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DOWNLOAD TIME:- 2019-04-03 12:27:15 (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 : 1150467305 RAILWAY NAME : NORTH CENTRAL RAILWAY (ALLAHABAD)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : LAIVA BANO

FATHER'S NAME: ISTHKHAR UDDIN

MOTHER'S NAME : AKHTARI BANO

DATE OF BIRTH : 14-08-1994

AGE AS ON 01-07-2019 : 24 YEARS, 10 MONTHS, 17 DAYS

GENDER: FEMALE

AADHAR NUMBER/ENROLLMENT NO : 942265860907

MINIMUM EDUCATIONAL 10TH

QUALIFICATION :

10TH BOARD : STATE BOARD

10TH REGISTRATION NO / ROLL NO : 1839407

YEAR OF PASSING 10TH : 2010

NATIONALITY : CITIZEN OF INDIA RELIGION : MUSLIM

MOBILE NUMBER : 6307830899 E-MAIL ID : AREHAN82@YAHOO.COM

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : VILL KAURIHAR , POST SARASWATIPUR ,

STATE NAME : UTTAR PRADESH DISTRICT NAME : ALLAHABAD

CITY : ALLAHABAD PINCODE : 229412

DO YOU BELONG TO CITY

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 850560380 AMOUNT 250

SBI REFERENCE NO IGAFVBHGD8 TIME 2019-04-03 10:26:04

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

WOULD YOU LIKE TO RECEIVE REFUND AMOUNT IN THE SAME BANK ACCOUNT? NO

NAME OF THE ACCOUNT HOLDER LAIVA BANO ACCOUNT NUMBER 34793781384

IFSC CODE SBIN0014901

5). DEATILS OF ESSENTIAL QUALIFICATION

10TH QUALIFICATION DETAILS

QUALIFICATION: 10TH BOARD: STATE BOARD

STATE IN WHICH STUDIED: UTTAR PRADESH DISTRICT: ALLAHABAD

MARKS: PERCENTAGE PERCENTAGE: 49.33

DO YOU POSSESS ITI QUALIFICATION NO

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: OTHERS

QUALIFICATION: ARTS

7). POST PREFERENCE DETAILS

VACANCY
CAT.NO RAILWAY DESIGNATION DEPARTMENT UR SC ST OBC EWS TOTAL EXSM R- R- R- R- B- B- B- PRIORITY
VI HI LD MD VI HI LD
17 NORTH TRACK MAINTAINER ENGINEERING 893 343 155 620 224 2235 447 0 0 0 0 0 0 0 1
CENTRAL GRADE IV
RAILWAY
10 NORTH ASSISTANT TRACK ENGINEERING 153 59 30 107 39 388 78 0 8 7 0 0 0 0 2
CENTRAL MACHINE
RAILWAY

9 NORTH ASSISTANT SIGNAL S AND T 96 39 20 83 26 264 53 3 3 2 3 0 0 0 3

CENTRAL AND TELECOM
RAILWAY

1 NORTH ASSISTANT MECHANICAL 299 68 34 63 52 516 103 1 8 8 12 0 0 0 4

CENTRAL (WORKSHOP)
RAILWAY

3 NORTH ASSISTANT C AND W MECHANICAL 97 29 10 53 21 210 42 0 2 2 6 0 0 0 5

CENTRAL
RAILWAY

8 NORTH ASSISTANT TRAFFIC 207 39 13 52 35 346 69 0 0 0 0 0 0 0 6

CENTRAL POINTSMAN
RAILWAY

1 DLW VARANASI ASSISTANT MECHANICAL 3 1 1 2 1 8 2 0 0 0 0 0 0 0 7

(WORKSHOP)

2 NORTH ASSISTANT BRIDGE ENGINEERING 22 8 8 1 4 43 9 0 0 0 0 0 0 0 8

CENTRAL
RAILWAY

4 DLW VARANASI ASSISTANT DEPOT STORES 2 1 1 3 1 8 2 0 1 0 0 0 0 0 9

(STORES)

4 NORTH ASSISTANT DEPOT STORES 41 0 4 4 6 55 11 2 1 1 0 0 0 0 10

CENTRAL (STORES)
RAILWAY

5 NORTH ASSISTANT LOCO MECHANICAL 31 12 5 28 9 85 17 2 0 0 2 0 0 0 11

CENTRAL SHED (DIESEL)
RAILWAY

6 NORTH ASSISTANT LOCO ELECTRICAL 21 10 6 20 6 63 13 2 1 1 1 0 0 0 12

CENTRAL SHED (ELECTRICAL)
RAILWAY

7 NORTH ASSISTANT ELECTRICAL 8 4 0 0 1 13 3 1 0 1 1 0 0 0 13

CENTRAL OPERATIONS
RAILWAY (ELECTRICAL)

11 NORTH ASSISTANT TL AND AC ELECTRICAL 33 10 3 30 8 84 17 5 1 2 7 0 0 0 14

CENTRAL
RAILWAY

13 NORTH ASSISTANT TRD ELECTRICAL 64 15 8 34 14 135 27 0 1 1 5 0 0 0 15

CENTRAL
RAILWAY

14 NORTH ASSISTANT WORKS ENGINEERING 90 32 16 63 22 223 45 12 5 5 13 0 0 0 16

CENTRAL
RAILWAY

15 NORTH ASSISTANT WORKS ENGINEERING 8 3 1 5 2 19 4 0 1 0 0 0 0 0 17

CENTRAL (WORKSHOP)
RAILWAY

16 DLW VARANASI HOSPITAL ASSISTANT MEDICAL 4 2 1 3 1 17 2 0 0 0 0 6 0 0 18

16 NORTH HOSPITAL ASSISTANT MEDICAL 8 3 1 4 2 18 4 2 1 1 1 0 0 0 19

CENTRAL
RAILWAY

8). COMMUNITY DETAILS

COMMUNITY OBC-NON CREAMY LAYER

STATE UTTAR PRADESH DISTRICT ALLAHABAD

CASTE MOMIN ANSAR

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 ? NO

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 ? NO

B) SERVING RAILWAY EMPLOYEE NO

C) EMPLOYEE IN QUASI-ADMIMINISTARTIVE OFFICES(CANTEENS, COOPERTAIVE SOCEITIES/INSTITUTES) OF RAILWAY ORGANISATION NO

D) WIDOW NOT RE-MARRIED /DIVORCEE NOT RE-MARRIED / JUDICIALLY SEPARATED NOT RE-MARRIED NO

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 A MOLE ON FACE

MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION A CUT MARK ON HAND

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 942265860907

19). DECLARATION

I HEREBY DECLARE THAT I HAVE GONE TROUGH THE ELIGIBILITY CRITERIA FOR THE POST(S) APPLIED FOR AND MEET ALL THE REQUIREMENTS THERE IN,
THAT ALL THE DETAILS FURNISHED BY ME IN THE APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE & BELIEF AND NOTHING
HAS BEEN CONCEALED OR SUPPRESSED. I ALSO UNDERSTAND THAT IN CASE , ANY OF THE DETAILS FURNISHED IS FOUND UNTRUE DURING ANY STAGE
OF RECRUITMENT OR THEREAFTER RAILWAY ADMINISTRATION SHALL DISQUALIFY ME FOR THE POST(S) APPLIED FOR AND /OR I SHALL BE LIABLE FOR
ANY OTHER ACTION UNDER THE EXTANT RULES.

SIGNATURE

DOWNLOAD TIME:- 2019-04-03 12:27:15(ORIGINAL)