Railway Recruitment Board - Online Registration

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

RRB MALDA
PRINTED APPLICATION FORM

Registration Number

2310027573
Name SAKSHI KUMARI

Date of Birth 11-12-1998 Gender FEMALE

RAM PRASAD
Father's Name Mother's Name AKASHI DEVI
MANDAL
Matriculation /10th /SSLC Roll number 5771006
Year of Passing Matriculation /10th /SSLC 2014
Mobile Number 8210922829 E-mail ID charming.sakshi810@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment
912714816799
Number
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community OBC (OTHER BACKWARD CLASS) - NON CREAMY LAYER

State District Caste

Jharkhand Jamtara SUDI

Are you a Widow not re-married /Divorcee not re-married / Judicially Separated not re-married? No
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?

PAYMENT DETAILS

Payment Mode Merchant Reference No Transaction ID Transaction Amount

ONLINEPAY 23100275737 IGAFQCMET6 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 (ER) 2
9 COMMERCIAL CUM TICKET CLERK (SER) 1
11 JUNIOR CLERK CUM TYPIST (ER) 4
11 JUNIOR CLERK CUM TYPIST (SER) 3
13 TRAINS CLERK (ER) 6
13 TRAINS CLERK (SER) 5

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation ICSE Jharkhand Jamtara 2014 71.2(Percentage)
12TH(+2 STAGE) OR
CBSE Jharkhand Dhanbad 2016 66.8(Percentage)
ITS EQUIVALENT

OTHER DETAILS
Mother Tongue Hindi
Choice of Language for Exam English

ADDRESS FOR THE COMMUNICATION

Address Line 1 AT-DUMARIYA
Address Line 2 PO-KARMATAR
State Jharkhand District Jamtara
Classification Town
Karma Tanr
City / Town/ Village Pincode 815352
Vidyasagar
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