BANK OF INDIA - RECRUITMENT OF GENERAL BANKING OFFICERS
ONLINE APPLICATION FORM FOR THE POST OF GENERAL BANKING OFFICERS
                                                                                                                                        29037
Registration # :                           186833                                                   Please paste your
                                                                                                  recent passport size
                                                                                                  photograph and sign
Registration Date and Time:                23-08-2010 20:38:15                                   across it.Please retain
                                                                                                  atleast 5 copies with
                                                                                                   you for subsequent
Full Name :                                Nandlal Yadav                                                   use.
Category :                                 OBC
Person With Disability :                   NO
Type of Disability :                       -                            Percentage of Disability : -
Do you intend to use the services of a     -
scribe :
Whether domiciled in Kashmir Division of   NO
the State of J&K during the period
1-1-1980 to 31-12-1989 :
Are you an Ex-Serviceman :                 NO
Whether you belong to Religious Minority   NO                           Minority Religion :
Community :
Nationality :                              INDIAN
Place of Birth :                           Ramnagar                     District :              Jaunpur
State :                                    UTTAR PRADESH
Centre of Examination :                    Pune                         Centre code :           25
Application Fees Details:
Transaction No. :                          M267623
Branch Name :                              PUNE CITY BRANCH             Branch Code No. :       0506
Deposit Date :                             August 23,2010               Amount :                Rs.400
Personal Details :
Marital Status :                           Single                       Remarried:              NO
Date of Birth :                            April 06,1989                Age as on 31.07.2010:   21
Gender :                                   MALE
Father’s Name / Husband’s Name :           Ram Pher Yadv
Contact Details:
Email ID :                                 nandlalyadav57@yahoo.co.in
Address for Correspondence :               SMQ 50/1 FAMILY QUATERS, AIR FORCE STATION
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                                                       SOUTH DEVLALI
District :                                             NASIK
State :                                                MAHARASHTRA                    Pin :                       422501
Permanent Address :                                    NANDLAL C/O SHRI JANGA PRASAD YADAV, POST:PILKICHHA
                                                       VILLAGE:RAMNAGAR
District :                                             JAUNPUR
State :                                                UTTAR PRADESH                  Pin :                       223107
Phone :                                                0253-2805726                   Mobile :                    8087138629
Educational and Professional Qualification (as on 31.07.2010) :
              Exams Passed                       Institute Name              Subject/Stream              Year of Passing    % of Marks         Class / Grade
                  Tenth :                      Kendriya vidyalaya                     -                    May-2004            77.40               Pass
             HSC / Equivalent :                Kendriya vidyalaya                 SCIENCE                  May-2006            75.60               Pass
               Graduation :                   GODAVARI COLLEGE                    B.E. E &TC                Jul-2010           62.03               First
Working Knowledge of Computers :                 YES
Post Qualification work experience details as on 31.07.2010 (Start from present Employer) :
      Name of the           Designation and             Total Period of Service                Nature of duties    Reason for Leaving           Years of
    Employer &                Rank if any                                                        performed                                       Service
                                                       From                 To
       Nature of                                                                                                                                (YY/MM)
      Employment
-----
Total Experience (in months)                                        0
             Languages Known                             Read                                    Write                                 Speak
                   HINDI                                 Yes                                     Yes                                    Yes
                 ENGLISH                                 Yes                                     Yes                                    Yes
Whether desirous of taking              NO                                   Centre for Training :
Pre-Exam Training :
DECLARATION:
I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have not suppressed any material fact or
factual information in the above statement. I am aware that in case I have given wrong information or suppressed any material fact or factual
information or I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected/services terminated
even after permanent employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of the advised criteria in respect of age, educational
qualification and experience etc.
I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of the country and/or to any job position
at its sole discretion in terms of applicable staff rules from time to time.
I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can
be instituted by me only at Mumbai only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms
and conditions in the advertisement given by the Bank.
                                                                                                                                          page 2 / 3
Place :                                                                                                              Signature of Applicant
Date : 23-08-2010
                                                                                                                             Nandlal Yadav
NOTE: This printout alongwith the Candidate’s copy of the challan duly stamped by the Bank Branch and required copies documents should be
kept secure and ready for submission at the time of interview at venue.
Please DO NOT SEND application print-out to the Bank.
Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.
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