2/24/2018 Applicant Print

Railway Recruitment Board - Online Registration

APPLICATION FORM

Registration No. 1380233357

RRB Unit Allahabad

Name VIMLESH KUMAR GAUTAM

Date of Birth 03-07-1991 Gender MALE

Father's Name SATYANARAIN RAM Mother's Name DURGAWATI DEVI
Matriculation/10 th/SSLC Roll number / ITI / NAC Certificate Number 2335576
Year of Passing Matriculation/10th /SSLC / ITI / NAC 2005
Mobile Number 8920899948 E-mail ID vimleshkumar3791@gmail.com
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment Number 868268305012
Qualification 10th PASS ONLY
Community SC (SCHEDULED CASTE)
State District Caste
Uttar Pradesh Ballia CHAMAR
Nationality CITIZEN OF INDIA Religion HINDU
Are you a person with Disabilities(PWD)? No
Are you an Ex - Serviceman? No
Have you Course Completed Apprenticeship under Act 1961? No
Domiciled in Jammu and Kashmir during 1.1.1980 to 31.12.1989 No
Are you an employee in Central Government/ State Government /
No
Public Sector Unit?
Are you a Serving Group C / Group D Railway Employee / Casual
No
labour and Substitutes?
Are you an employee in Quasi-admiministrative offices of Railway
No
Organisation?

PAYMENT DETAILS
Payment Mode Merchant Reference No Transaction ID Transaction Amount
ONLINEPAY 713004626131380233357 CPD7627136 250.00

JOB PRIORITY DETAILS

Category No Post Name(Rly/Prod.Unit) Order of Post Preference
25 HOSPITAL ATTENDANT 1
26 ASSISTANT POINTSMAN 2
28 PORTER / HAMAL / SWEEPER CUM PORTER 3

DETAILS OF ESSENTIAL QUALIFICATION

Year of Date of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing Result
Uttar
SSLC/Matriculation State Board Ballia 2005 -- 63.5(Percentage)
Pradesh

OTHER QUALIFICATION
Details of other qualification if any Post Graduate
Subject Stream(for Under & Post Graduate) ARTS

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2/24/2018 Applicant Print

OTHER DETAILS
Mother Tongue Bhojpuri
Choice of Language for Exam other than English Hindi
Would you like to avail the free travel authority? Yes

Cast Certificate
Date of issue Issued By State District Nearest Railway station
number
63212400358 17-03-2012 Tasildar Uttar Pradesh Ballia Ballia

ADDRESS FOR THE COMMUNICATION

Address Line 1 V.P.O-KHEJURI
Address Line 2 V.P.O-KHEJURI
State Uttar Pradesh District Ballia
Classification Village
City / Town/ Village Ballia Pincode 277302

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