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This document contains an application form for recruitment in Pay Band-1 of Rs. 5200-20200 + Grade Pay Rs. 1800 in East Central Railway. The application must be filled on an A4 sheet of paper. The form requests personal details of the applicant such as name, father's name, date of birth, photo, community, disability status if any, address, education qualifications, and details of the application fee. It also contains declarations by the applicant that all information provided is true and correct, and that they will abide by the instructions in the notification. The applicant needs to sign and provide their left thumb impression on the form.

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Ranvir Rana
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© Attribution Non-Commercial (BY-NC)
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33 views

Form

This document contains an application form for recruitment in Pay Band-1 of Rs. 5200-20200 + Grade Pay Rs. 1800 in East Central Railway. The application must be filled on an A4 sheet of paper. The form requests personal details of the applicant such as name, father's name, date of birth, photo, community, disability status if any, address, education qualifications, and details of the application fee. It also contains declarations by the applicant that all information provided is true and correct, and that they will abide by the instructions in the notification. The applicant needs to sign and provide their left thumb impression on the form.

Uploaded by

Ranvir Rana
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for Recruitment in Pay Band 1 of Rs. 5200-20200 + Grade Pay Rs.

1800 in East Central Railway (Apply in A 4 size paper in single sheet only)

Before filling up the application form please go through the detailed Employment Notice available at www.rrcecr.gov.in

Annexu re 1

RAILWAY RECRUITMENT CELL, EAST CENTRAL RAILWAY Employment Notice No. RRC/ECR/GP1800/1/2013 1 (in CAPITAL Letters, leave one box
blank between two parts of the name)

For office use only: Control Number: Roll Number:

Name of Candidate:

Fathers/Husband name: 2 (in CAPITAL Letters, leave one box blank between two parts of the name) 3 Date of Birth: (DD/MM/YYYY)
(as per 10th/Matric certificate)

Paste (do not pin or staple) here your recent colour passport size photo of size 4 cm x 5 cm (The Photograph should not be more than 1 month old)

24. Signature of the applicant 4


D D M M Y Y Y Y

Community: (Please Tick )

UR

OBC SC Yes

ST No

EXM

5 Are you Physically Disabled VH (Please Tick )

HH

OH

If Scribe required (Please Tick )

(for VH/Cerebral Palsy candidates only)

7 Address for communication (in CAPITAL letters): Name: Address:

8 9

Percentage of Physical Disability Nationality

10 Religion 11 Sex Male Female

12 State Pin Code


14 Visible Marks of Identification: (Moles/Cut Mark/ Wound Mark etc. on your body) (i) (ii) Serving Railway Employee

13 Nearest Railway Station

15 Do you seek age relaxation under any of the category mentioned below? (Please Tick in appropriate box) SC ST OBC Physically Ex-Serviceman J&K Course completed Judicially separated / Disabled Domicile Act Apprentice divorced woman / widow

16 List of Documents enclosed (Fill in the details of the self attested copies of certificates/documents enclosed) (i) (ii) (iii) (iv) (v) (vi) 17 Educational Qualification (Please Tick in appropriate box) 18. Details of IPO enclosed with the application or

write ELIGIBLE FOR FEE EXEMPTION


Serial Number Date

SSLC/ HSC/ ITI Diploma Non Technical Technical Matric SSC Graduate Post GraduateGraduate Post Graduate

Name of the Post Office

Amount

19 Declaration by the candidate (copy the passage in the box below in your own running handwriting): I hereby declare that all the particulars given above by me are true and correct to the best of my knowledge. I am aware that in the event of any information furnished by me being found false/incorrect at any stage, my candidature will be rejected summarily and I will also be liable for criminal action. I will abide by the instructions given in the notification.

20. Place:

21. Date:

22. Left Thumb Impression

(in English) (in Hindi) 23. Signature of the applicant

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