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RAILWAY RECRUITMENT CELL, NORTH CENTRAL RAILWAY
Balmiki Chauraha, Nawab Yusuf Road, Allahabad

Annexure ‘I’ Address for sending applications: Asstt. Personnel Officer/Rectt.
Railway Recuitment Cell, North Central Railway, Near Balmiki Chauraha, Civil Lines, Allahabad (U.P.) Pin No. 211001

Recruitment Unit & North Central Railway Notification No. RRC/NCR/1/2013 Please fill the column with capital letter by ball point pen and mark Tick where desirable 1. Name of Candidate (In Captial letters) 2. Father’s name/Husband's name 3. Community (Tick ) SC ST 5. Date of Birth (Attach Certificate) D D M M Y Y Y Y 7. State of Domicile 8. Nationality 9. Religion 10. Nearest Railway Station

OBC/Minority UR 4. Marital Status (Tick ) Married Unmarried 6. Gender (Male/Female)

11. Correspondence Address Name Address State Pin Code 12. Telephone/Mobile No: ..................................................................................................................................................... 13. E-mail Address : ............................................................................................................................................................ 14. Are you physically handicapped/if yes, HH OH VH Tick your appropriate category 15. Percentage of Handicapness % 16. Priority for category Category No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Priority No. 16 A. Educational Qualification SSLC/Matric HSC SSC ITI Diploma Non-Tech. Technical Graduation Post Graduation 17. Age relaxation sought under : .................................................................................................................................. 18. Particulars of Examination Fee. Post Office/Name of Bank Number of IPO/Bank Draft Date Amount 19. Identification Mark : 1. ...................................................... 2. .............................................................. 20. For the use of Railway Serving Employee Designation Designation/Address of

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