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Jafs

This document is a registration form for the Assistant Loco Pilot position under the Railway Recruitment Board, detailing the applicant Arpan Halder's personal, educational, and identification information. It includes preferences for zones, community details, payment information, and declarations regarding eligibility. The application was submitted on February 9, 2024, and includes a request for a free rail travel pass for the exam.

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elarpan92
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0% found this document useful (0 votes)
3 views2 pages

Jafs

This document is a registration form for the Assistant Loco Pilot position under the Railway Recruitment Board, detailing the applicant Arpan Halder's personal, educational, and identification information. It includes preferences for zones, community details, payment information, and declarations regarding eligibility. The application was submitted on February 9, 2024, and includes a request for a free rail travel pass for the exam.

Uploaded by

elarpan92
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
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RAILWAY RECRUITMENT BOARD

MINISTRY OF RAILWAYS, GOVT. OF INDIA

CENTRALISED EMPLOYMENT NOTICE (CEN) No.01/2024 - ASSISTANT LOCO PILOT

RRB MALDA Registration No : 231240008530

Zone Preference Details

Preference (ER),(SER)

Personal Details

Full Name of ARPAN HALDER


Applicant

Father’s ASOK KR HALDER


Name

Mother's ANITA HALDER


Name

Date Of Birth 17-07-1992 Gender Male


Is Aadhaar Yes
Verified

Matriculation D044510224 Date of 29/05/2007


/10th /SSLC Passing
Roll number Matriculation
/10th /SSLC

Nationality India Religion Hindu


Mobile 7602621415 Email [email protected]
Number Address

Permanent A CUT MARK ON RIGHT EYEBROW Permanent A BLACK SPOT ON NOSE


visible mark visible Mark
of of
identification identification
1 2

Marital Married
Status

Is No
Application
Modified

Identification Details

Selected valid proof of ID PAN Document Number AMUPH2480B

Issuing Authority DIPARTMENT OF INCOME TAX Place of Issue KRISHNANAGAR

Present Address

Address VILL TUNGI KARPARA POST MAJDIA PS KRISHNAGANJ


State/UT WEST BENGAL District Nadia
Village/City/Town MAJDIA Pincode 741507

Permanent Address Details

Address VILL TUNGI KARPARA POST MAJDIA PS KRISHNAGANJ


State/UT WEST BENGAL District
rrblogo1 Nadia
Village/City/Town MAJDIA Pincode 741507

Essential Qualification Details

Qualification Board State in which studied Date of Passing

10th WBBSE WEST BENGAL 29/05/2007


Diploma in Engineering SAROJMOHAN INSTITUTE OF TECHNOLOGY WEST BENGAL 24/08/2016

Community Details

Community SC (Scheduled Caste)


Certificate No 4627/S
Issuing Authority Sub- Divisional Officer of the area where the candidate and or his/her family normally
reside(s)
Issuing State WEST BENGAL
Date of issue 04/08/2008
Do you wish to avail free rail travel pass for the exam ? Yes

Please indicate Nearest Railway Station MAJHDIA


Payment Details

Payment ONLINE Merchant 28107276407 Payment 09/02/2024 Transaction TRX200124902202400709374 Transaction 250
Mode PAY Reference Date ID Amount
No

Bank Details For Refund of Fee

Bank name STATE BANK OF INDIA A/C Holder Name ARPAN HALDER Account Number 31071776274 IFSC Code SBIN0016543

PwBD Details

Are you a PwBD Candidate? No

Economically Backward Class(EBC)

Are you an EBC certificate holder ? No

Ex Servicemen Details

Are you an Ex-Serviceman? No

Serving Railway Employee Details

Serving Railway employee No

Apprenticeship Course Details

Are you a Course Completed Act No


Apprentice?

Current Employment Details


Name of the current department/ organization Not Applicable

Do you belong to any of the following age relaxation categories ?

Are you an Ex-Serviceman? No


Are you a PwBD Candidate? No
Serving Railway employee No

Choice of Language for Examination

Choice of Language for Examination in addition to english(English is Bengali


default language)

Exam trade for part B of CBT-2


Select Exam trade for part B of CBT-2
Fitter

Declaration
I hereby declare that I have gone through the eligibility criteria for the post(s) applied for and that I meet the requisite eligibility conditions.I understand that in case any
information submitted by me is incorrect or concealed, I shall be liable for immediate disqualification or any other action as per extant rules. I also declare that I have
never been dismissed from any Government service (excluding the Defence services under the Union of India).

Place : MAJDIA
Date : 09/02/2024

 Print
Application

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