DOWNLOAD TIME:- 2019-04-22 12:07:14 (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 : 1180760576 RAILWAY NAME : NORTHERN RAILWAY (NEW DELHI)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : ANIL KUMAR SINGH

FATHER'S NAME: ABHAY RAJ SINGH

MOTHER'S NAME : ASHOKA DEVI SINGH

DATE OF BIRTH : 02-06-1996

AGE AS ON 01-07-2019 : 23 YEARS, 0 MONTHS, 29 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO : 777629178701

MINIMUM EDUCATIONAL ITI/NAC

QUALIFICATION :

ITI REGISTRATION NO / ROLL NO : 35033314275054

YEAR OF PASSING ITI : 2015

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 7415873831 E-MAIL ID : REWA.J

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : Q NO H 881 , RENUKOT , HINDALCO COLONY

STATE NAME : UTTAR PRADESH DISTRICT NAME : SONBHADRA

CITY : ROBERTSGANJ PINCODE : 231217

DO YOU BELONG TO VILLAGE

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 881060001 AMOUNT 250

SBI REFERENCE NO CPR6998022 TIME 2019-04-22 1

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

ITI QUALIFICATION DETAILS

QUALIFICATION: ITI DISCIPLINE: ELECTRICIAN

NAME OF INSTITUTE: R N PRIVATE ITI DATE OF PASSING: 20-05-2016

STATE IN WHICH STUDIED: UTTAR PRADESH DISTRICT: VARANASI

MARKS: PERCENTAGE PERCENTAGE: 87.3

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: OTHERS

QUALIFICATION: ENGINEERING

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
3 NORTHERN ASSISTANT C AND W MECHANICAL 506 207 103 363 131 1310 262 0 52 48 80 0 0
RAILWAY

14 NORTHERN ASSISTANT WORKS ENGINEERING 287 106 54 191 71 709 142 38 23 23 26 0 0

RAILWAY

1 NORTHERN ASSISTANT MECHANICAL 307 120 60 217 78 782 156 20 10 12 4 0 0

RAILWAY (WORKSHOP)
5 NORTHERN ASSISTANT LOCO SHED MECHANICAL 185 72 35 130 47 469 94 21 12 12 20 0 0
RAILWAY (DIESEL)

9 NORTHERN ASSISTANT SIGNAL S AND T 246 92 46 169 62 615 123 3 12 13 20 0 0

RAILWAY AND TELECOM

11 NORTHERN ASSISTANT TL AND AC ELECTRICAL 216 85 43 151 55 550 110 30 16 14 15 0 0

RAILWAY

13 NORTHERN ASSISTANT TRD ELECTRICAL 105 41 20 73 27 266 53 0 9 9 13 0 0

RAILWAY

4 NORTHERN ASSISTANT DEPOT STORES 133 47 26 83 32 321 64 10 6 5 5 0 0

RAILWAY (STORES)

7 NORTHERN ASSISTANT ELECTRICAL 65 26 12 44 16 163 33 3 2 5 2 0 0

RAILWAY OPERATIONS
(ELECTRICAL)

12 NORTHERN ASSISTANT TL AND AC ELECTRICAL 53 27 14 42 15 151 30 3 5 3 2 0 0

RAILWAY (WORKSHOP)

16 NORTHERN HOSPITAL ASSISTANT MEDICAL 13 5 3 10 4 35 7 1 2 2 2 0 0

RAILWAY

15 DMW PATIALA ASSISTANT WORKS ENGINEERING 5 0 4 13 2 24 5 0 0 1 1 0 0

(WORKSHOP)

16 RCF HOSPITAL ASSISTANT MEDICAL 2 0 1 1 1 5 1 0 0 1 0 0 0

KAPURTHALA

12 RCF ASSISTANT TL AND AC ELECTRICAL 8 2 3 4 2 19 4 0 0 1 0 0 0

KAPURTHALA (WORKSHOP)

10 NORTHERN ASSISTANT TRACK ENGINEERING 18 7 3 12 4 44 9 0 0 0 0 0 0

RAILWAY MACHINE

4 RCF ASSISTANT DEPOT STORES 2 0 3 1 1 7 1 0 0 0 0 0 0

KAPURTHALA (STORES)

4 DMW PATIALA ASSISTANT DEPOT STORES 1 0 3 11 2 17 3 0 0 0 0 0 0

(STORES)

1 RCF ASSISTANT MECHANICAL 66 22 24 44 17 173 34 0 5 4 0 0 0

KAPURTHALA (WORKSHOP)

8). COMMUNITY DETAILS

COMMUNITY UR

9). PWBD DETAILS

ARE YOU A PWBD CANDIDATE? YES

NOTE : YOU WILL BE CONSIDERED ONLY AGAINST THE VACANCIES OF THE POSTS FOR WHICH YOUR DISABILITIES ARE SUITABLE.

TYPE OF DISABILITY LOCOMOTOR DISABILITY - ONE LEG (OL),

PWBD CERTIFICATE NO 352 CERTIFICATE DATE 07-10-2014

STATE UTTAR PRADESH DISTRICT MIRZAPUR

10). EX SERVICEMEN DETAILS

ARE YOU AN EX-SERVICEMEN ? NO

11). APPRENTICESHIP COURSE DETAILS

HAVE YOU COMPLETED APPRENTICESHIP COURSE UNDER APPRENTICESHIP ACT 1961 ? YES

APPRENTICSHIP FROM 16-12-2016 APPRENTICSHIP TO 15-12-2017

HAVE YOU COMPLETED APPRENTICESHIP COURSE IN RLYS? NO

NOTE : YOU ARE ELEGIBLE ONLY FOR AGE RELAXATION AND NOT ELIGIBLE FOR THE RESERVATION UNDER CCAA.

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 NO
50000 PA ?

15). MOTHER TONGUE HINDI

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

IDENTIFICATION RIGHT LEG HANDICAP

MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION MOLE ON FOREHEAD

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 777629178701

19). DECLARATION

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

SIGNATURE

DOWNLOAD TIME:- 2019-04-22 12:07:14(ORIGINAL)