9/23/2016

CommonRecruitmentProcessforRRBs(RRBsCWEV)forRecruitmentofGroup"A"Officers(ScaleI)ApplicationFormPrint

InstituteofBankingPersonnelSelection
CommonRecruitmentProcessforRRBs(RRBsCWEV)forRecruitmentofGroup"A"Officers
(ScaleI)

RegistrationNumber

: 1510356593

FullName

: VikashKumar

Category

: OBC

AreyouaPersonwithDisability

: NO

TypeofDisability

Percentageofdisability

Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Whetheryourdominant(Writing)handisaffected

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Doyouintendtousetheservicesofascribe(onlyforVIcandidatesandthe
candidateswhosewritingspeedispermanentlyaffected)?

AreyouaChild/FamilyMembersofthosewhodiedin1984Riots?

: NO

AreyouaPersonordinarilydomiciledintheStateofJammu&Kashmirduring
theperiodfrom01.01.80to31.12.89.?

: NO

Religiontowhichyoubelong

: Hindu

DoyoubelongtoReligiousMinorityCommunity?

: NO

AreyouanExServiceman:?

: NO

PeriodofservicerenderedindefenceservicesasanExserviceman(in
months)

HaveyoujoinedaGovernmentjobonthecivilsideafteravailingofthe
benefitsgivenasanexserviceman?

HaveyouappearedfortheCWEforRRB(RRBCWEI)heldinSpetember
2012

: NO

PostName

RegistrationNumber

HaveyouappearedfortheCWEforRRB(RRBCWEII)heldinSeptember/
October2013

: NO

PostName

RegistrationNumber

HaveyouappearedfortheCWEforRRB(RRBCWEIII)heldinSeptember
2014

: NO

PostName

RegistrationNumber

HaveyouappearedfortheCWEforRRB(RRBCWEIV)heldinSeptember
2015

: NO

PostName

RegistrationNumber

DoyouholdAadharCard?

: YES

AadharCardNo.

: 926861703726

Nationality/Citizenship

: Indian

http://ibps.sifyitest.com/rrbvgaos1sep16/registration_print.php?q=ZGM4YTI0NjQ4N2U4MjIyMGJmMTE1NDgxYTZiNTliOWV8MTUxMDM1NjU5Mw==

1/3

9/23/2016

CommonRecruitmentProcessforRRBs(RRBsCWEV)forRecruitmentofGroup"A"Officers(ScaleI)ApplicationFormPrint

State/UTforwhichyouwanttoapplyfor

: Gujarat

CentreofExamination

: Surat

ApplicationFee/Intimationcharges
Amount

: 600.00

PaymentStatus

: PAID

ReferenceID

: GSM34774478535

TransactionDate

: 23092016

PersonalDetails
DateofBirth

: 02101994

Agecompletedason01.09.2016

: 21

Gender

: MALE

MaritalStatus

: Unmarried

Father'sName

: KameshwarSingh

Mother'sName

: PrabhavatiDevi

Spouse'sName

AddressforCorrespondence

: 231kameshwarsinghroadno9

Address2

: ganganagarharmu

District

: Ranchi

State

: JHARKHAND

Pincode

: 834002

Permanentaddress

: 231kameshwarsinghroadno9

Address2

: ganganagarharmu

District

: Ranchi

State

: JHARKHAND

Pincode

: 834002

ContactDetails
MobileNo

: +919034934448

AlternativeNumber
(MobileNo/LandlineNo)

: +919902554460

EmailID

: almanac.vikash@hotmail.com

EducationalQualificationDetails(ason30.09.2016)
ExamPassed

Degree/Subject/Stream

Dateof
Passing

%ofMarks

Class/Grade

Graduation/equivalent

Othersengineering

10062015

70.00

FirstClass

Whetherlocallanguageofthestateselected
wasstudiedinstandardVIIIoranylevel
abovestandardVIIIinGovernment
recognizedBoardsofEducation/Schoolor
havinganycertificatetotheeffectforstandard
VIIIoranylevelabovestandardVIII

: NO

:
DoyouhaveComputerKnowledge:?

: YES

Ifyes,DetailsofComputerKnowledge:

: DCAandbsiccprograming

http://ibps.sifyitest.com/rrbvgaos1sep16/registration_print.php?q=ZGM4YTI0NjQ4N2U4MjIyMGJmMTE1NDgxYTZiNTliOWV8MTUxMDM1NjU5Mw==

2/3

9/23/2016

CommonRecruitmentProcessforRRBs(RRBsCWEV)forRecruitmentofGroup"A"Officers(ScaleI)ApplicationFormPrint

BanksinorderofPreference

1DenaGujaratGraminBank
2BarodaGujaratGraminBank
3SaurashtraGraminBank

AreyoudesirousoftakingPreExamTraining
(ApplicableOnlyforSC/ST/MinorityCommunity)

IfYes,CentreforTraining

Whetheranyprosecution/detention/fine/conviction/
sentenceagainstyouhasbeenawardedbyany
courtoflawforanyoffence

: NO

Ifyes,particularsofthesame

OtherDetails:

LanguagesKnown

Read

Write

Speak

English

YES

YES

YES

Hindi

YES

YES

YES

Gujrati

YES

NO

YES

Declaration:
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibility
criteriastipulated,andalsoincaseofcreatinginfluence/unduepressureregardingrecruitmentshalltantamounttocancellationofmy
candidature.

Date:23092016

SignatureofApplicant

http://ibps.sifyitest.com/rrbvgaos1sep16/registration_print.php?q=ZGM4YTI0NjQ4N2U4MjIyMGJmMTE1NDgxYTZiNTliOWV8MTUxMDM1NjU5Mw==

3/3