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RRB 2015
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<div id="container">

<table width="100%" style="border: solid 1px black;" cellpadding="5px">


<tr>
<td style="font-size: 16px; text-align: center" colspan="6">
<table>
<tr>
<td style="width: 85%">
<img id="ImgHeader" src="Images/Title.jpg" style
="height:84px;width:777px;border-width:0px;" />
</td>
</tr>
</table>
</td>
</tr>
</table>
<table width="100%" style="border: solid 1px black;" cellpadding="5px">
<tr>
<td align="center" colspan="6">
<b style="font-size: 15px; text-decoration: underline">APPLI
CATION FORM</b>
</td>
</tr>
</table>
<table width="100%" style="border: solid 1px black;" cellpadding="5px">
<tr>

</tr>
<tr>
<td colspan="3">
<table style="width: 100%;">
<tr>
<td width="50%">
<b>&nbsp; 1. Registration No.</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td colspan="4">
<b>
<span id="lblRegno">174158269</span></b>
</td>
<td rowspan="3" align="right">
<img id="imgCand" src="GetQuestionImage.aspx?fil
eType=photo" style="width:118px;border-width:0px;height: 135px; margin-top: 0px;
" />
</td>
</tr>
<tr>
<td class="style3">
<b>&nbsp; 2. RRB Unit</b>
</td>
<td>
<span lang="en-us">:</span>
</td>
<td colspan="4">
<b>
<span id="lblRRB">CHANDIGARH</span></b>
</td>

</tr>
<tr>
<td>
<b>&nbsp; 3. Educational Details</b>
</td>
<td>
<span lang="en-us">:</span>
</td>
<td>
<table style="width: 100%;">
<tr>
<td>
<b>
<span id="lblEdu">DIPLOMA IN CIV
IL ENGINEERING</span></b>
</td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="style3">
<b>&nbsp; 4. Name</b>
</td>
<td>
<span lang="en-us">:</span>
</td>
<td colspan="4">
<b>
<span id="lblName">HARWINDER SINGH</span></b>
</td>
</tr>
<tr>
<td colspan="6">
<table width="100%">
<tr>
<td width="18%">
<b>&nbsp;5. Father's Name</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width="30%">
<span id="lblFatherName">JASPAL SINGH</span>
</td>
<td width="18%">
<b>6. Mother's Name</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width="30%">
<span id="lblMotherName">HARPAL KAUR</span>
</td>
</tr>
</table>
</td>

</tr>
<tr>
<td colspan="6">
<table width="100%">
<tr>
<td width="18%">
<b>&nbsp;7. Date of Birth</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width="30%">
<span id="lblDOB">15-10-1993</span>
</td>
<td width="18%">
<b>8. Gender</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width="30%">
<span id="lblGender">Male</span>
</td>
</tr>
</table>
</td>
</tr>

<tr>
<td colspan = "6">
<table width = "100%">
<tr>
<td width = "18%">
<b>9.Matric/10th/SSLC Roll No.</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width = "30%" >
<span id="lblmatrollno">980532</span>
</td>
<td width = "18%">
<b>10.Matric/10th/SSLC Year of Passing</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width = "30%" >
<span id="lblYOP">2010</span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="6">
<table width="100%">
<tr>

<td width="18%">
<b>11. Religion</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width="30%">
<span id="lblrelegin">SIKH</span>
</td>
<td width="18%">
<b>12. Email ID</b>
</td>
<td width="2%">
<span lang="en-us">:</span>
</td>
<td width="30%">
<span id="lblEmail">sandhuharvinder72@gmail.com<
/span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td style="width: 50%;">
<b>13. Mobile No.</b>
</td>
<td>
<span lang="en-us">:</span>
</td>
<td colspan="4">
<span id="lblMobile">9465909198</span>
</td>
</tr>
<tr>
<td valign="top">
<b>14. Community</b>
</td>
<td valign="top">
<span lang="en-us">:</span>
</td>
<td colspan="4">
<table style="width: 100%">
<tr>
<td colspan="3" align="left">
<span id="lblCategory">UR (Unreserved)</span>
</td>
</tr>
<tr id="trscstcert" style="display:none;">
<td style="width: 55%">
Certificate No
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblscstcert"></span>
</td>
</tr>

<tr id="trscstcertissdate" style="display:none;">


<td>
Certificate Issued Date
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblscstcertissdate"></span>
</td>
</tr>
<tr id="trscstcerissby" style="display:none;">
<td>
Certificate Issued By
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblscstcerissby"></span>
</td>
</tr>
<tr id="trnerrstn" style="display:none;">
<td>
Nearest Rly. Station
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblnerrstn"></span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<b>15. Do you belong to PWD</b>
</td>
<td>
<span lang="en-us">:</span>
</td>
<td>
<span id="lblPWD">No</span>
</td>
</tr>
<tr id="trPWD" style="display:none;">
<td>
</td>
<td>
</td>
<td colspan="4">
<table style="width: 100%">
<tr>
<td style="width: 55%">
Type of Disability

</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblPWDDisability"></span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<b>16. Are you an Ex-Servicemen</b>
</td>
<td>
<span lang="en-us">:</span>
</td>
<td>
<span id="lblExServicemen">No</span>
</td>
</tr>
<tr id="trExService" style="display:none;">
<td>
</td>
<td>
</td>
<td colspan="4">
<table style="width: 100%">
<tr>
<td style="width: 55%">
Date of Attestation
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblAttestation"></span>
</td>
</tr>
<tr>
<td style="width: 50%">
Date of Discharge
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblDischarge"></span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td class="style2">
<b>17. Do you belong to Economically Backward Class</b>
</td>

<td class="style2">
<span lang="en-us">:</span>
</td>
<td class="style2">
<span id="lblBackward">No</span>
</td>
</tr>
<tr>
<td class="style2">
<b>18. Are you Domiciled in the state of Jammu & Kashmir dur
ing the period from 01.01.1980
to 31.12.1989</b>
</td>
<td class="style2">
<span lang="en-us">:</span>
</td>
<td class="style2">
<span id="lblJammuAndKashmir">No</span>
</td>
</tr>
<tr>
<td>
<b>19. Government / PSU employee</b>
</td>
<td>
<span lang="en-us">:</span>
</td>
<td>
<span id="lblpsuEmp">No</span>
</td>
</tr>
<tr id="trRly" style="display:none;">
<td>
</td>
<td>
</td>
<td colspan="4">
<table style="width: 100%">
<tr>
<td style="width: 55%">
Have you intimated your Employer
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblIntimated"></span>
</td>
</tr>
<tr>
<td>
serving a Railway Employee
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblRlyEmp"></span>
</td>
</tr>

<tr id="trRlyServiceFrom">
<td style="width: 50%">
Service Date From
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblServiceFrom"></span>
</td>
</tr>
<tr id="trRlyServiceTo">
<td style="width: 50%">
Service Date To
</td>
<td style="width: 2%">
<span lang="en-us">:</span>
</td>
<td>
<span id="lblServiceTo"></span>
</td>
</tr>
</table>
</td>
</tr>
<tr id="trGridJob" style="display:;">
<td width="20%">
<b>20. <u>Job Priority Details</u></b>
</td>
<td style="width: 2%">
<span lang="en-us"></span>
</td>
<td colspan="4" align="left" width="100%">
</td>
</tr>
<tr>
<td colspan="6">
<div>
<table tabindex="1" cellspacing="0" cellpadding="5" rules="all" border="
1" id="grdJob" style="border-collapse:collapse;">
<tr class="grdHeader">
<th scope="col">Job Priority</th><th scope="col">Job Nam
e</th>
</tr><tr class="grdRow" align="center">
<td>1</td><td>NR - Junior Engineer (Bridge) </td>
</tr>
</table>
</div>
</td>
</tr>
<tr>
<td>
<b>21. <u>Educational Details</u></b>
</td>
<td style="width: 2%">
<span lang="en-us"></span>

</td>
<td colspan="4">
</td>
</tr>
<tr>
<td colspan="6">
<table style="width: 98%; height: 145px;" cellpadding="5px"
border="1" cellspacing="0">
<tr style="font-weight: bold;">
<td align="center" style="width: 10%">
Name of the Exam
</td>
<td align="center">
Degree
</td>
<td align="center">
Subject / Specialization
</td>
<td align="center">
School / Inst.
</td>
<td align="center" style="width: 15%">
Year of Passing
</td>
</tr>
<tr id="tr10">
<td align="center" style="font-weight: bold;">
10th
</td>
<td align="center">
-</td>
<td align="center">
<span id="lblmatricboard">Board-Punjab School Ed
ucation Board</span>
</td>
<td align="center">
<span id="lbl10College">BABA SAHIB DASS PUBLIC H
IGH SCHOOL BHAWANIGARH</span>
</td>
<td align="center">
<span id="lbl10yop">2010</span>
</td>
</tr>
<tr id="trDiploma" style="background-color: White;">
<td align="center" style="font-weight: bold;">
Diploma
</td>
<td align="center">
-</td>
<td align="center">
<span id="lblDiplomaBoard">Civil</span>
</td>
<td align="center">
<span id="lblDiplomaCollege">BABA BANDA SINGH BA
HADUR POLYTECHNIC COLLEGE FATEHGARH SAHIB</span>
</td>
<td align="center">

<span id="lblDiplomayop">2013</span>
</td>
</tr>
<tr id="trUG" style="display:none;">
<td align="center" style="font-weight: bold;">
UG
</td>
<td align="center">
<span id="lblUGQual"></span>
</td>
<td align="center">
<span id="lblUGSpec"></span>
</td>
<td align="center">
<span id="lblUGCollege"></span>
</td>
<td align="center">
<span id="lblUGYear"></span>
</td>
</tr>
<tr id="trPG" style="display:none;">
<td align="center" style="font-weight: bold;">
PG
</td>
<td align="center">
<span id="lblPGQual"></span>
</td>
<td align="center">
<span id="lblPGSpec"></span>
</td>
<td align="center">
<span id="lblPGCollege"></span>
</td>
<td align="center">
<span id="lblPGYear"></span>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="6" style="text-align: center">
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t" onclick="window.print();" />
<input name="Button2" type="button" id="Button2" value="Clos
e" onclick="window.close();" />
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