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of rheds-a l-e nziu+ 61 1Divisional Railway Manager (P)@kqr{ts,3tBsrKhurda Road, Odisha, 7 52050 No./ d'.: DRM(P)/KUR/ReotI/CG NDiv. Con/2024/26 Date/ fraifi: 05.06.2024. Sub: Introduction of new Employment Assistence Compassionate Ground Nomination-cum-Application format. ,;tt+,**t*taaIt has come to our notice that the present application form used for Employment Assistance onCompassionate Grounds does not reflect all the particulars required for such applications. To addressthis issue and streamline the process, a simpli{ied nomination-curr-application form has been designedfor Employment Assistance on Compassionate Grounds (EACG) cases. After careful examination, the following changes havc been implementcd: 1. The new proforma will supersede the earlier format of the application form.2. Annexure-I depicts the Nomination for EACG.3. Annexure-Il depicts the Application for EACG.All deparftnents are hereby instructed to use the new nomination-cum-application form for allfutue EACG cases effective immediately. Encl: Annexure-I & Il (R. A. Parida) t%tLbA Sr. Divisional Personnel OfficerEast Coast Railway, Khurda Road Copy forwarded for information and necessary action to1. DPO,APOS2. Ch. S&WI, Welfare section.3. Ch.OS/Rectt. 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<45782D656D706C6F7965654120> Tj 1 0 0 1 439.20 479.16 Tm <6172642F506572656E74> Tj /F3 12.5 Tf 1 0 0 1 91.80 468.36 Tm <29> Tj /F3 10.5 Tf 1 0 0 1 362.52 453.24 Tm <4E616D653A> Tj 0.00 Tc 1 0 0 1 362.88 427.32 Tm <416464726573733A> Tj ET endstream endobj 14 0 obj << /Length 15 0 R >> stream Annexure-I East Coast Railway/ Khurda Road Division NOMINATION I, Mr./ Mrs./ Ms. F rM /W/H/ Si D/o @esignation and place of posting) hereby nominated my son/ daughter/ brother/ sister or myself Mr./ Mrs./ Ms, for Employment Assistance on Compassionate Grounds. I/ He/ She will look after the family left behind by the ex-employee. I ilo hereby also declare that no appointment on compassionate grounds has been made inthe family.Witness to signature1. 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586.80 Tm <44657369676E6174696F6E3A> Tj 0.00 Tc /F3 11.0 Tf 1 0 0 1 90.36 556.20 Tm <642E20> Tj /F3 10.0 Tf 1 0 0 1 103.32 556.56 Tm <4461746520> Tj /F3 10.5 Tf 1 0 0 1 128.52 556.20 Tm <6F6620> Tj /F3 11.0 Tf 1 0 0 1 140.76 556.20 Tm <64656174682F7265746972656D656E7420> Tj /F3 10.0 Tf 1 0 0 1 225.00 556.56 Tm <6F6E20> Tj /F3 10.5 Tf 1 0 0 1 239.40 556.56 Tm <6D65646963616C> Tj 1 0 0 1 103.32 544.68 Tm <71726F756E64733A> Tj 0.00 Tc /F3 11.0 Tf 1 0 0 1 90.36 529.92 Tm <652E20> Tj 1 0 0 1 103.32 529.92 Tm <546F74616C20> Tj 1 0 0 1 131.40 529.92 Tm <6C656E67746820> Tj 1 0 0 1 164.88 529.92 Tm <6F667365727669636520> Tj /F3 10.5 Tf 1 0 0 1 212.76 529.92 Tm <72656E64657265643A> Tj /F3 11.0 Tf 1 0 0 1 104.04 515.52 Tm <6C59656172736C> Tj 0.00 Tc /F3 16.0 Tf 1 0 0 1 90.36 502.56 Tm <6C2E20> Tj /F3 11.5 Tf 1 0 0 1 103.32 502.56 Tm <7768657468657220> Tj /F3 10.5 Tf 1 0 0 1 148.68 502.56 Tm <62656C6F6E6769626720> Tj /F3 11.0 Tf 1 0 0 1 198.36 502.56 Tm <746F20> Tj /F3 12.5 Tf 1 0 0 1 210.96 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<436F6D6D756E6974793A20> Tj 1 0 0 1 168.84 184.32 Tm <2855574F42432F53432F535429> Tj 0.00 Tc /F3 15.5 Tf 1 0 0 1 91.44 165.96 Tm <662E20> Tj /F3 11.0 Tf 1 0 0 1 104.76 165.96 Tm <5768657468657220> Tj /F3 10.0 Tf 1 0 0 1 150.12 165.96 Tm <616E7920> Tj /F3 11.0 Tf 1 0 0 1 170.28 165.96 Tm <6F7468657220> Tj /F3 10.5 Tf 1 0 0 1 199.08 165.96 Tm <646570656E64656E7420> Tj /F3 11.5 Tf 1 0 0 1 252.00 166.32 Tm <66616D696C79> Tj /F3 10.5 Tf 1 0 0 1 104.76 152.64 Tm <6D636D62657220> Tj /F3 9.5 Tf 1 0 0 1 147.60 153.00 Tm <68617320> Tj /F3 10.0 Tf 1 0 0 1 166.68 152.64 Tm <6265636E20> Tj /F3 10.5 Tf 1 0 0 1 192.60 152.64 Tm <6170706F696E74656420> Tj /F3 10.0 Tf 1 0 0 1 243.36 152.64 Tm <6F6E> Tj 1 0 0 1 104.76 139.68 Tm <436F6D70617373696F6E61746520> Tj /F3 11.0 Tf 1 0 0 1 180.72 140.40 Tm <67726F756E64733A20> Tj 1 0 0 1 227.52 137.88 Tm <5B5965732F6C6C6F6C> Tj 0.00 Tc /F3 7.0 Tf 1 0 0 1 325.80 63.72 Tm <31> Tj 0.00 Tc /F3 12.5 Tf 1 0 0 1 491.40 777.96 Tm <416E6E65787572652D6C20> Tj 1 0 0 1 557.28 777.60 Tm <49> Tj 0.00 Tc /F3 13.0 Tf 1 0 0 1 309.96 662.76 Tm <506172742D41> Tj 0.00 Tc 1 0 0 1 311.40 464.04 Tm <506172742D42> Tj 0.00 Tc /F3 10.0 Tf 1 0 0 1 84.24 569.52 Tm <4920> Tj /F3 11.5 Tf 1 0 0 1 90.36 570.96 Tm <632E20> Tj /F3 10.0 Tf 1 0 0 1 103.32 570.96 Tm <4461746520> Tj /F3 10.5 Tf 1 0 0 1 128.52 570.96 Tm <6F6620> Tj /F3 12.0 Tf 1 0 0 1 140.76 570.96 Tm <42697274683A> Tj 0.00 Tc /F3 3.5 Tf 1 0 0 1 85.32 211.68 Tm <49> Tj ET endstream endobj 21 0 obj << /Length 22 0 R >> stream East Coast Railway/ Khurda Road Division Format for seckins Emnlovment Assistan cc n Compassionate Grounds bv denendents of (flll ttrls form in BLOCK letterc) Railwav Servant Arlix your rcccntpassport sizecolourphotogrrph &sign. across PARTICULARS OF THE Ex-EMPLOYEE a. Name of the Railway servant@eceased/retired on medicalqrounds): IFull Namel b. Designation: d. Date of death/retirement on medicalqrounds: e. Total length ofservice rendered:lYearsl l. whether belongibg to sc/sT/oBC/uR DETAILS OF TTIE CANDIDATE SEEKING COMPASSIONATE APPOIN'I'MEN'I' a. Name of the candidate foraDpointment: IFull Namel b. His/ IIer relationship with the RailwayServrnt: c. Date of Birth: d. EducationalQualifications Completed: Pursuing: e. Community: (UWOBC/SC/ST) f. Whether any other dependent familymcmber has becn appointed onCompassionate grounds: [Yes/llol 1 Annexure-l I Part-A Part-B I c. 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Tm <287329> Tj 0.00 Tc /F3 8.5 Tf 1 0 0 1 225.36 353.16 Tm <52636C2E74696F747220> Tj 1 0 0 1 258.12 353.16 Tm <77697468> Tj /F3 9.5 Tf 1 0 0 1 234.72 343.44 Tm <5272696C777279> Tj /F3 8.5 Tf 1 0 0 1 227.16 333.72 Tm <73657276726C216C20> Tj 1 0 0 1 255.60 334.08 Tm <6C726C697468> Tj /F3 10.0 Tf 1 0 0 1 236.52 324.72 Tm <6D7272697420> Tj /F3 9.5 Tf 1 0 0 1 260.64 324.72 Tm <6C> Tj /F3 8.5 Tf 1 0 0 1 239.04 314.28 Tm <737472747573> Tj 0.00 Tc /F3 7.0 Tf 1 0 0 1 294.84 338.76 Tm <4143652F> Tj 0.00 Tc /F3 8.0 Tf 1 0 0 1 291.60 329.04 Tm <442E4F2E42> Tj 0.00 Tc /F3 7.5 Tf 1 0 0 1 357.48 333.72 Tm <2C7B2E646472657373> Tj 0.00 Tc /F3 8.0 Tf 1 0 0 1 426.96 338.40 Tm <456D706C6F796564> Tj /F3 8.5 Tf 1 0 0 1 434.52 328.68 Tm <6F7220> Tj 1 0 0 1 444.96 328.68 Tm <6E6F6C> Tj 0.00 Tc /F3 9.0 Tf 1 0 0 1 497.52 343.08 Tm <5072727469637B6C61727320> Tj 1 0 0 1 540.36 343.08 Tm <6F66> Tj /F3 8.0 Tf 1 0 0 1 492.12 333.36 Tm <656D706C6F796D806E7420> Tj /F3 9.0 Tf 1 0 0 1 538.92 333.36 Tm <726E64> Tj /F3 7.5 Tf 1 0 0 1 500.76 324.00 Tm <656D6F6C756D656E7473> Tj 0.00 Tc 1 0 0 1 96.12 294.84 Tm <742E> Tj 0.00 Tc /F3 5.5 Tf 1 0 0 1 95.40 235.08 Tm <33> Tj 0.00 Tc /F3 6.0 Tf 1 0 0 1 95.40 206.64 Tm <3A6C> Tj 0.00 Tc 1 0 0 1 95.40 176.04 Tm <352E> Tj 0.00 Tc /F3 7.5 Tf 1 0 0 1 325.80 62.28 Tm <32> Tj 0.00 Tc /F3 13.0 Tf 1 0 0 1 307.80 519.84 Tm <506172742D44> Tj 0.00 Tc 1 0 0 1 308.52 412.56 Tm <506172742D45> Tj ET endstream endobj 28 0 obj << /Length 29 0 R >> stream PARTICULARS OF'TOTAL ASSETS LEFT a. Life Insurance Policies (including Postal LifeInsurance): b. Moveable and Immovable properties & annual income earned there from by the familv: c. Any other assets: [Detailsl d. Total: [Total Amountl Part{ BRIEF PARTICUI,AR OF I,IABILITIES, IF ANY: [DETAILS] Particulars of all dependent family membem of the Railway servxnt (if some are employed, theirincome and whether they rre living togetber or separately to be mentioned) S.\ Item (s) Rcl.tiotr withRrilwryservrl!l lrlithmrrit lstrtus ACe/ D.O.B ,{.ddress Employedor nol Prrtic{lars ofemploymnt rndemoluments t. 3 :l 5. 2 Part-D Part-E endstream endobj 29 0 obj 630 endobj 30 0 obj << /Length 27 >> stream % CANON_PFINF_TYPE0_TEXTON endstream endobj 31 0 obj << /Length 45 >> stream q 596.88 0 0 836.28 0.00 0.00 cm /Obj26 Do Q endstream endobj 32 0 obj << /Type /Page /MediaBox [ 0 0 596.88 836.28 ] /Parent 3 0 R /Resources << /Font << /F3 6 0 R >> /XObject << /Obj26 26 0 R >> /Subtype 28 0 R /ProcSet [ /PDF /Text /ImageB /ImageC /ImageI ] >> /Contents [ 30 0 R 31 0 R 27 0 R ] >> endobj 3 0 obj << /Kids [ 11 0 R 18 0 R 25 0 R 32 0 R ] /Count 4 /Type /Pages >> endobj xref 0 1 0000000000 65535 f 3 1 0000772749 00000 n 26 7 0000586208 00000 n 0000766205 00000 n 0000771614 00000 n 0000772300 00000 n 0000772321 00000 n 0000772399 00000 n 0000772495 00000 n trailer << /Size 33 /Info 1 0 R /Root 2 0 R /Prev 585846 /ID [<00f4e4b020d6d00344feffcd9a797f85><00f4e4b020d6d00344feffcd9a797f85>] >> startxref 772835 %%EOF 33 0 obj << /Type /XObject /Subtype /Image /Name /Obj33 /Width 1660 /Height 2322 /BitsPerComponent 8 /ColorSpace /DeviceGray /Filter /DCTDecode /Length 118880 >> stream JFIFC    $.' 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I hereby declrre that the facts given by me above are, to the best of my knowledge, correct.If any of the facts herein mentioned are found to be incorrect or false at a future date, myscrvices may be te rminated. 2. I hereby also declare that I shall maintain properly the other family members who weredependent on the Railway servent mentioned against (a) of Part-A ofthis form and in caseit is proved at any time that the said family members are being neglected or not beingproperly maintained by me, my appointment maybe terminated. 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N(((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((9((((((((((((((((((((((((((((((((((((((((ӯ% gILG}kZ(((((((((((((((((((((((((((((((((((((((((((((((((((;Q`QEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEE-ռ 4FpLԴQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQER3R@P2I^FЯKRr#nJN#oUEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEW=8um5˓q םxu76:mƅ GHYktK˝.)/ͤc#Ѣ(((((((((((((((((((((((((((((((((((((((((((((((((((jzMoy"* ((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((\EQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQEQE endstream endobj 41 0 obj << /Length 3131 >> stream BT 3 Tr 0.00 Tc /F3 13.0 Tf 1 0 0 1 306.36 753.12 Tm <506172742D47> Tj 0.00 Tc /F3 10.0 Tf 1 0 0 1 96.48 716.40 Tm <536872692F536D20> Tj /F3 11.0 Tf 1 0 0 1 136.44 716.40 Tm <742E2F4B756D> Tj 0.00 Tc /F3 9.5 Tf 1 0 0 1 452.52 716.04 Tm <697320> Tj /F3 11.0 Tf 1 0 0 1 462.60 716.04 Tm <6B6E6F776E20> Tj /F3 10.0 Tf 1 0 0 1 498.60 716.04 Tm <746F20> Tj 1 0 0 1 510.48 716.04 Tm <6D6520> Tj /F3 10.5 Tf 1 0 0 1 527.76 716.04 Tm <616E64> Tj 0.00 Tc /F3 10.0 Tf 1 0 0 1 96.48 701.64 Tm <74686520> Tj /F3 10.5 Tf 1 0 0 1 114.12 701.64 Tm <666163747320> Tj 1 0 0 1 139.68 701.64 Tm <6D656E74696F6E656420> Tj 1 0 0 1 193.32 701.28 Tm <627920> Tj /F3 11.0 Tf 1 0 0 1 208.08 701.64 Tm <68696D2F68657220> Tj /F3 10.0 Tf 1 0 0 1 249.12 701.64 Tm <61726520> Tj /F3 11.0 Tf 1 0 0 1 267.48 701.28 Tm <636F72726563742E> Tj 0.00 Tc /F3 10.5 Tf 1 0 0 1 96.12 655.92 Tm <446174653A> Tj 0.00 Tc /F3 11.5 Tf 1 0 0 1 323.64 604.08 Tm <46756C6C20> Tj /F3 10.5 Tf 1 0 0 1 345.96 603.36 Tm <4E616D653A> Tj 1 0 0 1 322.56 587.88 Tm <44657369676E6174696F6E3A> Tj /F3 11.0 Tf 1 0 0 1 322.56 570.96 Tm <48524D5320> Tj /F3 12.0 Tf 1 0 0 1 358.92 570.96 Tm <49443A> Tj /F3 10.5 Tf 1 0 0 1 324.00 554.76 Tm <416464726573733B> Tj 0.00 Tc /F3 12.5 Tf 1 0 0 1 99.36 461.88 Tm <4920> Tj /F3 10.0 Tf 1 0 0 1 106.92 461.88 Tm <6861766520> Tj /F3 11.0 Tf 1 0 0 1 131.76 461.88 Tm <766572696C69656420> Tj 1 0 0 1 171.72 462.24 Tm <7468617420> Tj /F3 10.5 Tf 1 0 0 1 194.04 462.24 Tm <74686520> Tj 1 0 0 1 212.04 461.88 Tm <666163747320> Tj 1 0 0 1 237.60 461.88 Tm <6D656E74696F6E656420> Tj /F3 10.0 Tf 1 0 0 1 291.24 461.88 Tm <61626F766520> Tj /F3 10.5 Tf 1 0 0 1 322.20 461.88 Tm <627920> Tj /F3 10.0 Tf 1 0 0 1 336.60 461.88 Tm <74686520> Tj /F3 10.5 Tf 1 0 0 1 354.24 461.88 Tm <63616E64696461746520> Tj /F3 10.0 Tf 1 0 0 1 404.28 461.88 Tm <61726520> Tj /F3 11.0 Tf 1 0 0 1 422.64 461.88 Tm <636F72726563742E> Tj 0.00 Tc /F3 10.5 Tf 1 0 0 1 99.36 414.72 Tm <446174653A> Tj 0.00 Tc 1 0 0 1 355.68 642.60 Tm <5369676E617475726520> Tj /F3 10.0 Tf 1 0 0 1 405.72 642.60 Tm <6F6620> Tj /F3 11.5 Tf 1 0 0 1 417.60 642.60 Tm <43657274697479696E6720> Tj /F3 11.0 Tf 1 0 0 1 470.16 642.60 Tm <5261696C77617920> Tj /F3 10.5 Tf 1 0 0 1 512.28 642.60 Tm <456D706C6F796565> Tj /F3 9.5 Tf 1 0 0 1 359.28 630.36 Tm <28652E672E20> Tj /F3 11.0 Tf 1 0 0 1 381.96 630.00 Tm <436F2D776F726B65722C20> Tj /F3 10.5 Tf 1 0 0 1 440.64 629.64 Tm <53757065727669736F722C20> Tj /F3 11.5 Tf 1 0 0 1 499.32 629.64 Tm <4F666C696369616C20> Tj /F3 10.0 Tf 1 0 0 1 538.20 629.64 Tm <6574632E29> Tj 0.00 Tc /F3 10.5 Tf 1 0 0 1 389.52 401.40 Tm <5369676E617475726520> Tj /F3 10.0 Tf 1 0 0 1 439.20 401.40 Tm <6F6620> Tj /F3 11.0 Tf 1 0 0 1 451.08 401.76 Tm <57656C6661726520> Tj 1 0 0 1 493.20 401.76 Tm <496E73706363746F72> Tj 0.00 Tc 1 0 0 1 324.36 379.08 Tm <46756C6C20> Tj /F3 10.5 Tf 1 0 0 1 346.32 379.08 Tm <4E616D653A> Tj 1 0 0 1 323.64 363.24 Tm <44657369676E6174696F6E3A> Tj /F3 11.0 Tf 1 0 0 1 323.28 346.68 Tm <48524D5320> Tj /F3 12.0 Tf 1 0 0 1 359.64 346.68 Tm <49443A> Tj /F3 10.5 Tf 1 0 0 1 324.36 330.48 Tm <416464726573733A> Tj 0.00 Tc /F3 9.0 Tf 1 0 0 1 324.72 69.12 Tm <34> Tj ET endstream endobj 42 0 obj << /Length 43 0 R >> stream Part-G Shri/Sm t./Kum is known to me and the facts mentioned by him/her are correct. Date: Full Name:Designation:HRMS ID:Address; I have verilied that the facts mentioned above by the candidate are correct. Date: Signature of Certitying Railway Employee(e.g. Co-worker, Supervisor, Oflicial etc.) Signature of Welfare Inspcctor Full Name:Designation:HRMS ID:Address: 4 endstream endobj 43 0 obj 369 endobj 44 0 obj << /Length 27 >> stream % CANON_PFINF_TYPE0_TEXTON endstream endobj 45 0 obj << /Length 45 >> stream q 596.88 0 0 836.28 0.00 0.00 cm /Obj40 Do Q endstream endobj 46 0 obj << /Type /Page /MediaBox [ 0 0 596.88 836.28 ] /Parent 3 0 R /Resources << /Font << /F3 6 0 R >> /XObject << /Obj40 40 0 R >> /Subtype 42 0 R /ProcSet [ /PDF /Text /ImageB /ImageC /ImageI ] >> /Contents [ 44 0 R 45 0 R 41 0 R ] >> endobj 3 0 obj << /Kids [ 11 0 R 18 0 R 25 0 R 32 0 R 39 0 R 46 0 R ] /Count 6 /Type /Pages >> endobj xref 0 1 0000000000 65535 f 3 1 0000994956 00000 n 40 7 0000899730 00000 n 0000990898 00000 n 0000994082 00000 n 0000994507 00000 n 0000994528 00000 n 0000994606 00000 n 0000994702 00000 n trailer << /Size 47 /Info 1 0 R /Root 2 0 R /Prev 899368 /ID [<00f4e4b020d6d00344feffcd9a797f85><00f4e4b020d6d00344feffcd9a797f85>] >> startxref 995056 %%EOF