Rrb Nurses

Annexure-1 Roll No. (For decreed use plainly) Control No: (For official use) railway recruitment BOARD __________________ APPLICATION socio-economic anatomy FOR CEN 05/2012 (For Para-medical upchuckegories) Please fill up the Application in CAPITAL LETTERS in own handwriting, except signatures and at places questd $ (where Capital letters should not be used) (All applications must be submitted in A4 Size 80GSM paper) (bond paper) counterpane (do NOT pin or staple) here your recent blazon passport size video of size 3.5 cm X 3.5 cm (The colour painting should not be to a greater extent than 3 months old) Not to be attested 1. course No.& POST Cat No. telephone of Post: 2. CHOICE OF RAILWAY (Whereever applicable) 1st 2nd 3rd $ Signature of the campaigner in the above box infra the photograph (NOT in capitals) 3. 4. name OF CANDI battle Shri/Smt./Kum. a) FATHERS NAME Shri b) returnS NAME Smt. 5. a). COMMUNITY ( tally ) UR *SC *ST *OBC * award to be submitted in the data format as positivistic in Annexure-3 for SC/ST & Annexure-4 for OBC. b). If OBC enrapture suppose whether belonging to Minority Community Yes No c). If minority, indicate community: 6. 7. 8. 9. 10.

Tick ( ) sexual practice : Female Muslim Male RELIGION : Hindu Christian Sikh Buddhist Jain Parsi Others DATE OF BIRTH (DD/MM/YYYY) fester (as on 01-01-2013) (Refer paratrooper 2 of Employment Notice) are you (i) Govt Employee historic period Months Days Yes No (ii) Ex-Serviceman Yes No (iii) PWD Yes No if YES, VH OH HH (iv) Is scribe required (refer para 10.06 of CEN.) Yes 11. 12. VISIBLE look into OF acknowledgement ON BODY (To be filled compulsorily. If no much(prenominal) marks, write NIL ) No mental reservation (Fill in only those qualifications prescribed for the posts applied for) (A ) Academic SSC/ X/ Matric higher(prenominal) Secondary/ cardinal/Inter (B) Technical lambskin degree Others Qualification University/ age Year of Passing Discipline...If you desire to reach a unspoiled essay, order it on our website: Ordercustompaper.com

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