APPLICATION FORM

1. Registration No. : 2471012957

2. RRB Unit : MUMBAI

3. Name : VINIT KUMAR AGRAWAL

4.Is your name printed in vernacular language as in 10th

: No
mark sheet?

5. Father's Name : VISHNU CHAND GUPTA 6. Mother's Name : SHANTI GUPTA

7. Date of Birth : 01071987 8. Gender : Male

9.Matric/10th/SSLC 10.Matric/10th/SSLC
: 2571860 : 2002
Roll No. Year of Passing

11. Religion : HINDU 12. Email ID : vinitohm@gmail.com

13. Mobile No. : 9887210463

14. Community : UR (Unreserved)

15.PWD status : No

16.ExServicemen status : No

17. Do you belong to Economically Backward Class : No

18. Are you Domiciled in the state of Jammu & Kashmir

: No
during the period from 01.01.1980 to 31.12.1989

19. Government / PSU employee : No

20. Job Priority Details

Job Priority Job Name

1 Commercial Apprentice(CR)

2 Traffic Apprentice(CR)

3 Traffic Apprentice(WR)

4 Junior Accounts AssistantcumTypist(CR)

5 Senior ClerkcumTypist(CR)

6 Junior Accounts AssistantcumTypist(WR)

7 Senior ClerkcumTypist(SCR)

8 Assistant Station Master(CR)

9 Assistant Station Master(WR)

10 Assistant Station Master(SCR)

11 Goods Guard(CR)

12 Goods Guard(WR)

13 Goods Guard(SCR)

21. Exam Cities

Choice1 Choice2 Choice3 Choice4 Choice5

Jaipur Ajmer Alwar Bharatpur Kota

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 22. Educational Details

Name of
Board / Degree School / Inst. Year of Passing
the Exam

BoardRajasthan Board of Secondary

10th NITIN SR SEC SCHOOL 2002
Education

MAHARISHI ARVIND INSTITUTE OF ENGINEERING AND

Graduation B.E/B.Tech 2008
TECHNOLOGY

Note:If you are choosing 2016 as the year of passing you must have got your results on or before the date of applying

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