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    Applicant Print PDF

    Uploaded by

    Payal Payalmalvi
    1) The document is an online registration form submitted by Malvi Payalkumari Phoolchandra for the Railway Recruitment Board's CEN 02/2019 exam for Paramedical Categories. 2) Key details provided on the form include her personal information like name, date of birth, contact details, education qualifications, payment receipt number, job preference, and address for correspondence. 3) She has applied for the post of Staff Nurse (WR) as her first preference and has submitted the form along with payment of 250 rupees through an online payment.

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    Applicant Print PDF

    Uploaded by

    Payal Payalmalvi
    44 views2 pages
    1) The document is an online registration form submitted by Malvi Payalkumari Phoolchandra for the Railway Recruitment Board's CEN 02/2019 exam for Paramedical Categories. 2) Key details provided on the form include her personal information like name, date of birth, contact details, education qualifications, payment receipt number, job preference, and address for correspondence. 3) She has applied for the post of Staff Nurse (WR) as her first preference and has submitted the form along with payment of 250 rupees through an online payment.

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    1) The document is an online registration form submitted by Malvi Payalkumari Phoolchandra for the Railway Recruitment Board's CEN 02/2019 exam for Paramedical Categories. 2) Key details provided on the form include her personal information like name, date of birth, contact details, education qualifications, payment receipt number, job preference, and address for correspondence. 3) She has applied for the post of Staff Nurse (WR) as her first preference and has submitted the form along with payment of 250 rupees through an online payment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    44 views2 pages

    Applicant Print PDF

    Uploaded by

    Payal Payalmalvi
    1) The document is an online registration form submitted by Malvi Payalkumari Phoolchandra for the Railway Recruitment Board's CEN 02/2019 exam for Paramedical Categories. 2) Key details provided on the form include her personal information like name, date of birth, contact details, education qualifications, payment receipt number, job preference, and address for correspondence. 3) She has applied for the post of Staff Nurse (WR) as her first preference and has submitted the form along with payment of 250 rupees through an online payment.

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    Railway Recruitment Board - Online Registration

    Online Registration CEN 02/2019 for Paramedical Categories


    RRB AHMEDABAD
    PRINTED APPLICATION FORM

    Registration
    Number

    1120019577
    Name MALVI PAYALKUMARI PHOOLCHANDRA
    Date of
    30-08-1997 Gender FEMALE
    Birth
    Father's
    PHOOLCHANDRA Mother's Name BHAVNABEN
    Name
    Matriculation /10th /SSLC Roll
    A014597
    number
    Year of Passing Matriculation /10th
    2012
    /SSLC
    Mobile
    8511365898 E-mail ID ppayalmalvi@gmail.com
    Number
    Aadhaar
    Card I have Aadhaar Card
    Status
    Aadhaar
    Number /
    Aadhaar 752409492165
    Enrollment
    Number
    Community UR (UNRESERVED)
    Nationality CITIZEN OF INDIA Religion HINDU
    S.No. Applied Qualification
    1 B.Sc (Nursing) with a valid Registration Certificate as Nurse and Midwife from Indian Nursing Council
    Are you a Widow not re-married /Divorcee not re-married / Judicially Separated not re-
    No
    married?
    Are you a person with Benchmark
    No
    Disabilities(PwBD)?
    Are you an Ex - Serviceman? No
    Were you domiciled in Jammu and
    Kashmir during 1.1.1980 to No
    31.12.1989?
    Are you an employee in Central
    Government/ State Government / No
    Public Sector Unit?
    Are you a Serving Group C or
    erstwhile Group D Railway
    No
    Employee or Casual labour or
    Substitutes?
    Are you an employee in Quasi- No
    admiministrative offices of Railway
    Organisation such as Railway
    canteens, co-operative societies
    and institutes?

    PAYMENT DETAILS
    Payment Mode Merchant Reference No Transaction ID Transaction Amount
    ONLINEPAY 11200195777 CPP4951559 250.00

    BANK DETAILS
    Do you wish to receive the refund to the same account through which you made the payment? No
    Bank name A/C Holder name Account Number IFSC Code
    IDBI BANK FULCHAND NANJIBHAI LUHAR 1342104000027229 IBKL0001342

    JOB PRIORITY DETAILS


    S.No. Post Name(Rly/Prod.Unit) Order of Post Preference
    1 STAFF NURSE (WR) 1

    DETAILS OF ESSENTIAL QUALIFICATION


    Name of the Exam State Year of Passing
    SSLC/Matriculation -- 2012
    12TH(10 +2) OR ITS EQUIVALENT Gujarat 2014

    OTHER DETAILS
    Mother Tongue Hindi
    Choice of Language for Exam Hindi

    ADDRESS FOR THE COMMUNICATION


    Address
    67 BHIKA BHAI SAURASHTRA NAGAR
    Line 1
    Address
    OPP RANJAN HIGH SCHOOL BAPUNAGAR
    Line 2
    State Gujarat District Ahmedabad
    Classification City
    City /
    Town/ Ahmadabad City Pincode 380024
    Village

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