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116812458 Application

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Fahim Akhtar
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14 views

116812458 Application

Uploaded by

Fahim Akhtar
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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Application for Recruitment of Meritorious Sportspersons as Officers / Clerical

Staff on Regular Basis


(ADVERTISEMENT NO. CRPD/SPORTS/2024-25/7)

Registration Number : 116812458

Full Name : Soibam Nobel

Post : CLERICAL

Grade : NA

Category : OBC

Mobile No. : 8731924496

Email ID : [email protected]

Mother's Full Name : Soibam O Bila

Nationality/ Citizenship : Indian


Are you physically challenged? : No
Select disability type : -
Percentage of Disability : -
Religion to which you belong. : Hindu
Sub Caste : Meitei
Gender : Male
Date of Birth
Date of Birth : 07.03.2003
Age : 21 Year(s), 00 Month(s)
Age (Years) : 21
Marital Status : Unmarried
Applicant's first name : Soibam
Applicant's second name :
Applicant's last name : Nobel
Father's First Name : Soibam
Father's Middle Name :
Father's Last Name : Ingotombi
Spouse's First Name : -
Spouse's Middle Name : -
Spouse's Last Name : -
Correspondence Address
Address Line 1 : Tellou
Address Line 2 : Tellou maning leikai
Address Line 3 :
District : Imphal east
State : MANIPUR
Pincode : 795010
Same as Correspondence Address : Yes
Permanent Address

Page: 1 of 4 Print Date: 04.08.2024


Address Line 1 : Tellou
Address Line 2 : Tellou maning leikai
Address Line 3 :
District : Imphal east
State : MANIPUR
Pincode : 795010
Address for GST Invoicing : Permanent Address

Qualification (as on 01.04.2024)

As a meritorious sportsperson, I have : Football


represented the following sports in
International / National / State / Inter
university competitions:

BASIC EDUCATION QUALIFICATION AS ON 01.04.2024

Educational Qualifications: : Graduation

ESSENTIAL SPORTS QUALIFICATION AS ON 01.04.2024

SPORTS QUALIFICATIONS: : I am eligible to apply for post of Clerical cadre as I have represented the University in
an Inter University event with distinction

SPORTS REPRESENTATION LEVEL as on 01.04.2024

SPORTS REPRESENTATIONS: : Represented the District in State level competition, Represented the University in
Inter-University Competition conducted by Inter University Sports Board
Won a Medal at : : Represented the International / National / State events (but didnt win any medal)
Please select Highest achievement in : Gold Medal
Medal category
Participated in International/ National/ : in last 3 year
State level Games as on 01.04.2024
Award conferred by Central / State : No Award conferred by Central / State Government / District Authorities
Government / District Authorities
Please submit below the highest : Champion for northeast inter university in 2023-24
achievement (in brief) and also upload the
highest achievement certificates in upload
section
I am already working in other Bank, and I : Not applicable for me as I am not working in some other Bank
have obtained NOC from my employer,
hence I,am eligible for recruitment of
sportspersons.

UNDERTAKINGS:

I certify that: : I am an active Sportsperson and fit enough to take part in future tournaments
I certify that: At any stage of recruitment : if it is detected / proved / verified that the information provided by me are wrong or
any material fact has been suppressed Bank will have the right to cancel my candidature
FROM WHERE DID YOU CAME TO : Social Media
KNOW ABOUT THIS OPPORTUNITY?
Newspaper : -
Social Media : Facebook
Job Portal : -

Page: 2 of 4 Print Date: 04.08.2024


Language Known

Languages Known

Language Read Write Speak


English Yes Yes Yes
Hindi No No Yes
Manipuri(Meitei Mayek) Yes Yes Yes

Uploaded Document Details

1. Passport-Size Photo
2. Signature Image
3. Brief Resume
4. ID Proof
5. Proof of Date of Birth
6. Upload Educational Certificates: Relevant Mark-Sheets/ Degree Certificate
7. upload certificate related to: Highest level achievement in Sports / Game
8. Upload certificate related to: Medal related details won in International / National / State
events
9. Upload certificate related to : Any Award conferred by Central Govt. / State Govt. / District
authorities.
10. Upload Any other document?

Application Fee / Intimation charges

Total Fees : 750.00


Tax : IGST 18.00% 114.41
: GST Total 18.00% 114.41
Amount : 635.59
Payment Status : SUCCESS
Order No : CRPD-1168-133295
Reference ID : 9200376256019
Transaction Date : 04.08.2024 12:33:42

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 the uploaded and currently displayed photograph and signature are mine.

Print Date: 04.08.2024

Page: 3 of 4 Print Date: 04.08.2024


Signature of Applicant

Page: 4 of 4 Print Date: 04.08.2024

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