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Recruitment of Single Window Operator A

Recruitment of Single Window Operator A
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Basic Details (As printed on the Score Card for Common Written Exam) : Roll No : Registration No : Date on which the candidate took the Common Written Examination : Session of Written Examination : State/UT Applied for : Centre of Examination : Date of Birth: Category : Whether you belong to Religious Minority Community ? : Religion to which you belong : Disabled Ex- Servicemen? : Dependent of Ex-Servicemen ? : Full Name : Father's / Husband's Name: Centre of Interview : Centre Code : Details of Application Fee Paid : Payment In: Transaction ID : Branch Code No: Branch Name : City : Date of Deposit : (22.12.2012 - 07.01.2013) Amount (in Rupees) : Central Bank of India 183452640 3533 ANAND VIHAR DELHI 05-01-2013 100.00 3010718455 2004052862 11-12-2011 MORNING NEW DELHI NEW DELHI 13-04-1990 GENERAL NO -NO NO VIKAS KUMAR PATRO T.BINODA PATRO Delhi 07

IBPS Scores obtained (in the Common Written Examination) : Reasoning : English knowledge :
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Quantitative Aptitude : General Awareness : Computer Knowledge : Total : Date of Issuance of Score Card : IBPS Code Number printed on the score card : Qualification Details (as on 01.08.2011) : Exam Passed Matriculation/SSC or equivalent : HSC or equivalent: Graduation/Equivalent Subject /Stream COMMERCE COMMERCE BCOM Date of Passing 26/05/2005 25/05/2007 17/02/2011

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150 01-03-2012 180427416

% of Marks 67.20 68.20 53.77

Class /Grade First Class First Class Second Class

Do you have Working Knowledge in Computer? : Have you passed IAF Education Test for promotion to the rank of Corporal? : Percentage of Marks : Have you passed Indian Neavy Examination conducted by Boys Training Establishment, Visakhapatnam? : Percentage of Marks : Are you matriculate Ex-Servicemen candidate, who have obtained the Indian Army Special Certificate of Education or corresponding Certificate in the Navy or the Air Force after having completed not less than 15 years of service in Armed Forces of the Union? : Do you have proficiency in official language of the state for which you have applied for? :

YES NO -NO --

NO

YES

Languages Known : Language HINDI ENGLISH ORIYA Read Yes Yes No Write Yes Yes No Speak Yes Yes Yes

Declaration : I hereby declare that all the information furnished in this application and the information registered with IBPS, Mumbai are true and correct to the best of my knowledge and belief. I am aware that in case I have given wrong information or suppressed material fact or factual information or I do not satisfy the eligibility criteria for IBPS Common Written Examination for Clerical Staff conducted 27.11.2011/ 04.12.2011/ 11.12.2011/ 18.12.2011 or I do not satisfy the eligibility criteria as per the Bank Advertisement , then my candidature will be rejected / services will be terminated even after permanent employment without given any notice or reasons thereof. I am willing to serve anywhere in India and abide by the service rules applicable to officers from time to time. I undertake to abide by all the terms & conditions of this advertisement. I agree that any legal proceedings in respect of any matter or claims arising out of this application or out of the said advertisement can be instituted by me only at
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respect of any matter or claims arising out of this application or out of the said advertisement can be instituted by me only at Mumbai only and the courts situated in Mumbai only shall have sole and exclusive jurisdiction to try any cause / dispute. Place : Date : 06/01/2013

Signature

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