Scribd
Upload
52 views

Registration Number: Bilaspur

This document is an online registration form submitted by Mayank Kumar Gupta for the Railway Recruitment Board's CEN No. 01/2019 recruitment of non-technical popular categories. The form provides his personal details like name, date of birth, father's name, education qualifications, contact details, payment details, job priority details, address and other required information. He has applied for posts like Commercial cum Ticket Clerk and Junior Clerk cum Typist in Central Railway and South East Central Railway with Commercial cum Ticket Clerk in CR as his first preference.

Uploaded by

mayank gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
52 views

Registration Number: Bilaspur

This document is an online registration form submitted by Mayank Kumar Gupta for the Railway Recruitment Board's CEN No. 01/2019 recruitment of non-technical popular categories. The form provides his personal details like name, date of birth, father's name, education qualifications, contact details, payment details, job priority details, address and other required information. He has applied for posts like Commercial cum Ticket Clerk and Junior Clerk cum Typist in Central Railway and South East Central Railway with Commercial cum Ticket Clerk in CR as his first preference.

Uploaded by

mayank gupta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Railway Recruitment Board - Online Registration

CEN No.01/2019 for Non Technical Popular Categories(NTPC)


RRB BILASPUR
PRINTED APPLICATION FORM

Registration Number

3010369188
Name MAYANK KUMAR GUPTA

Date of Birth 07-10-1998 Gender MALE


Father's Name GOVIND LAL GUPTA Mother's Name POONAM GUPTA
Matriculation /10th /SSLC Roll number 5278639
Year of Passing Matriculation /10th /SSLC 2013
Mobile Number 9369907773 E-mail ID [email protected]
Aadhaar Card Status I have Aadhaar Card
Aadhaar Number / Aadhaar Enrollment Number 718811964800
Applied Qualification 12th (10 +2) OR ITS EQUIVALENT
Community OBC (OTHER BACKWARD CLASS) - CREAMY LAYER

State District Caste


Uttar Pradesh Ghazipur TELI

Nationality CITIZEN OF INDIA Religion HINDU


Are you a person with Benchmark Disabilities(PwBD)? No
Are you an Ex - Serviceman? No
Were you domiciled in Jammu and Kashmir during 1.1.1980 to
No
31.12.1989?
Are you an employee in Central Government/ State Government /
No
Public Sector Unit?
Are you a Serving Group C or erstwhile Group D Railway Employee
No
or Casual labour or Substitutes?
Are you an employee in Quasi-admiministrative offices of Railway
Organisation such as Railway canteens, co-operative societies and No
institutes?

PAYMENT DETAILS

Payment Mode Merchant Reference No Transaction ID Transaction Amount


ONLINEPAY 30103691887 CPQ6615967 500.00

BANK DETAILS

Do you wish to receive the refund to the same account through which you made the payment? Yes
Bank name A/C Holder name Account Number IFSC Code
-- -- -- --

JOB PRIORITY DETAILS


Category No Post Name(Rly/Prod.Unit) Order of Post Preference
9 COMMERCIAL CUM TICKET CLERK (CR) 1
9 COMMERCIAL CUM TICKET CLERK (SECR) 2
10 ACCOUNTS CLERK CUM TYPIST (SECR) 5
11 JUNIOR CLERK CUM TYPIST (CR) 6
11 JUNIOR CLERK CUM TYPIST (SECR) 7
13 TRAINS CLERK (CR) 3
13 TRAINS CLERK (SECR) 4

DETAILS OF ESSENTIAL QUALIFICATION

Year of
Name of the Exam Board/Discipline/Trade State District Percentage/CGPA/Grade
Passing
SSLC/Matriculation CBSE Uttar Pradesh Varanasi 2013 8.0(CGPA)
12TH(+2 STAGE) OR
CBSE Uttar Pradesh Varanasi 2016 64.8(Percentage)
ITS EQUIVALENT

OTHER DETAILS
Mother Tongue Hindi
Choice of Language for Exam English

ADDRESS FOR THE COMMUNICATION


Address Line 1 FIROZPUR KALAN,GAUSPUR
Address Line 2 GHAZIPUR
State Uttar Pradesh District Ghazipur
Classification Village
City / Town/ Village Ghazipur Pincode 233227
Print Logout

You might also like