Railway Recruitment Board

Predefined Template

(This is a consolidated template for your photograph, Signature, LTI and handwriting)

Registration Number Name

Photo Signature Left Thumb

Self Declaration:

SELF DECLRATION (COPY IN YOUR OWN RUNNING HAND WRITING, THE DECLARATION GIVEN ABOVE)

Instructions:

1. Paste your recent passport size color photograph in BOX -1.

2. Affix your signature in BOX-2.

3. Affix your LTI (Left Thumb Impression) in BOX 3.

4. Fill in the self declaration by copying the text provided above the declaration box.

The filled in Template should be brought to the examination hall/ during Document Verification

2 3 1

I hereby declare that all statements made in this application are true,

complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false at any stage or not

satisfying the eligibility criteria according to the requirements of the post, my candidature/ appointment is liable to be cancelled / terminated.