RRC

RAILWAY RECRUITMENT CELL (RRC)

CENTRAL RAILWAY

CULTURAL QUOTA RECRUITMENT 2023-24

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Registration Form

Note: * Indicates, Mandatory.

1. Candidate's Name *

1.1 Last 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 Others

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

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 Railway Employees ?

Yes No

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

Yes No

22. Enter Nearest Railway Station

23. Qualification *

24. 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.	CCAA
3.	Diploma
3.	ITI Certification
4.	12th (10+2 stage) or its equivalent
5.	Degree
6.	Post Graduation

25. Cultural Qualification *

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

26. 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