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IBPS Application Sample

The document is a registration printout for the Common Recruitment Process for recruitment of clerks in participating banks (CRP Clerks-XIII). It contains personal details of an applicant such as name, address, date of birth, educational qualifications, disability status, ex-serviceman details, bank preferences and more. The applicant has applied for vacancies in Karnataka and selected Hubli-Dharwad as the center for preliminary and main examination.

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Prashant B
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© © All Rights Reserved
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19 views

IBPS Application Sample

The document is a registration printout for the Common Recruitment Process for recruitment of clerks in participating banks (CRP Clerks-XIII). It contains personal details of an applicant such as name, address, date of birth, educational qualifications, disability status, ex-serviceman details, bank preferences and more. The applicant has applied for vacancies in Karnataka and selected Hubli-Dharwad as the center for preliminary and main examination.

Uploaded by

Prashant B
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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7/21/23, 11:09 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

360134
COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN
PARTICIPATING BANKS (CRP CLERKS-XIII)

Registration Number : 2270421961

Full Name : VASANT KUMAR BEERANNAVAR


Category : ST

Are you a person with benchmark : NO


disability of 40% and above ?
Type of Disability : -

Sub-Type of Disability for 'ID & : -


Others’

Sub-Type of Disability : -
Sub-Type of Multiple Disability : -

Are you as per PWBD guidelines : -


eligible to use compensatory time
at the time of examination ?

Are you suffering from cerebral : -


palsy and your writing speed is
affected : ?
If Yes, Do you need compensatory : -
time at the time of examination?

Whether your dominant (Writing) : -


hand is affected ?

If Yes, Do you need compensatory : -


time at the time of examination?
Are you eligible to use the services : -
of scribe as per Government
guidelines & do you wish to use
the services of scribe ?
Are you a person with specified : NO
disability covered under the
definition of sec 2(s) of the RPwD
Act, 2016 and not covered under
sec 2(r) of the said act and having
difficulty in writing?
If Yes, Do you need compensatory : -
time at the time of examination?

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NGVkMDIyNjMzNzg3NzFmYjVkZmIyY2UyZTYzOGMzZjd8MjI3MDQyMTk2MQ== 1/6
7/21/23, 11:09 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

Are you a person with specified : -


disability covered under the
definition of sec 2(s) of the RPwD
Act, 2016 and having difficulty in
writing and not covered under sec
2(r) of the said act and eligible to
use the services of Scribe and
wish to avail the services of
Scribe?
I certify that, I will upload (in : -
current application) the certificate
from competent medical authority
of a Government healthcare
institution as per Ministry of Social
Justice and Empowerment,
Department of Empowerment of
Persons with Disabilities
(Divyangjan) OM No. F. No. 29-
6/2019-DD-III dated 10.08.2022.
Are you a child/ family member of : NO
those who died in 1984 riots ?
Religion to which you belong : Hindu
Do you belong to Religious : NO
Minority Community ?
Are you an Ex-Serviceman ? : YES

Are you a Disabled Ex-Serviceman : NO


(DISXS)?
Actual service rendered in defence : 204
services which may be counted for
qualifying as an Ex-serviceman (In
Months)

Date of relief from defence : 31-05-2020


services
Have you joined a Government job : NO
on the civil side after availing of
the benefits given as an ex-
serviceman ?
Are you a Dependent of : -
Serviceman killed in Action (DXS)
?
Are you a matriculate Ex- : YES
Servicemen who have obtained
the Army Special Certificate of
Education or corresponding
certificate in the Navy or Air Force
after having completed not less
than 15 years of service in the
Armed Forces of the Union as on
21.07.2023 ?
Percentage of Marks : 52.48
Are you seeking relaxation under : NO
widow / divorced women / women
judicially Separated from their
husbands and who are not re-
married?
Have you appeared for the : NO
CWE/CRP for Clerical Cadre
earlier ?

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NGVkMDIyNjMzNzg3NzFmYjVkZmIyY2UyZTYzOGMzZjd8MjI3MDQyMTk2MQ== 2/6
7/21/23, 11:09 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

How many attempts ? : -


Select the CWE/CRP-CLERKS : -
attempted earlier

Nationality / Citizenship : Indian


Vacancies of State/UT you are : Karnataka
applying for
State code : 26

Centre of Preliminary Examination : Hubli-Dharwad


Centre of Main Examination : Hubli-Dharwad
I intend to bring the following ID : YES
when appearing for the
examination : (I confirm my name
on this ID and this application
exactly match)
ID Proof : Aadhar Card
ID Proof No. : XXXXXXXX1472
Kindly indicate Medium of Paper - : English and Kannada
how you would like the paper to be
presented to you ?

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 148.30
Tax : 26.70 (IGST)
Amount : 175.00
Payment Status : PAID
Reference ID : 20230721010990000889285822744962959

Transaction Date : 21-07-2023

Personal Details

Date of Birth : 09-05-1984


Age completed as on 01.07.2023 : 39
Gender : MALE

Aadhaar Card Number : XXXXXXXX1472


PAN Card Number : XXXXXX213E
Do you have twin brother / sister ? : NO

Gender of the twin : -


Name of the twin : -

Marital Status : Married


Father's Name : YALLAPPA

Mother's Name : HEMAVATI


Spouse's Name : RAJESHWARI

Address for Correspondence

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NGVkMDIyNjMzNzg3NzFmYjVkZmIyY2UyZTYzOGMzZjd8MjI3MDQyMTk2MQ== 3/6
7/21/23, 11:09 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

Address 1 : UMESH TALWAI HOME

Address 2 : MAHAMANE BADAVANE


Address 3 : NAVODAYANAGAR 14TH CROSS

District : Dharwad
State : KARNATAKA

Pincode : 580003
Permanent address

Address 1 : YB BEERANNAVAVAR

Address 2 : HOSAONI
Address 3 : HOSAYALLAPUR

District : Dharwad
State : KARNATAKA

Pincode : 580001
State for GST invoicing : Permanent Address (KARNATAKA)

Contact Details

Mobile No : +91 7483763247


Alternative Number : +91 7908992195
(Mobile No/Landline No)
Email ID : [email protected]

     

Educational Qualification (as on 21.07.2023)

Exam Passed Degree Subject / Stream Date of % of Marks Class / Grade


Passing

Graduation / Others - INDIAN Others - ARMY 31-05-2020 52.48 Second Class


Equivalent ARMY GRADUATION

Do you have Operating and working : YES


knowledge in computer systems :

Details of Computer Knowledge: : Studied in High School/College/Institute


  : Computer as a Subject

Banks Preference

1 Punjab National Bank


banks in order of Preferences 2 Union Bank of India
3 UCO Bank
4 Punjab & Sind Bank
5 Indian Overseas Bank
6 Indian Bank
7 Central Bank of India
8 Canara Bank
9 Bank of Maharashtra

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NGVkMDIyNjMzNzg3NzFmYjVkZmIyY2UyZTYzOGMzZjd8MjI3MDQyMTk2MQ== 4/6
7/21/23, 11:09 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)
10 Bank of India
11 Bank of Baroda

Other Details :

For the safety and wellbeing of candidates, : YES


Pre-Exam Training may not be held. In case it
is possible to hold Pre-Exam Training, are you
desirous of taking Pre-Exam Training ? (Only
for SC/ST/OBC/Religious Minority
Communities/Ex-
Servicemen/DISXS/DXS/PWBD):

If Yes ,Centre for Training : Hubli


Whether any prosecution / detention / fine / : NO
conviction / sentence against you has been
awarded by any court of law for any offence?

If yes, particulars of the same: : -

  Languages Known Read Write Speak

 KANNADA  YES  YES  YES

 HINDI  YES  YES  YES

 ENGLISH  YES  YES  YES

Uploaded Document Details :

1. Left Thumb Impression  

2. Hand Written Declaration  

 
Declaration:

I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the said post
and all the statements made in the application are True, Complete and Correct to the best of my knowledge and belief. I
understood that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the
eligibility criteria stipulated, and also in case of creating influence/ undue pressure regarding recruitment shall tantamount to
cancellation of my candidature.
I will follow all the Guidelines regarding Social Distancing Mode of Exam given in advertisement and subsequently. Any
violation may result in cancellation of my candidature

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

              

Date: 21-07-2023

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NGVkMDIyNjMzNzg3NzFmYjVkZmIyY2UyZTYzOGMzZjd8MjI3MDQyMTk2MQ== 5/6
7/21/23, 11:09 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

Left Thumb Impression

Hand Written Declaration

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NGVkMDIyNjMzNzg3NzFmYjVkZmIyY2UyZTYzOGMzZjd8MjI3MDQyMTk2MQ== 6/6

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