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Application

This document is a registration form for the Common Recruitment Process (CRP) for recruitment of probationary officers/management trainees in participating organizations. It contains details such as the applicant's registration number, personal details including name, category, address, education qualifications, computer skills, language proficiency, and bank preferences.

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Tara Halekoti
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We take content rights seriously. If you suspect this is your content, claim it here.
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0% found this document useful (0 votes)
59 views4 pages

Application

This document is a registration form for the Common Recruitment Process (CRP) for recruitment of probationary officers/management trainees in participating organizations. It contains details such as the applicant's registration number, personal details including name, category, address, education qualifications, computer skills, language proficiency, and bank preferences.

Uploaded by

Tara Halekoti
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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8/28/2019 Common Recruitment Process (CRP) for Recruitment of Probationary Officers/ Management Trainees in Participating Organisations…

Institute of Banking Personnel Selection


230140
Common Recruitment Process (CRP) for Recruitment of Probationary Officers/ Management
Trainees in Participating Organisations - (CRP PO/MT-IX)

Registration Number : 1770941146

Full Name : SIDDALINGAYYA PUJARI

Category : GENERAL
Are you a person with benchmark disability of 40% and above ? : NO

Type of Disability : -

Do you need 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? : -

Do you intend to use the services of a scribe ? : -

Are you a child/ family member of those who died in 1984 riots? : NO
Are you a person domiciled in the State of Jammu & Kashmir during : NO
the period 1-1-1980 to 31-12-1989:?

Are you an Ex-Serviceman : ? : NO

Actual service rendered in defence services which may be counted for : -


qualifying as an Ex-serviceman (In Months)
Date of relief from defence services : -

Have you joined a Government job on the civil side after availing of the : -
benefits given as an ex-serviceman?
Religion to which you belong : Hindu

Do you belong to Religious Minority Community ? : NO


Whether serving in Govt./ quasi Govt./ Public Sector Undertakings : NO
(including Nationalised Banks & Financial Institutions) ?
Have you appeared for the CWE-PO/MT earlier ? : YES

How many attempts ? : 2


Select the CWE-PO/MT attempted earlier : CWE-PO/MT-VII, CWE-
PO/MT-VIII

Nationality / Citizenship : Indian


State/UT/NCR to which centre of examination belongs : Karnataka
State code : 27

Centre of Preliminary Examination : Hubli


Centre of Main Examination : Hubli

Application Fee / Intimation charges


Payment In : ONLINE

https://ibpsonline.ibps.in/crppot9jul19/registration_print.php?q=ZmQ2ZTVkYWE0M2Y2Zjc0YWNiODg1YjdjYmE5YmVlYzd8MTc3MDk0MTE0Ng==# 1/4
8/28/2019 Common Recruitment Process (CRP) for Recruitment of Probationary Officers/ Management Trainees in Participating Organisations…
Fees : 508.48

Tax : 91.52 (IGST)


Amount : 600.00
Payment Status : PAID

Reference ID : QUR27918941823
Transaction Date : 28-08-2019

Personal Details
Date of Birth : 02-10-1991

Age completed as on 01.08.2019 : 27


Gender : MALE
Marital Status : Unmarried

Father's Name : RUDRAYYA


Mother's Name : AMARAMMA
Spouse's Name : -

Address for Correspondence : S O RUDRAYYA PUJARI W


NO 2

Address 2 : TEMPLE STREET


KANDAGAL
Address 3 : TQ HUNAGUND

District : BAGALKOT
State : KARNATAKA
Pincode : 587154
Permanent address : S O RUDRAYYA PUJARI W
NO 2
Address 2 : TEMPLE STREET
KANDAGAL

Address 3 : TQ HUNAGUND
District : BAGALKOT
State : KARNATAKA
Pincode : 587154
State for GST invoicing : Permanent Address
(KARNATAKA)

Contact Details

Mobile No : +91 8147344336


Alternative Number : +91 7406308365
(Mobile No/Landline No)
Email ID : siddurpa@gmail.com

Educational Qualification (as on 28.08.2019)

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


Passing

Graduation / Equivalent B.Com Commerce 07-07-2015 54.78 Second Class

Do you have Operating and working : YES


knowledge in computer systems
Details of Computer Knowledge: : Degree in
: Computer language

https://ibpsonline.ibps.in/crppot9jul19/registration_print.php?q=ZmQ2ZTVkYWE0M2Y2Zjc0YWNiODg1YjdjYmE5YmVlYzd8MTc3MDk0MTE0Ng==# 2/4
8/28/2019 Common Recruitment Process (CRP) for Recruitment of Probationary Officers/ Management Trainees in Participating Organisations…

1 Bank of India
2 UCO Bank
3 Union Bank of India
4 Canara Bank
5 Allahabad Bank
6 Indian Bank
7 Bank of Maharashtra
8 Oriental Bank of Commerce
Banks in order of Preference 9 Corporation Bank
10 Punjab & Sind Bank
11 Punjab National Bank
12 Syndicate Bank
13 Central Bank of India
14 Indian Overseas Bank
15 Bank of Baroda
16 Andhra Bank
17 United Bank of India

Other Details :

Whether desirous of taking Pre-Exam Training : -


(Applicable only for SC/ST/ Minority Community):
If Yes ,Centre for Training : -

Whether any prosecution/ detention/ fine/conviction/ : NO


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

ENGLISH YES YES YES

HINDI 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.

Date: 28-08-2019 Signature of Applicant

https://ibpsonline.ibps.in/crppot9jul19/registration_print.php?q=ZmQ2ZTVkYWE0M2Y2Zjc0YWNiODg1YjdjYmE5YmVlYzd8MTc3MDk0MTE0Ng==# 3/4
8/28/2019 Common Recruitment Process (CRP) for Recruitment of Probationary Officers/ Management Trainees in Participating Organisations…
Left Thumb Impression

Hand Written Declaration

https://ibpsonline.ibps.in/crppot9jul19/registration_print.php?q=ZmQ2ZTVkYWE0M2Y2Zjc0YWNiODg1YjdjYmE5YmVlYzd8MTc3MDk0MTE0Ng==# 4/4

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