7 74 15 0 0 0 0 0 0

RAILWAY

3 WESTERN ASSISTANT C AND W MECHANICAL 285 108 54 190 71 708 142 0 31 31 51 0 0

RAILWAY

5 WESTERN ASSISTANT LOCO SHED MECHANICAL 79 27 14 51 19 190 38 18 4 4 7 0 0

RAILWAY (DIESEL)

6 WESTERN ASSISTANT LOCO SHED ELECTRICAL 26 10 5 17 6 64 13 4 2 2 3 0 0

RAILWAY (ELECTRICAL)

7 WESTERN ASSISTANT ELECTRICAL 15 5 3 10 4 37 7 5 1 0 2 0 0

RAILWAY OPERATIONS
(ELECTRICAL)

10 WESTERN ASSISTANT TRACK ENGINEERING 53 10 0 2 7 72 14 0 2 1 2 0 0

RAILWAY MACHINE

11 WESTERN ASSISTANT TL AND AC ELECTRICAL 151 44 20 75 32 322 64 25 8 9 13 0 0

RAILWAY

15 WESTERN ASSISTANT WORKS ENGINEERING 25 9 5 16 6 61 12 1 1 1 2 0 0

RAILWAY (WORKSHOP)

13 WESTERN ASSISTANT TRD ELECTRICAL 112 39 23 74 28 276 55 0 12 11 17 0 0

RAILWAY

14 WESTERN ASSISTANT WORKS ENGINEERING 198 75 38 137 50 498 100 48 17 17 25 0 0

RAILWAY

17 WESTERN TRACK MAINTAINER ENGINEERING 1964 771 386 1369 499 4989 998 0 0 0 0 0 0
RAILWAY GRADE IV

8). COMMUNITY DETAILS

COMMUNITY OBC-NON CREAMY LAYER

STATE UTTAR PRADESH DISTRICT MORADABAD

CASTE YADAV

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 ?

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 ?

B) SERVING RAILWAY EMPLOYEE

C) EMPLOYEE IN QUASI-ADMIMINISTARTIVE OFFICES(CANTEENS, COOPERTAIVE SOCEITIES/INSTITUTES) OF RAILWAY ORGANISATION

14). ARE YOU A CANDIDATE FROM ECONOMICALLY BACKWARD CLASS WHOSE FAMILY INCOME IS LESS THAN RS YES
50000 PA ?

NOTE : FURNISH THE DETAILS AS PER THE EBC CERTIFICATE AND THE CERTIFICATE IN ORIGINAL HAS TO BE FURNISHED DURING DV IF SHORTLIST

CERTIFICATE/CARD NO 042161036008 CERTIFICATE DATE 28-09-2016

INCOME AS PER EBC CERTIFICATE 36000 STATE AS PER THE EBC UTTAR PRADESH
CERTIFICATE

15). MOTHER TONGUE HINDI

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

IDENTIFICATION NO
MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION NO
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 AADHAAR CARD
THE CBT AND SUBSIQUENT STAGES

ID CARD NO 653496616239

19). DECLARATION

I HEREBY DECLARE THAT I HAVE GONE TROUGH THE ELIGIBILITY CRITERIA FOR THE POST(S) APPLIED FOR AND MEET ALL THE REQUIREMENTS TH
THAT ALL THE DETAILS FURNISHED BY ME IN THE APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE & BELIEF AND NOTHI
HAS BEEN CONCEALED OR SUPPRESSED. I ALSO UNDERSTAND THAT IN CASE , ANY OF THE DETAILS FURNISHED IS FOUND UNTRUE DURING ANY S
OF RECRUITMENT OR THEREAFTER RAILWAY ADMINISTRATION SHALL DISQUALIFY ME FOR THE POST(S) APPLIED FOR AND /OR I SHALL BE LIABLE
ANY OTHER ACTION UNDER THE EXTANT RULES.

SIGNATURE

DOWNLOAD TIME:- 2019-04-13 08:38:50(ORIGINAL)