RRB Form A

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3/26/24, 5:59 PM rrbapply.gov.in/#/pscexamservice/candidate-View-Application?

id=9f40713c-68b9-4fd2-82db-262d2efded92

RAILWAY RECRUITMENT BOARD


MINISTRY OF RAILWAYS, GOVT. OF INDIA

CENTRALISED EMPLOYMENT NOTICE (CEN) No.02/2024 VARIOUS CATEGORIES OF TECHNICIAN GRADE III
RRB GUWAHATI Registration No : L224027917453
Order of preference of the post Details
Order of Preference (16)NFR,(4)NFR,(7)NFR

Personal Details

Full Name of BHARTI RAHUL FULCHAND


Applicant
Father’s FULCHAND
Name
Mother's SONI
Name
Date Of Birth 30-04-2000 Gender Male
Is Aadhaar
Yes
Verified
Matriculation D069078 Date of Jun 6, 2016
/10th /SSLC Passing
Roll number Matriculation
/10th /SSLC
Nationality India Religion Hindu
Mobile 9765372237 Email [email protected]
Number Address
Permanent MOLE ON RIGHT HAND INDEXrrblogo1
FINGURE Permanent BURN SPORT ON
visible mark visible Mark RIGHT HAND
of of
identification identification
1 2
Marital Status Unmarried
Is Application No
Modified

Present Address

Address Ozar Mig Tal. Niphad


State/UT MAHARASHTRA District Nashik
Village/City/Town Ozar Pincode 422206

Permanent Address Details

Address Ozar Mig Tal. Niphad


State/UT MAHARASHTRA District Nashik
Village/City/Town Ozar Pincode 422206

Essential Qualification Details

Qualification Subject/Trade Board State in which studied Date of Passing


Matriculation/SSLC 10th Subjects NASHIK MAHARASHTRA Jun 6, 2016

NAC Fitter TATA MOTORS PRIVET LIMITED MAHARASHTRA Dec 28, 2020

ITI Fitter GOVERMENT ADIVASI I T I DINDORI MAHARASHTRA Mar 1, 2019

Community Details

Community SC (Scheduled Caste)


Certificate No 440341303491
Issuing Authority Revenue Officers not below the rank of Tehsildar
Issuing State UTTAR PRADESH
Date of issue 18/11/2013
Do you wish to avail free rail travel pass for the exam ? Yes

Please indicate Nearest Railway Station Nashik

Payment Details

Payment ONLINE Merchant 28107276407 Payment 26/03/2024 Transaction TRXG30903242603202400549122 Transaction 250
Mode PAY Reference Date ID Amount
No

https://www.rrbapply.gov.in/#/pscexamservice/candidate-View-Application?id=9f40713c-68b9-4fd2-82db-262d2efded92 1/2
3/26/24, 5:59 PM rrbapply.gov.in/#/pscexamservice/candidate-View-Application?id=9f40713c-68b9-4fd2-82db-262d2efded92

RRB GUWAHATI Registration No : L224027917453


CENTRALISED EMPLOYMENT NOTICE (CEN) No.02/2024 VARIOUS CATEGORIES OF TECHNICIAN GRADE III
Bank Details For Refund of Fee

Bank BANK OF A/C Holder RAHUL FULCHAND Account 41318100005914 IFSC BARB0OZARXX
name BARODA Name BHARTI Number Code

Person with benchmark disability(PwBD) Details

Are you a person with benchmark disability(PwBD)? 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


rrblogo1
Serving Railway employee No

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 person with benchmark disability(PwBD)? No
Serving Railway employee No
Are you a Course Completed Act Apprentice? Yes

Choice of Language for Examination


Choice of Language for Examination in addition to english(English is default language) Hindi

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 : NASHIK
Date : 26/03/2024

https://www.rrbapply.gov.in/#/pscexamservice/candidate-View-Application?id=9f40713c-68b9-4fd2-82db-262d2efded92 2/2

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