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Atul Application

This document contains an application form for a Common Written Examination for recruitment of probationary officers and management trainees in 19 public sector banks. The form includes personal details such as name, date of birth, address, education qualifications, and a declaration signed by the applicant. Contact information such as phone number and email are also provided.

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Amit Kumar
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31 views

Atul Application

This document contains an application form for a Common Written Examination for recruitment of probationary officers and management trainees in 19 public sector banks. The form includes personal details such as name, date of birth, address, education qualifications, and a declaration signed by the applicant. Contact information such as phone number and email are also provided.

Uploaded by

Amit Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Common Written Examination for Recruitment of Probationary Officers/ Management Trainees in 19 Public Sector Banks

16032

Registration #:

1001204071

Full Name:

Atul Agrawal

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VI and OC candidates whose writing speed has been affected by cerebral palsy) : Whether Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : Religious Minority Community to which you belong : Are you an Employee who has completed 5 years of service in RRBs ? : Are you an Ex-Serviceman : Nationality / Citizenship : State/ UT which the Centre of Examination Belongs: State code : Centre of Examination Centre code : Application Fee / Intimation Charges : Payment Mode : NEFT UTR No : Online Reference ID: Sending Bank Name : City : Deposit Date : Amount :

GENERAL NO --NA NO NO NO -NO NO INDIAN Orissa 36 Bhubaneshwar 83

On line -MSDC0701343647 --30-07-2011 450

Personal Details :
Date of Birth : Age as on on 01.07.2011. : Gender : Husband's Name / Father's Name : 28-03-1990 21 MALE Chand Mal Agrawal

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Mother's Name : Address for Correspondence : Kanchan Agrawal Flat No. 304 Sunder Appartment Bhoothnath Road Near NMCH Kankarbagh Patna District State : Pin : Permanent Address : Patna BIHAR 800026 Flat No. 304 Sunder Appartment Bhoothnath Road Near NMCH Kankarbagh Patna District State : Pin : Patna BIHAR 800026

Contact Details:
Phone No : Mobile No: Email ID : Educational and Professional Qualification Details:(as on 01.07.2011) : 7735565725 [email protected]

Exam Passed
Graduation : Other Details :

Subject/Stream
BBM

Year of Passing
2010

% of Marks
67.12

Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : If Yes Centre for Training :

---

DECLARATION:
I hereby declare that all statements made in this application are true. complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue or incorrect at any stage or my not satisfying any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place: Date: 30-07-2011 Signature of Applicant

Atul Agrawal
Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please do not send the application printout to IBPS

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