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Railway Recruitment Cell - 400314

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Application Form for Engagement of Apprentices under the Apprentices Act 1961 over Eastern Railway for 2024-25

Registration No. 400314


Name KAVITHA
Father's Name SELVARAJ
Mother's Name JAYA
Reservation Category SC
Trade Electrician
Are you Differently Abled No
Date of Birth 11/02/2002
Gender Female
Are you an Ex-Servicemen No
a. Are you a ward of any of the following None
Aadhar Card No. 205903704393
Religion HINDU
Email ID kavithaselvaraj003@gmail.com
Mobile No. 8154988764
Address
Present Address Communication AMBILI ROAD RAILWAY STATION,AMBILI ROAD RAILWAY STATION,AHMEDABAD,AHMEDABAD,,THALTEJ,GUJARAT,380058.
Permanent Address Communication AMBILI ROAD RAILWAY STATION,AMBILI ROAD RAILWAY STATION,AHMEDABAD,AHMEDABAD,,THALTEJ,GUJARAT,380058.
Nearest Railway Station AMBILI STATION
Unit Preference 4
Unit Preference 1 Jamalpur Workshop Unit Preference 2 Asansol Unit Preference 3 Howrah
Kanchrapara Workshop
Unit Preference 5 Liluah Workshop Unit Preference 6 Malda
Educational Details
Name of the Year of
Roll No. Board / University Marks Obtained Max. Marks Percentage
Exam Passing
Tamilnadu State Board of School
10th 1706596
Examination ( 39 )
312 500 62.40 2017

Name of the Year of


Certificate No. Name of ITI Institute Marks Obtained Max. Marks Percentage
Exam Passing
ITI 8387440 STATE BOARD OF TAMILNADU 312 500 62.40 2020
Certificates / Documents Uploaded
Uploaded Documents 10th Marksheet,10th Certificate,ITI Marksheet,ITI Certificate,Age Certificate,Community Certificate

Fee Payment Details : Exempted

Declaration

1. I hereby declare that I have carefully read all the eligibility criteria mentioned in the notification and I fulfill all of them. I have read all the rules of examination and
instructions carefully and I undertake to abide by them.
Further, I hereby declare that all the information provided by me in this application form is true and correct to the best of my knowledge and belief.

Signature of the candidate Left hand thumb impression Date

24/09/2024

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