DOWNLOAD TIME:- 2019-04-04 13:32:35 (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 : 1110475228 RAILWAY NAME : CENTRAL RAILWAY (MUMBAI)

1). PERSONAL DETAILS

FULL NAME OF APPLICANT : SANTOSH KUMAR CHOUDHARY

FATHER'S NAME: SITARAM CHOUDHARY

MOTHER'S NAME : SAVITRI DEVI

DATE OF BIRTH : 11-12-1990

AGE AS ON 01-07-2019 : 28 YEARS, 6 MONTHS, 20 DAYS

GENDER: MALE

AADHAR NUMBER/ENROLLMENT NO : 464028382299

MINIMUM EDUCATIONAL ITI/NAC

QUALIFICATION :

ITI REGISTRATION NO / ROLL NO : 025420983

YEAR OF PASSING ITI : 2013

NATIONALITY : CITIZEN OF INDIA RELIGION : HINDU

MOBILE NUMBER : 8877301492 E-MAIL ID : KUMARSANTOSHBGP1029@GMA

2). ADDRESS FOR COMMUNICATION

FULL ADDRESS : AT RATANPUR , POST MAKDUMA , PS AMARPUR

STATE NAME : BIHAR DISTRICT NAME : BANKA

CITY : BANKA PINCODE : 813101

DO YOU BELONG TO VILLAGE

CITY/TOWN/VILLAGE :

3). PAYMENT DETAILS

REFERENCE NO 810648899 AMOUNT 500

SBI REFERENCE NO CPQ8384031 TIME 2019-04-04 13:04:37

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 SANTOSH KUMAR CHOUDHARY ACCOUNT NUMBER 38016343825

IFSC CODE SBIN0002230

5). DEATILS OF ESSENTIAL QUALIFICATION

ITI QUALIFICATION DETAILS

QUALIFICATION: NAC DISCIPLINE: FITTER

NAME OF INSTITUTE: GOVERNMENT INDUSTRIAL DATE OF PASSING: 14-05-2013

TRAINING INSTITUTE NOIDA

STATE IN WHICH STUDIED: UTTAR PRADESH DISTRICT: GAUTAM BUDH NAGAR

MARKS: PERCENTAGE PERCENTAGE: 81.42

6). DETAILS OF HIGHER QUALIFICATION

QUALIFICATION TYPE:

QUALIFICATION:

7). POST PREFERENCE DETAILS

CAT.NO RAILWAY DESIGNATION DEPARTMENT VACANCY

 UR SC ST OBC EWS TOTAL EXSM R- R- R- R- B- B-
VI HI LD MD VI HI
8 CENTRAL ASSISTANT POINTSMAN TRAFFIC 413 176 93 307 110 1099 220 0 0 0 0 0 0
RAILWAY

9 CENTRAL ASSISTANT SIGNAL AND S AND T 198 76 55 230 62 621 124 0 12 13 22 0 0

RAILWAY TELECOM

4 CENTRAL ASSISTANT DEPOT STORES 118 47 32 112 34 343 69 7 4 4 7 0 0

RAILWAY (STORES)

1 CENTRAL ASSISTANT (WORKSHOP) MECHANICAL 284 110 55 199 72 720 144 14 9 9 13 0 0

RAILWAY

3 CENTRAL ASSISTANT C AND W MECHANICAL 333 122 78 250 87 870 174 0 20 19 31 0 0

RAILWAY

16 CENTRAL HOSPITAL ASSISTANT MEDICAL 46 17 8 30 11 112 22 6 4 3 6 0 0

RAILWAY

17 CENTRAL TRACK MAINTAINER ENGINEERING 1274 493 246 884 322 3219 644 0 0 0 0 0 0
RAILWAY GRADE IV

11 CENTRAL ASSISTANT TL AND AC ELECTRICAL 129 52 39 107 36 363 73 8 8 7 15 0 0

RAILWAY

12 CENTRAL ASSISTANT TL AND AC ELECTRICAL 114 44 22 79 29 288 58 2 4 4 7 0 0

RAILWAY (WORKSHOP)

13 CENTRAL ASSISTANT TRD ELECTRICAL 156 61 30 99 39 385 77 0 9 10 18 0 0

RAILWAY

14 CENTRAL ASSISTANT WORKS ENGINEERING 279 105 53 189 70 696 139 29 26 26 40 0 0

RAILWAY

10 CENTRAL ASSISTANT TRACK ENGINEERING 149 58 29 103 38 377 75 0 5 5 7 0 0

RAILWAY MACHINE

5 CENTRAL ASSISTANT LOCO SHED MECHANICAL 38 15 10 31 11 105 21 0 2 2 2 0 0

RAILWAY (DIESEL)

6 CENTRAL ASSISTANT LOCO SHED ELECTRICAL 40 14 5 22 9 90 18 2 2 2 4 0 0

RAILWAY (ELECTRICAL)

2 CENTRAL ASSISTANT BRIDGE ENGINEERING 22 8 4 14 5 53 11 0 0 0 0 0 0

RAILWAY

7 CENTRAL ASSISTANT OPERATIONS ELECTRICAL 4 0 0 0 0 4 1 0 0 0 0 0 0

RAILWAY (ELECTRICAL)

8). COMMUNITY DETAILS

COMMUNITY OBC-NON CREAMY LAYER

STATE BIHAR DISTRICT BANKA

CASTE KUSHWAHA KOERI

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 ? YES

APPRENTICSHIP FROM 30-06-2009 APPRENTICSHIP TO 29-06-2012

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 A MOLE MARK ON CHEEK

MARKS/MOLES/CUT MARKS-
I

IDENTIFICATION A CUT MARK ON RIGHT LEG

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 464028382299

19). DECLARATION

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

SIGNATURE

DOWNLOAD TIME:- 2019-04-04 13:32:35(ORIGINAL)