West Central Railway
Jabalpur
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CANDIDATE DETAILS
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APPLICANT DETAILS
Application No.
Notification Date
PF No.
Name of Employee/कर्मचारी का नाम
Father's/Husband Name/पिता/पति का नाम
Designation/पदनाम*
Department/विभाग*
Working Station/कार्य स्टेशन
Present Grade Pay
Substantive Pay Level
MACP(G.P)
MACP(Pay Level)
Working under (Controlling officer)
Place of Posting
Community (SC/ST/UR)/समुदाय(अनुसूचित जाति/अनुसूचित जनजाति/सामान्य))*
Division/Unit where lien held
HRMS ID
Date Of Birth/जन्मतिथि
Date Of initial Appoinment of Railway Service /नियुक्ति तिथि *
Designation at the time of initial Appointment /भर्ती के समय पद
Applied Post
Grade in Rs. (RSRP) at the time of initial appointment
Date of Appointment/Promotion to GP 1800/Level-1 on Regular Basis.
Date of Appointment/Promotion to GP 1900/Level-2 on Regular Basis.
Total service
To be filled by PWBD employees only
(a) PWBD Category , if any (write a,b,c,d, or e)
(b) Percentage of Disability
(c) Disability Certification No.
(d) Disability Certificate date
(e) Do you want a Scribe (Please mention Yes/No)
Educational/Technical Qualification/Professional Qualification
Personal Mobile No/मोबाईल नंबर
Whats app No/व्हाटसअप नंबर
Email ID
Bill Unit/बिल यूनिट
PayRate/वेतन
Remarks
Candidate Photo
Candidate Signature