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1) .Application Form

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84 views

1) .Application Form

Uploaded by

ganda_siva
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as RTF, PDF, TXT or read online on Scribd
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Control No (for office use):-

Roll No (for office use):-


Annexure-1

Paste(do not pin or staple) here your recent colour passport size photograph
RAILWAY RECRUITMENT BOARD, ........................... 4 cm x 5 cm
State__________________________ PINCODE
A P P L I C A T I O N F O R M F O R C e n t r a l i s e d E m p l o y m e n t (The N o tcolour
i c e photograph
No ……… should
… not be more than 3 months old) Not to be a
PLEASE FILL UP THE APPLICATION IN CAPITAL LETTERS IN OWN HANDWRITING.
Signature should not be in Capital letters.
(All applications must be submitted in A4 size 80 GSM bond paper)

Cat No Name of Post


1. Category No & Post
(For single category)
Indicate options below in order of preference where single application is prescribed for more than one category
(you will only be considered for the posts indicated below )
Option Cat No Name of Post

2. 1st 2nd 3rd

Choice of Railway:
(wherever applicable)
3. Medium of examination : (Choose any one of the local languages of concerned RRB
as given in para 15 of notification , if other than English, Hindi & Urdu) Signature of the candidate in the
above
box below the photograph

4. NAME OF CANDIDATE
UR OBC* SC ST

(In English only)


5. COMMUNITY (Tick √)

* OBC Certificate to be submitted in the form as prescribed in Annexure -04 of Employment Notice

6. FATHER’S NAME
(In English only)
7. Date of Birth (DD/MM/YYYY) 8. Age years months days

(Age as on 01.07.2010, refer para 2 of Emp. Notice No. 02./2010)

9. Visible mark of identification on body

10. Qualification (Fill in only those qualifications prescribed for the post applied for)
Year of Marks %
(A) Academic Qualification University/Board Subjects
passing
SSC/X / Matric
Higher Secondary/XII/Inter

Graduation

Post Graduation
Others
Year of Marks %
(B) Technical Qualification University/Board Discipline/Trade
passing
I.T.I /Act Apprentice

Diploma

Engineering Degree

Others

11. ADDRESS
(In English only)

(FOR CORRESPONDENCE)
12. Nearest Railway Station
(In English only ) (for issue of free
railway pass to SC/ST candidates)

Left Hand Thumb Impression


of candidate in this box
Signature of the Candidate
Note : 1) Candidate must fill up their name, father's name and date of birth as indicated in their Matriculation certificate.

2) Candidate should put their full signature at all the places in the same language (In English or in Hindi)

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