RRC

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 Present address is same as permanent 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. Level of the Post *(Candidates are advised to submit separate applications for Level-1 and Level-2 posts)

8. Mobile No. *

+91

9. Aadhaar No *

10. Email ID *

11. Date of Birth*

(As Per Matriculation Certificate )
(AGE WILL BE RECKONED AS ON 01.07.2024).

Age criteria......

12. Gender *

Female Male Others

13. Marital Status *

Married Unmarried

13.1 Marital Status *

14. Community *

If OBC is selected then make sure the community certificate specifically indicates that you do not belong to creamy layer. If you belong to creamy layer then select UR

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 Religion *

17. Do you belong to PWD Category ? *

Yes No

17.1 Select Type of disability ? *

17.2 Enter PWBD Disability percent ? *

17.3 Enter PWD certificate No ? *

17.4 Enter PWD date of issue ? *

17.5 Enter issued By ? *

18. Do you belong to Ex-Servicemen ? *

Yes No

18.1 Enter PPO No/ discharge book no ? *

18.2 Date of Attestation *

18.3 Date of Discharge *

18.4 Exman Service ? *

19. Are you Serving Railway Employees ? *

Yes No

19.1 Do You have 3 Years Service (continuous or in broken spells) ? *

Yes No

20. Are you Course Completed Act Apprentices applying for the posts for which minimum qualification is ITI/Course Completed Act Apprenticeship. ? *

Yes No

Select duration of the CCAA *

21. Are you Candidate who are course Completed Act. Apprentices under Apprenticeship Act before attaining the age of 25 years. ? *

Yes No

Select date of Completion CCAA *

22. Are you Staff of quasi Administrative Offices of Railway Organizations. ? *

Yes No

23. Enter Nearest Railway Station *

24. Choice Of language for examination *

25. Qualification *

26. Details of Educational Qualification *

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

27. President's Scout/Guide/Rover/Ranger OR Himalayan Wood Badge(HWB) *(this certificate must be uploaded)

Name of course	Certificate/HWB Parchment No	Year	date
President's Scout/Guide
President's Rover/Ranger
President's Himalayan Wood Badge
Others

28. Should have been an active member of Scout Organization for the last 5 years. The ‘Certificate of Activeness’should be as per Annexure – ‘VIII’. *(this certificate must be uploaded)

S.No	Member of	From Date	To Date	Warrant No	Date
1
2
3
4

29. Participation / Service rendered in National Events / National jamboree including All Indian Railways's Events *(this certificate must be uploaded)

S.No	Name of The Events	Date	Place
1
2

30. Participation / Service rendered in State Events / Rallies *(this certificate must be uploaded)

S.No	Name of The Events	Date	Place
1
2

31. Candidates are advised to mention the following details in: (Annexure-9) and must upload the same.(As per Notification 14.13)
(a) Participation/Service in National Events/National Jamboree (including All Indian Railway Events).
(b) Participation/Service in State Events/Rallies.
(c) Specialized Scouts/Guides Course Organised at National/State/All Indian Railways Level.
(d) Participation in District Rallies.

32. 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 *

RAILWAY RECRUITMENT CELL (RRC)

NORTH WESTERN RAILWAY

Scouts & Guides Quota RECRUITMENT 2024

Registration Form

5. Permanent Address

6. Present Address

32. Bank Account Details