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Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No. CRPD - CR - 2024-25 - 24)

Need odisha police junior cleark application form

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0% found this document useful (0 votes)
16 views5 pages

Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No. CRPD - CR - 2024-25 - 24)

Need odisha police junior cleark application form

Uploaded by

tudugobinda63
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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State Bank of India

Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No.


CRPD/CR/2024-25/24) 380123

Registration Number : 2441420006


Full Name : Gobinda Chandra Tudu
Circle : BHUBANESWAR

Circle Preference 1 (for allotment, if selected) : -


Circle Preference 2 (for allotment, if selected) : -

State/UT you want to apply for : ODISHA

Local Language for language proficiency test : Odia


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

Category : ST

Sub Caste : Santal


I confirm that I am in possession / will produce EWS : -
certificate issued based on annual income for
Financial Year 2023-24

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 of 40% : NO
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 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 covered : NO


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 Community ? : NO
Nationality / Citizenship : Indian
Are you seeking relaxation under widow /divorced : NO
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 (DISXS) ? : NO
Period of Service (in months) : -
Have you joined a Government job on the civil side : -
after availing of the benefits given as an ex-
serviceman ?
Are you a Dependent of Serviceman killed in Action : NO
(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 31.12.2024)
?

Are you already working in SBI in the clerical cadre ? : NO


Have you earlier employed in State Bank of India and : NO
resigned from the Bank while in clerical cadre ?

Do you have record of default in repayment of : NO


loans/credit card dues and/or against whose name
adverse report of CIBIL or other external agencies ?
Is/are there adverse report regarding character & : NO
antecedents, moral turpitude ?
State/UT to which the Preliminary Examination Centre : Odisha
Belong
State code : 35
Centre of Preliminary Examination : Balasore

State/UT to which the Main Examination Centre : Odisha


Belong
State code : 35
Centre of Main Examination : Balasore

I intend to bring the following ID when appearing for : YES


the examination : (I confirm my name on this ID and
this application exactly match)
ID Proof : Aadhar Card
ID Proof No. : XXXXXXXX8889
Kindly indicate Medium of Paper in Preliminary and : English and Odia
Main Examination - how you would like the paper to
be presented to you ?

Personal Details
Date of Birth : 16-07-1995
Age completed as on 01.04.2024 : 28

Gender : MALE
Do you have twin brother / sister ? : NO
Gender of the twin : -
Name of the twin : -
Marital Status : Married
Father's First Name : Dularam
Father's Middle Name : -
Father's Last Name : Tudu

Mother's First Name : Snehalata


Mother's Middle Name : -
Mother's Last Name : Tudu
Spouse's First Name : Laxmipriya
Spouse's Middle Name : -

Spouse's Last Name : Soren


Address for Correspondence

Address 1 : Bhurudubani
Address 2 : Udala

Address 3 : Udala
District : Mayurbhanj

State : ODISHA

Pincode : 756041
Permanent address
Address 1 : Bhurudubani

Address 2 : Udala
Address 3 : Udala

District : Mayurbhanj
State : ODISHA

Pincode : 756041

Contact Details

Mobile No : +91 9348618213

Alternative Number : +91 9090824092


(Mobile No/Landline No)

Email ID : [email protected]

Educational Qualification (as on 31.12.2024) :

Exam Passed Appeared/Passed Degree/ Subject Name of College Date of % of Marks Class /
/ Stream /University Passing Grade

Graduation Engineering BPUT 29-05- 67.45 First Class


Passed
1/Equivalent 2017

Integrated dual Science CHSE 30-05- 49.33 Pass Class


Passed
degree (IDD) 2012

Other Details :

Whether desirous of taking Pre-Exam Training : NO


(SC/ST/OBC/EXS/DISXS/DXS/PWBD)
State/UT : -

State code : -

Centre of Pre-Examination Training : -

Local Language of The State :

Languages Known LangRead LangWrite LangSpeak

Odia 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: 06-01-2025

Left Thumb Impression

Hand Written Declaration

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