Mangesh Bhagat Railway Form PDF

Candidate Personal Details Application Status Application Number Candidate's Name PaymentSuccess KR1240099938 MANGESH GOPAL BH AGAT Date of Birth (DD-M Age as on 01/08/202 Gender M-YYYY) 4...

Candidate Personal Details Application Status Application Number Candidate's Name PaymentSuccess KR1240099938 MANGESH GOPAL BH AGAT Date of Birth (DD-M Age as on 01/08/202 Gender M-YYYY) 4 Male 18/Aug/1988 35 YEARS 11 MONTHS Have you ever chan 15 DAYS ged your name? No Caste Category Are you EBC or Mino Father's Name UR rity GOPAL Not Applicable Mother's Name ASHA Email Address Mobile Number Marital Status MAGESHBHAGATARU 7000893366 Married @GMAIL.COM Applying type Details Candidate Appling A Domicile s Maharahtra Domicile Post Details Post Preference 1 Post Preference 2 Pointsman Track Maintainer Additional Details Are you an Ex Servic Are you a person wit Are you an employe emen? h Disablity? e of State Govt./Cen No No tral Govt/Other Stat e Govt. ? No Whether any FIR or Have you ever been Have you ever been Criminal case(s) has arrested /detained i tried & convicted or ever been registere n any criminal case acquitted by a Court d against you? (s)? of Law in any crimin No No al case(s)? No Have you ever had t Have you ever been Are you facing any c o execute any bond proceeded against b riminal proceedings for keeping peace/g y any School/Colleg in any court of Law i ood behaviour unde e/University in case n India? r security proceedin of any Unfair means No gs of CrPC? (UMC)or any charge Is there any depart No s? mental enquiry / co No urt enquiry pending against you? No Identification Details Mark of Visible Iden Do you have Pan Car Pan Card Number : tification d? CJDPB9313H NO ANY MOLE Yes Name on Pan Card: MANGESH BHGAT Do you have Driving Do you have Voter I Voter Id : License? d? ZFV1814615 No Yes Name on Voter ID C ard: MAGESH GOPALRAO BHAGAT Do you have Passpo rt? No Correspondence Address Address Line 1 Address Line 2 Country 306 GULAB BAG COL DEWAS NAKA INDORE India ONY State City/District Madhya Pradesh Indore Pincode/Postal Code Is Permanent Addre 452010 ss Same as Correspo ndence address? Yes Permanent Address Address Line 1 Address Line 2 Country 306 GULAB BAG COL DEWAS NAKA INDORE India ONY State City/District Madhya Pradesh Indore Pincode/Postal Code 452010 Matriculation (10th) Details Name of the Board School/ lnstitute Na Percentage of Mark MAHARASTRA STATE me s/CGPA/Grade AMRAVATI BOARD SS SAHAKARI VIDYALAY Percentage C MHATODI Marks Obtained Maximum Marks Percentage of Mark 337 750 s (%) 44.93 Year of Completion 2009 Test City Details Preferred Test City 1 Preferred Test City 2 Preferred Test City 3 Amravati Nagpur Aurangabad Payment Details Amount Payment Mode Payment Status 885 Credit Card Payment Success Payment Transactio n No. 113492924150 Documents Upload Candidate Photo Signature Declaration I hereby declare and confirm that all entries made by me in DGVCL Applicati on Form are correct and true to the best of my knowledge. I undertake that in case any information furnished by me is found to be false or incomplete or any material information is found to be concealed by me, my candidature may be cancelled and I understand that no claim, whatsoever shall be enter tained in this regard afterwards. I certify that the documents uploaded by me along with this Application For m are genuine and in case any of the documents are found to be fake/forge d, appropriate Departmental (including Discharge/ Dismissal from service) a nd/or Criminal proceedings may be initiated against me. I undertake to abid e by the general Rules and Regulations governing the recruitment process a nd I will also abide by the instructions/commands given by the staff conduct ing the recruitment process. I undertake that I shall not cause any disruption in the Recruitment Process and shall refrain from indulging in any anti-social, unlawful activities during the entire recruitment process. If I am found indulging in any such activities at any time during the Recruitment Process, my Candidature may be cancell ed and I shall be liable for any Departmental and/or Criminal Proceedings c onsequent upon such act/activity. I undertake that I shall not canvass for my Candidature/Selection in any for m. I declare that I fulfil all the conditions of eligibility regarding nationality, age l imits, educational qualifications etc. as prescribed. I hereby declare that the information furnished above is true, complete and correct to the best of my knowledge and belief. I understand that in the eve nt of my information being found false or incorrect at any stage, my candida ture / appointment shall be liable to cancellation / termination without notic e or and liable for legal action. I Agree.