DOWNLOAD TIME:- 2019-03-24 11:15:10 (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 : 1130009914 RAILWAY NAME : EAST COAST RAILWAY (BHUBANESWAR)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : VALLA DINESH KUMAR

FATHER'S NAME: V SRINIVAS RAO

MOTHER'S NAME : V ESWARAMMA

DATE OF BIRTH : 17-03-2000

AGE AS ON 01-07-2019 : 19 YEARS, 3 MONTHS, 14 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO 772955111048

:

MINIMUM EDUCATIONAL 10TH

QUALIFICATION :

10TH BOARD : STATE BOARD

10TH REGISTRATION NO / ROLL NO : 1601273903

YEAR OF PASSING 10TH : 2016

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 8895210343 E-MAIL ID : VALLADINESHKUMAR@GMAIL.COM

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : BIG STREET VILL RANIPETA PO RANIPETA , PS PARALAKHEMUNDI , BLOCK KASHINAGAR

STATE NAME : ODISHA DISTRICT NAME : GAJAPATI

CITY : GAJAPATI PINCODE : 761201

DO YOU BELONG TO VILLAGE

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 830087936 AMOUNT 250

SBI REFERENCE NO CPP2729245 TIME 2019-03-24 10:58:43

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

WOULD YOU LIKE TO RECEIVE REFUND AMOUNT IN THE SAME BANK ACCOUNT? YES

5). DEATILS OF ESSENTIAL QUALIFICATION

10TH QUALIFICATION DETAILS

QUALIFICATION: 10TH BOARD: STATE BOARD

STATE IN WHICH STUDIED: ODISHA DISTRICT: GAJAPATI

MARKS: PERCENTAGE PERCENTAGE: 64

DO YOU POSSESS ITI QUALIFICATION NO

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE: OTHERS

QUALIFICATION: SCIENCE

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
1 EAST ASSISTANT MECHANICAL 84 33 16 58 21 212 42 4 2 2 4 0 0 0 1
COAST (WORKSHOP)
RAILWAY

9 EAST ASSISTANT SIGNAL S AND T 40 13 6 19 9 87 17 2 3 2 2 0 0 0 2

COAST AND TELECOM
 RAILWAY

10 EAST ASSISTANT TRACK ENGINEERING 129 34 12 26 22 223 45 0 4 5 6 0 0 0 3

COAST MACHINE
RAILWAY

14 EAST ASSISTANT WORKS ENGINEERING 55 20 10 35 13 133 27 14 4 4 6 0 0 0 4

COAST
RAILWAY

12 EAST ASSISTANT TL AND ELECTRICAL 17 7 4 12 5 45 9 1 1 1 1 0 0 0 5

COAST AC (WORKSHOP)
RAILWAY

5 EAST ASSISTANT LOCO MECHANICAL 14 10 10 1 4 39 8 2 1 3 5 0 0 0 6

COAST SHED (DIESEL)
RAILWAY

6 EAST ASSISTANT LOCO ELECTRICAL 11 5 2 4 3 25 5 2 1 1 1 0 0 0 7

COAST SHED (ELECTRICAL)
RAILWAY

7 EAST ASSISTANT ELECTRICAL 1 2 1 2 1 7 1 2 1 0 0 0 0 0 8

COAST OPERATIONS
RAILWAY (ELECTRICAL)

4 EAST ASSISTANT DEPOT STORES 2 1 1 2 1 7 1 0 0 0 1 0 0 0 9

COAST (STORES)
RAILWAY

3 EAST ASSISTANT C AND W MECHANICAL 25 6 2 16 6 55 11 0 2 2 4 0 0 0 10

COAST
RAILWAY

11 EAST ASSISTANT TL AND ELECTRICAL 2 1 0 1 1 5 1 1 0 0 0 0 0 0 11

COAST AC
RAILWAY

13 EAST ASSISTANT TRD ELECTRICAL 34 20 5 11 8 78 16 0 3 2 3 0 0 0 12

COAST
RAILWAY

8). COMMUNITY DETAILS

COMMUNITY OBC-CREAMY LAYER

NOTE : YOU HAVE SELECTED OBC-CREAMY LAYER WHICH IS NOT ELIGIBLE FOR OBC RESERVATION AND HENCE WOULD BE CONSIDERED AS
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 21101604145 CERTIFICATE DATE 02-02-2016

STATE ODISHA DISTRICT GAJAPATI

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

14). MOTHER TONGUE TELUGU

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

IDENTIFICATION A MOLE OF THE RIGHT HAND

MARKS/MOLES/CUT
MARKS-I

IDENTIFICATION A MOLE OF THE FACE

MARKS/MOLES/CUT
MARKS-II

16). CHOICE OF EXAM LANGUAGE IN ADDITION TO ENGLISH(ENGLISH IS DEFAULT LANGUAGE) TELUGU

17). YOU HAVE TO BRING ANY ONE OF THESE CURRENT VALID PHOTO-ID CARD IN ORIGINAL FOR AADHAAR CARD
APPEARING IN THE CBT AND SUBSIQUENT STAGES

ID CARD NO 772955111048

18). 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:- 2019-03-24 11:15:10(ORIGINAL)