12/6/23, 9:28 PM RECRUITMENT OF JUNIOR ASSOCIATES (CUSTOMER SUPPORT & SALES) Advertisement No.

CRPD/CR/2023-24/27

STATE BANK OF INDIA

RECRUITMENT OF JUNIOR ASSOCIATES (CUSTOMER SUPPORT & SALES)
Advertisement No. CRPD/CR/2023-24/27 130136

Registration Number : 2351177280

Full Name : Nitish Kumar Yadav

Circle : LUCKNOW/ NEW DELHI

Circle Preference 1 (for allotment, if : Lucknow

selected)
Circle Preference 2 (for allotment, if : New Delhi
selected)
State you want to apply for : UTTAR PRADESH

Local Language for language proficiency : Hindi

test
Do you have 10th or 12th standard mark : YES
sheet/certificate evidencing having studied
Specified opted local language ?

Category : OBC
Sub Caste : Ahir

I confirm that I am in possession / will : -

produce EWS certificate issued based on
annual income for Financial Year 2022-23
Are you trained Apprentice of SBI ? : NO
Time period of apprenticeship in SBI: Start : -
Date -
Time period of apprenticeship in SBI: End : -
Date -
HRMS ID of Apprenticeship in SBI: : -

Are you a person with benchmark disability : NO

of 40% and above ?
Type of Disability : -

Sub-Type of Disability for 'd' & 'e' : -

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

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affected ?

If Yes, Do you need compensatory time at : -

the time of examination?
Do you intend to use the services of a : -
scribe ?
I accept the Guidelines for Scribe : -
Are you a person with a Specified disability : NO
covered under the definition of Sec 2(s) of
the RPwBD act 2016 but not covered
under the definition of Sec 2( r ) of the
RPwBD Act 2016 ( i.e persons having less
than 40% disability) and having difficulty in
writing ?
If Yes, Do you need compensatory time at : -
the time of examination?
Are you a person with a Specified disability : -
covered under the definition of Sec 2(s) of
the RPwBD act 2016 but not covered
under the definition of Sec 2( r ) of the
RPwBD Act 2016 ( i.e persons having less
than 40% disability) and wish to avail the
services of Scribe ?
I certify that, I will produce 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) circular no F. No. 29-6/2019-
DD-III dated 10.08.2022.
I certify / undertake that Qualification of : -
Scribe availed by me shall be one step
below my qualification (OM–F.No. 29-
6/2019-DD-III dated 10.08.2022).
Religion to which you belong : : Hindu
Do you belong to Religious Minority : NO
Community ? :
Nationality / Citizenship : Indian
Are you seeking relaxation under widow : NO
/divorced women / women judicially
Separated from their husbands and who
are not re-married ?:
Are you an Ex-Serviceman ? : NO
Are you a Disabled Ex-Serviceman : NO
(DISXS) ?
Period of Service (in months) : -
Are you a Dependent of Serviceman killed : NO
in Action (DXS) ?
Are you a Matriculate Ex-serviceman, who : -
have obtained the Indian 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 Armed Forces of the Union
(Such certificates should be dated on or
before 31.12.2023) ? :
Are you already working in SBI in the : NO
clerical cadre ?

Have you earlier employed in State Bank : NO

of India and resigned from the Bank while

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in clerical cadre ?
Do you have record of default in : NO
repayment of loans/credit card dues and/or
against whose name adverse report of
CIBIL or other external agencies ?
Is/are there adverse report regarding : NO
character & antecedents, moral turpitude ?
State/UT to which the Preliminary : Uttar Pradesh
Examination Centre Belong
State code : 43
Centre of Preliminary Examination : Varanasi
State/UT to which the Main Examination : Uttar Pradesh
Centre Belong
State code : 43
Centre of Main Examination : Varanasi
I intend to bring the following ID when : YES
appearing for the examination : (I confirm
my name on this ID and this application
exactly match)
ID Proof : PAN Card
ID Proof No. : XXXXXX625E
Kindly indicate Medium of Paper in : English and Hindi
Preliminary and Main Examination - how
you would like the paper to be presented to
you ?

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 635.60
Tax : 114.40 (IGST)
Amount : 750.00

Payment Status : PAID

Reference ID : YHD42165220946

Transaction Date : 06-12-2023

Personal Details

Date of Birth : 05-04-2002

Age completed as on 01.04.2023 : 20

Gender : MALE

Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -

Marital Status : Unmarried

Father's First Name : Bimalesh

Father's Middle Name : Singh

Father's Last Name : Yadav

Mother's First Name : Usha

Mother's Middle Name : -

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Mother's Last Name : Devi

Spouse's First Name : -

Spouse's Middle Name : -

Spouse's Last Name : -

Address for Correspondence

Address 1 : Annare souna ghazipur

Saidpur

District : Ghazipur
State : UTTAR PRADESH

Pincode : 233221
Permanent address

Address 1 : annare souna ghazipur

Saidpur

District : Ghazipur
State : UTTAR PRADESH

Pincode : 233221
State for GST invoicing : Permanent Address (UTTAR
PRADESH)

Contact Details

Mobile No : +91 8360918876

Alternative Number : +91 9872781421

(Mobile No/Landline No)

Email ID : [email protected]

Educational Qualification (as on 31.12.2023)

Exam Passed Appeared/Passed Degree/ Name of Date of % of Marks Class /

Subject / College Passing Grade
Stream /University

Graduation Engineering Lovely Professi 14-06- 79.20 First Class

Passed
1/Equivalent onal University 2023

Other Details :

Whether desirous of taking Pre-Exam : NO

Training
(SC/ST/OBC/EXS/DISXS/DXS/Religious
Minority Community):
State/UT : -

State code : -

Centre of Pre-Examination Training (If : -

conducted through classroom mode):

Local Language of The State :

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Languages Known Read Write Speak

Hindi YES YES YES

English YES YES YES

Uploaded Document Details :

1. Left Thumb Impression

2. Hand Written Declaration

Declaration:

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

Date: 06-12-2023

Left Thumb Impression

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Hand Written Declaration

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