RRB Application Form
RRB Application Form
RRB Application Form
1.
Cat. No
Name of Post
2. Choice of Railway :
(Wherever applicable)
Paste (do not pin or staple) here your colour passport size photographof size 4cm x 5cm (The colour photograph should not be more than 3 months old) Not to be attested
3
rd
st
nd
UR
OBC
SC ST
9. ADDRESS
(FOR CORRESPONDENCE)
PIN CODE
10.
(ii) Ex-serviceman
Yes/No
Yes/No
VH
HH
OH
11. Present employment (To be filled by all Railway/Central/State/PSU employees) Designation & Grade Name & address of Employer Date to Date from 12. Ex-servicman (Ex-SM) Date of Attestation Date of Enrolment
Date of Discharge
Length of Service
Note: 1) Candidates must fill up their name, fathers name &date of birth as indicated in their matriculation certificate. 2) Candidates should put their full signature at all the places in the same language (in English or in Hindi).
Annexure-2
1. NAME OF CANDIDATE
2. Tick( )Gender Female
Male
3. Nationality
4. Permanent address :
PIN Code
7. Medium of Examination (Choose any one of the regional Languages of concerned RRB as mentioned in Sr. No. 15)
8 (a) Details of Postal Orders / Demand Drafts (DD) enclosed
NAME OF POST OFFICE / BANK SERIAL NO. AND DATE AMOUNT
9.
RELIGION: HINDU
SC ST OBC
Railway Course Completed Judicially separated/ PWD J & K divorced woman / widow Resident Ex - SM Employee Act Apprentice a) No b) For 2 years c) For life
Self Declaration from OBC candidates as per Annexure-5 Disability Certificate (for PWD as per Annexure:9)
11. 12.
IPO/DD
Qualification Certificate
Matric/SSLC Certificate
(for DOB Proof)
Declaration from Visually handicapped Candidates as per Annexure: 10 Income Certificate for Economically Backward class Certificate (As per Annexure-7)
13. Please copy the following declaration in your own hand writing in running hand in the space provided below: I hereby declare that all the statements made by me in the application are true and complete to the best of my knowledge and belief and nothing has been concealed or suppressed. I also understand that in case, any of my statements is found untrue during any stage of recruitment or thereafter shall disqualify me for the post applied for and I shall also be liable for any other action under the extant rules
Place: Date: