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6/24/24, 9:41 AM Common Recruitment Process for RRBs (CRP RRBs XIII) for Recruitment of Group "B" - Office

" - Office Assistants (Multipurpose)

360130

Common Recruitment Process for RRBs (CRP RRBs XIII) for Recruitment of Group "B" -
Office Assistants (Multipurpose)

Registration Number : 2370522045


Full Name : PUSHPENDAR KUMAR
NAGAR

Category : SC

Are you a person with benchmark disability of 40% and above ? : NO


Type of Disability : - Uploaded
Sub-Type of Disability for 'ID & Others' : -
Sub-Type of Disability : -

Sub-Type of Multiple Disability : -


Are you as per PwBD guidelines eligible to use compensatory : -
time at the time of examination ?

Are you suffering from cerebral palsy and your writing speed is : -
affected ? Captured
If Yes, Do you need compensatory time at the time of : -
examination?

Whether your dominant (Writing) hand is affected ? : -


If Yes, Do you need compensatory time at the time of : -
examination?
Are you as per PwBD guidelines eligible to use the services of a : -
scribe and wish to avail the same ?
Are you a person with specified disability covered under the : NO
definition of sec 2(s) of the RPwD Act, 2016 and not covered
under sec 2(r) of the said act and having difficulty in writing?
If Yes, Do you need compensatory time at the time of : -
examination?
Are you a person with specified disability covered under the : -
definition of sec 2(s) of the RPwD Act, 2016 and having difficulty
in writing and not covered under sec 2(r) of the said act and
eligible to use the services of Scribe and wish to avail the
services of Scribe?

I certify that, I will upload (in current application) the certificate : -


from competent medical authority of a Government healthcare
institution as per Ministry of Social Justice and Empowerment,

https://ibpsonline.ibps.in/rrb13oamay24/registration_print.php?q=MGE5MzNmYjU0MzU4MjdiMWMyMWEwMjEyMmE2YmQxMjh8MjM3MDUyMjA0NQ== 1/5
6/24/24, 9:41 AM Common Recruitment Process for RRBs (CRP RRBs XIII) for Recruitment of Group "B" - Office Assistants (Multipurpose)
Department of Empowerment of Persons with Disabilities
(Divyangjan) OM No. F. No. 29-6/2019-DD-III dated 10.08.2022.

Are you a child/ family member of those who died in 1984 riots ? : NO
Religion to which you belong : Hindu
Do you belong to Religious Minority Community ? : NO
Are you an Ex-Serviceman ? : NO

Are you a Disabled Ex-Serviceman ? : NO


Period of service rendered in defence services as an Ex- : -
serviceman (in months)

Have you joined a Government job on the civil side after availing : -
of the benefits given as an ex-serviceman?
Are you a Dependent of a Servicemen killed in action ? : NO
Are you a matriculate Ex-Serviceman who has obtained the : -
Army Special Certificate of Education or corresponding
certificate in the Navy or Air Force after having completed not
less than 15 years of service in the Armed Forces of the Union ?

Percentage of Marks : -
Are you seeking relaxation under widow / divorced women / : NO
women judicially Separated from their husbands and who are not
re-married ?
Have you appeared for the CWE/CRP - RRB earlier ? : NO
How many attempts ? : -
Select the CWE/CRP-RRB attempted earlier : -
Nationality / Citizenship : Indian
State/UT for which you want to apply for : Rajasthan

Centre of Preliminary Examination : Jaipur


Centre of Main Examination : Jaipur
I intend to bring the following ID when appearing for the : YES
examination : (I confirm my name on this ID and this
application exactly match)
ID Proof : Aadhaar Card
ID Proof No. : XXXXXXXX2959

Kindly indicate Medium of Paper - how you would like the paper : English and Hindi
to be presented to you ?

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 148.30
Tax : 26.70 (IGST)
Amount : 175.00
Payment Status : PAID

Reference ID : YHD42360885562
Transaction Date : 24-06-2024

Personal Details

https://ibpsonline.ibps.in/rrb13oamay24/registration_print.php?q=MGE5MzNmYjU0MzU4MjdiMWMyMWEwMjEyMmE2YmQxMjh8MjM3MDUyMjA0NQ== 2/5
6/24/24, 9:41 AM Common Recruitment Process for RRBs (CRP RRBs XIII) for Recruitment of Group "B" - Office Assistants (Multipurpose)

Date of Birth : 02-07-1998


Age completed as on 01.06.2024 : 25
Gender : MALE
Aadhaar Card Number : XXXXXXXX2959
PAN Card Number : XXXXXX043C
Do you have twin brother / sister ? : NO

Gender of the twin : -


Name of the twin : -
Marital Status : Unmarried
Father's Name : SHYAM LAL NAGAR
Mother's Name : LAXMI DEVI
Spouse's Name : -
Address for Correspondence
Address 1 : VIL. JHUPDI PASARAN

Address 2 : Th.Baswa Dist. Dausa


Address 3 : pin code 303313
State : RAJASTHAN
District : Dausa
Pincode : 303313
Permanent address
Address 1 : VIL. JHUPDI PASARAN

Address 2 : Th.Baswa Dist. Dausa


Address 3 : pin code 303313
State : RAJASTHAN
District : Dausa
Pincode : 303313
State for GST invoicing : Permanent Address
(RAJASTHAN)

Contact Details
Mobile Number : +91 6375185330

Alternative Number : +91 7296803734


(Mobile Number/Landline Number)

Email ID : pushpendar2015@gmail.com

Educational Qualification (as on 27.06.2024)

Exam Passed Degree Specialization/Subject Date of % of Marks Class /


Passing Grade

https://ibpsonline.ibps.in/rrb13oamay24/registration_print.php?q=MGE5MzNmYjU0MzU4MjdiMWMyMWEwMjEyMmE2YmQxMjh8MjM3MDUyMjA0NQ== 3/5
6/24/24, 9:41 AM Common Recruitment Process for RRBs (CRP RRBs XIII) for Recruitment of Group "B" - Office Assistants (Multipurpose)

Graduation / Engineering Mechanical Engineering 22-06-2021 60.98 First Class


Equivalent (BE)/(B.TECH)

Do you have computer knowledge? : YES


If yes, Details of Computer Knowledge : COLLEGE SUBJECT

Whether local language of the state : YES


selected was studied in standard VIII or
any level above standard VIII in
Government recognized Boards of
Education/ School or having any
certificate to the effect for standard VIII
or any level above standard VIII ?
: Hindi

Bank Preference

1 Baroda Rajasthan Kshetriya Gramin


Banks in order of Preference Bank
2 Rajasthan Marudhara Gramin Bank

Other Details :

PET maybe conducted in Online or Offline : NO


mode. In case it is possible to hold Pre-Exam
Training, are you desirous of taking Pre-Exam
Training ?(Applicable Only for SC/ST/OBC/
Minority Community/Ex-Serviceman/Disabled
Ex-Serviceman/Dependent of a
Servicemen/PwBD) ?

If Yes, Centre for Training : -


Whether any prosecution/ detention / : NO
fine/conviction/ sentence against you has been
awarded by any court of law for any offence?

If yes, particulars of the same: : -

Languages Known Read Write Speak

Hindi YES YES YES

English YES YES YES

Uploaded Document Details :

1. Left thumb impression


2. Hand written declaration

Declaration:
I hereby declare that, I have read, understood and agreed the terms and conditions of the notification for the said post and
all the statements made in the application are True, Complete and Correct to the best of my knowledge and belief. I
https://ibpsonline.ibps.in/rrb13oamay24/registration_print.php?q=MGE5MzNmYjU0MzU4MjdiMWMyMWEwMjEyMmE2YmQxMjh8MjM3MDUyMjA0NQ== 4/5
6/24/24, 9:41 AM Common Recruitment Process for RRBs (CRP RRBs XIII) for Recruitment of Group "B" - Office Assistants (Multipurpose)
understood that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the
eligibility criteria stipulated, and also in case of creating influence/ undue pressure regarding recruitment shall tantamount to
cancellation of my candidature.

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

Date: 24-06-2024

Left thumb impression

Hand written declaration

https://ibpsonline.ibps.in/rrb13oamay24/registration_print.php?q=MGE5MzNmYjU0MzU4MjdiMWMyMWEwMjEyMmE2YmQxMjh8MjM3MDUyMjA0NQ== 5/5

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