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APPLICATION FORM 1. Registration No. : 135646704 2. RRB Unit : ALLAHABAD 3. Educational Details : DEGREE IN A COMBINATION OF ANY SUB STREAM OF BASIC STREAMS IN ELECTRICAL ENGINEERING 4. Name : AKHILESH KUMAR MISHRA 5. Father's Name : RAMA SHANKER MISHRA 6. Mother's Name : SHASHI KALA MISHRA 7. Date of Birth : 22-02-1985 8. Gender : Male 9.Matric/10th/SSLC Roll No. : 0745958 10.Matric/10th/SSLC Year of Passing : 1999 11. Religion : HINDU 12. Email ID : [email protected] 13. Mobile No. : 9956072060 14. Community : UR (Unreserved) 15. Do you belong to PWD : No 16. Are you an Ex-Servicemen : No 17. Do you belong to Economically Backward Class : No 18. Are you Domiciled in the state of Jammu & Kashmir during the period from 01.01.1980 to 31.12.1989 : No 19. Government / PSU employee : No RRB 2015 https://www.rrbonlinereg.com/rrbAll0115/frmApplicationPrint.aspx 1 of 2 7/21/2015 3:05 PM Edited with the trial version of Foxit Advanced PDF Editor To remove this notice, visit: www.foxitsoftware.com/shopping

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Page 1: Untitled

APPLICATION FORM

1. Registration No. : 135646704

2. RRB Unit : ALLAHABAD

3. Educational Details :DEGREE IN A COMBINATION OF ANY SUBSTREAM OF BASIC STREAMS INELECTRICAL ENGINEERING

4. Name : AKHILESH KUMAR MISHRA

5. Father's Name : RAMA SHANKER MISHRA 6. Mother's Name : SHASHI KALA MISHRA

7. Date of Birth : 22-02-1985 8. Gender : Male

9.Matric/10th/SSLCRoll No.

: 074595810.Matric/10th/SSLCYear of Passing

: 1999

11. Religion : HINDU 12. Email ID : [email protected]

13. Mobile No. : 9956072060

14. Community : UR (Unreserved)

15. Do you belong to PWD : No

16. Are you an Ex-Servicemen : No

17. Do you belong to Economically Backward Class : No

18. Are you Domiciled in the state of Jammu & Kashmir duringthe period from 01.01.1980 to 31.12.1989

: No

19. Government / PSU employee : No

RRB 2015 https://www.rrbonlinereg.com/rrbAll0115/frmApplicationPrint.aspx

1 of 2 7/21/2015 3:05 PM

Edited with the trial version of Foxit Advanced PDF Editor

To remove this notice, visit:www.foxitsoftware.com/shopping

Page 2: Untitled

20. Job Priority Details

Job Priority Job Name

1 NCR - Sr. Section Engineer Electrical/Electrical (GS)

2 DLW - Sr. Section Engineer Electrical/Electrical (GS)

3 NR - Sr. Section Engineer Electrical (TRD)

4 NR - Sr. Section Engineer Electrical/Electrical (GS)

5 DLW - Chief Depot Material Superintendent

21. Educational Details

Name ofthe Exam

Degree Subject / Specialization School / Inst. Year of Passing

10th -- Board-U.P. Board of High School & Intermediate Edu. SVMIC 1999

UG B.Tech Electrical UPTU 2008

RRB 2015 https://www.rrbonlinereg.com/rrbAll0115/frmApplicationPrint.aspx

2 of 2 7/21/2015 3:05 PM

Edited with the trial version of Foxit Advanced PDF Editor

To remove this notice, visit:www.foxitsoftware.com/shopping