RRB Po 2024

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310142

Common Recruitment Process for RRBs (CRP-RRBs-XIII) for Recruitment of Group "A" -
Officers (Scale-I, II & III)

Registration Number : 2360165685

Full Name : AVINASH S BENNUR

Post : OFFICER SCALE-I

Category : OBC (NCL)

Are you a person with benchmark disability of 40% and : NO


above ? Uploaded
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 : - Captured
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 person with specified disability covered under the : NO


definition of sec 2(s) of the RPwD Act, 2016 and not covered
under sec 2(r) of the said act and having difficulty in writing?

If Yes, Do you need compensatory time at the time of : -


examination?

Are you a person with specified disability covered under the : -


definition of sec 2(s) of the RPwD Act, 2016 and having
difficulty in writing and not covered under sec 2(r) of the said
act and eligible to the use the services of Scribe and wish to
avail the services of Scribe?

I certify that, I will upload (in current application) the : -


certificate from competent medical authority of a
Government healthcare institution as per Ministry of Social
Justice and Empowerment, Department of Empowerment of
Persons with Disabilities (Divyangjan) OM No. F. No. 29-
6/2019-DD-III dated 10.08.2022.
Are you a child/ family member of those who died in 1984 : NO
riots ?

Religion to which you belong : Hindu

Do you belong to Religious Minority Community ? : NO

Are you an Ex-Serviceman ? : NO

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?

Nationality / Citizenship : Indian

Have you appeared for the CWE/CRP - RRB earlier ? : NO

How many attempts ? : -

Select the CWE/CRP-RRB attempted earlier : -

State/UT for which you want to apply for : Karnataka

Centre for Preliminary Examination : Kalaburagi(Gulbarga)

Centre for Main Examination : Kalaburagi(Gulbarga)

Kindly indicate Medium of Paper - how you would like the : English and Hindi
paper to be presented to you ?

I intend to bring the following ID when appearing for the : YES


examination : (I confirm my name on this ID and this
application exactly match)

ID Proof : Aadhaar Card

ID Proof No. : XXXXXXXX6290

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 720.34

Tax : 129.66 (IGST)

Amount : 850.00

Payment Status : PAID

Reference ID : YHD42355883240

Transaction Date : 17-06-2024

Personal Details

Date of Birth : 01-12-1998

Age completed as on 01.06.2024 : 25

Gender : MALE

Aadhaar Card Number : -

PAN Card Number : -

Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -

Marital Status : Unmarried

Father's Name : SAIBANNA

Mother's Name : ANITA


Spouse's Name : -

Address for Correspondence

Address 1 : H.no 6 B

Address 2 : HC Line near police helipad

Address 3 : Police headquarters


Kalaburagi

State : KARNATAKA

District : Kalaburagi

Pincode : 585105

Permanent address

Address 1 : H.no 150

Address 2 : Near bus stand

Address 3 : Hipparga S N TQ.Jewargi

State : KARNATAKA

District : Kalaburagi

Pincode : 585310

State for GST invoicing : Permanent Address


(KARNATAKA)

Contact Details

Mobile Number : +91 8431366481

Alternative Number : +91 9900606044


(Mobile Number/Landline Number)

Email ID : avinashbennur57@gmail.com

Educational Qualification (as on 27.06.2024)

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


Passing

Graduation / Engineering (BE / Civil Engineering 07-08-2021 51.05 Second Class


Equivalent B.TECH)

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 ?

: Kannada

Do you have computer knowledge? : YES

If yes, Details of Computer Knowledge : Basic

Bank Preference

1 Karnataka Gramin Bank


Banks in order of Preference
2 Karnataka Vikas Grameena Bank
Other Details

PET maybe conducted in Online or Offline : NO


mode. In case it is possible to hold Pre-Exam
Training, are you desirous of taking Pre-Exam
Training ? (Applicable Only for SC/ST/
OBC/Minority Community)

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

Others-Kannada 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 notification for the said post
and all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I
understand 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 confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

I have understood that as per the notification, a candidate can apply for only one post in officer’s cadre i.e. for Officer
Scale-I or Scale-II or Scale-III.

Date: 17-06-2024
Left Thumb Impression

Hand Written Declaration

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