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114 views

NTPC Form

Uploaded by

saurabhkumarup50ji
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

CEN 06/2024 FOR NON TECHNICAL POPULAR CATEGORIES (NTPC) UNDER


GRADUATE POSTS
RRB - PRAYAGRAJ
Registration No : U62402568670
Order of preference of the post Details
Order of Preference 1.(Cat.1)NCR, 2.(Cat.3)NCR, 3.(Cat.2)NCR, 4.(Cat.4)NCR

Personal Details

Full Name of Saurabh


Applicant
Father’s Rajmani
Name
Mother's Gayatri Devi
Name
Date Of 09-08-2004 Gender Male
Birth
Is Aadhaar Yes
Verified

Matriculation 2152773 Date of Apr 27, 2019


/10th /SSLC Passing
Roll number Matriculation
/10th /SSLC
Nationality India Religion Hindu
Mobile 9984817356 Email [email protected]
Number Address
Permanent MOLE ON CHEEK Permanent MOLE ON LEG
visible mark visible Mark
of of
identification identification
1 2
Marital Unmarried
Status

Is No
Application
Modified

Present Address

Address Village -Kabirpur Post -Aidilpur District Azamgarh


State/UT UTTAR PRADESH District Azamgarh
Village/City/Town Kabeerpur Pincode 223221

Permanent Address Details

Address Village -Kabirpur Post -Aidilpur District Azamgarh


State/UT UTTAR PRADESH District Azamgarh
Village/City/Town Kabeerpur Pincode rrblogo1 223221

Essential Qualification Details

Qualification subject/Trade Board State in which studied Date of Result Declaration


Matriculation/SSLC 10th Subjects UP. Board UTTAR PRADESH Apr 27, 2019
12th (+2 Stage) or its equivalent 12th (+2 Stage) or its equivalent U.P Board UTTAR PRADESH Jul 31, 2021

Do you have typing proficiency in English / Hindi on Computer? Yes

Community Details

Community SC (Scheduled Caste)


Name of the Caste Chamar
Certificate No 611234003355
Issuing Authority Revenue Officers not below the rank of Tehsildar
Issuing State/UT UTTAR PRADESH
Date of issue 19/05/2023
Do you wish to avail free rail travel pass for the exam ? Yes

Please indicate Nearest Railway Station Azamgarh

Payment Details

Payment ONLINE Merchant 21247842935 Payment 12/10/2024 Transaction TRXNU1210202402877086 Transaction 250
Mode PAY Reference No Date ID Amount

Bank Details For Refund of Fee

Bank name UNION BANK OF INDIA A/C Holder Name Saurabh Account Number 495302120000958 IFSC Code UBIN0549533

Person with benchmark disability(PwBD) Details

Are you a person with benchmark disability(PwBD)? No

Scribe Details
Do you need a scribe if your writing ability is affected in accordance with No
provisions of section 2(s) of RPwD Act 2016 (refer para D 11.4(g) of page 18)?

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 Apprentice? 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

Choice of Language for Examination


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

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 : Azamgarh
Date : 12/10/2024

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Application

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