RRC

RAILWAY RECRUITMENT CELL (RRC)

NORTH WESTERN RAILWAY

Cultural Quota Recruitment 2023-24

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Registration Form

Note: * Indicates, Mandatory.

1. Candidate's Name *

2. Father's Name *

3. Mother's Name *

4.1 Identification Mark *

4.2 Identification Mark *

5. Permanent Address

i). H.No/Street/Village *

ii). State *

iii). District *

iv). Post Office (PO) *

v). Police Station (PS) *

vi). Landmark *

vii). Pincode *

If permanent address is same as Present address, then select yes Yes No

6. Present Address

i). H.No/Street/Village *

ii). State *

ii). District *

iv). Post Office (PO) *

v). Police Station (PS) *

vi). Landmark *

vii). Pincode *

7. Cultural Disciplines *

8. Mobile No. *

+91

9. Aadhaar No *

10. Email ID *

Please re-check the email Id before submission.
Once submitted, Email Id cannot be changed.

11. Date of Birth*

(As Per Matriculation Certificate )
(The candidate must be within the age group of 18-30 years as on 01^th January 2024).

Age criteria......

12. Gender *

Female Male Transgender

13. Marital Status *

Married Unmarried

13.1 Marital Status *

14. Community *

14.1 Do you belong to creamy layer?

Yes No

15 Do you belong to EBC ? *

(whose family income is less than ₹ 50,000/- per annum).

Yes No

16. Do you belong to Minority Community ? *

Yes No

16.1. Select minority community *

17. Select Religion *

18. Do you belong to PWD Category ?

Yes No

18.1 Select Type of disability ?

18.2 Enter PWBD Disability percent ? *

18.3 Enter PWD certificate No ? *

18.4 Enter PWD date of issue ? *

18.5 Enter issued By ? *

19. Do you belong to Ex-Servicemen ? *

Yes No

19.1 Enter PPO No/ discharge book no ? *

19.2 Date of Attestation *

19.3 Date of Discharge *

19.4 Exman Service ? *

20. Are you Serving Govt Employees ?

Railway Other than RailwayNo

21. Are you Staff of quasi Administrative Offices of Railway Organizations. ?

Yes No

22. Enter Nearest Railway Station

23. Choose language for written exam question paper. *

24. Qualification *

25. Details of Educational Qualification *

Sl.No.	Name of Exam	Board/University	Year of Passing	Marks Type	Marks/CGPA Obtained	Marks/CGPA Toal	Percentage(%)
1.	Matriculation
2.	CCAA
3.	Diploma
3.	ITI Certification
4.	12th (10+2 stage) or its equivalent
5.	Degree
6.	Post Graduation

26. Cultural Qualification *

Qualification	Institution	Year of passing	Recognised by
Certificate Course
Diploma Course
Degree Course
Other Course

27. Awards, Prizes won at National, State & Other Levels

Name of Levels	Positions/Awards if any	Year of Awards/Prizes	Certificate No
Participation at National Level
Participation at State Level
Participation at Other Levels
Performance given on All India Radio(AIR)
Performance given on Doordarshn

28. Bank Account Details

i). Enter Bank name *

ii). Enter Account Name *

iii). Enter Your Account No *

iv). Re-enter Your Account No *

v). Enter IFSC Code *