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Rohit Kumar's Clerk Exam Application

The document contains an application form for the Common Recruitment Process for recruitment of clerks in participating banks. It includes personal details such as name, date of birth, address, educational qualifications, preferred banks, and declaration of the applicant Rohit Kumar for the position. He is applying from Haryana and has provided identification details including Aadhar number to verify his application.

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Rohit Rathore
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0% found this document useful (0 votes)
79 views5 pages

Rohit Kumar's Clerk Exam Application

The document contains an application form for the Common Recruitment Process for recruitment of clerks in participating banks. It includes personal details such as name, date of birth, address, educational qualifications, preferred banks, and declaration of the applicant Rohit Kumar for the position. He is applying from Haryana and has provided identification details including Aadhar number to verify his application.

Uploaded by

Rohit Rathore
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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330141

COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING


BANKS (CRP CLERKS-XII)

Registration Number : 2140373498


Full Name : Rohit Kumar
Category : SC

Are you a person with benchmark : NO


disability of 40% and above ?
Type of Disability : -

Sub-Type of Disability for 'ID & : -


Others'

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

Are you as per PWBD guidelines : -


eligible to use 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?
Are you eligible to use the services : -
of scribe as per Government
guidelines & do you wish to use the
services of scribe ?
Are you a child/ family member of : NO
those who died in 1984 riots?
Religion to which you belong : Hindu
Do you belong to Religious : NO
Minority Community ?
Are you an Ex-Serviceman : ? : NO
Are you a Disabled Ex-Serviceman : NO
(DISXS)?
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?
Are you a Dependent of : NO
Serviceman killed in Action (DXS) ?
Are you a matriculate Ex- : -
Servicemen who have obtained the
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 the
Armed Forces of the Union as on
21.07.2022 ?
Percentage of Marks : -

Are you seeking relaxation under : NO


widow / divorced women / women
judicially Separated from their
husbands and who are not re-
married?

Have you appeared for the : NO


CWE/CRP for Clerical Cadre earlier
?
How many attempts ? : -
Select the CWE/CRP-CLERKS : -
attempted earlier
Nationality / Citizenship : Indian
Vacancies of State/UT you are : Haryana
applying for
State code : 22
Centre of Preliminary Examination : Ambala
Centre of Main Examination : Ambala
I intend to bring the following ID : YES
when appearing for the
examination : (I confirm my name
on this ID and this application
exactly match)
ID Proof : Aadhar Card
ID Proof No. : XXXXXXXX3938
Kindly indicate Medium of Paper - : English and Hindi
how you would like the paper to be
presented to you ?

Application Fee / Intimation charges


Payment In : ONLINE
Fees : 148.30
Tax : 26.70 (IGST)
Amount : 175.00
Payment Status : PAID
Reference ID : 20220718111212800110168728468298458
Transaction Date : 18-07-2022

Personal Details

Date of Birth : 12-12-1998


Age completed as on 01.07.2022 : 23
Gender : MALE
Aadhaar Card Number : XXXXXXXX3938
PAN Card Number : -
Do you have twin brother / sister ? : NO
Gender of the twin : -

Name of the twin : -


Marital Status : Unmarried
Father's Name : Jarnail singh
Mother's Name : Manju devi
Spouse's Name : -
Address for Correspondence
Address 1 : H.No 983 Near Bus Stand panjokhra

District : Ambala City


State : HARYANA
Pincode : 134011
Permanent address
Address 1 : H.No 983 Near Bus Stand panjokhra
District : Ambala City
State : HARYANA

Pincode : 134011
State for GST invoicing : Communication Address (HARYANA)

Contact Details

Mobile No : +91 7777008997


Alternative Number : +91 9416247466
(Mobile No/Landline No)
Email ID : 99rohitrathore@gmail.com

     

Educational Qualification (as on 21.07.2022)

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


Passing

Graduation / B.Tech. Engineering 09-02-2021 65.00 First Class


Equivalent

Do you have Operating and working : YES


knowledge in computer systems :

Details of Computer Knowledge: : Studied in High School/College/Institute


  : Computer as a Subject

1 Canara Bank
2 UCO Bank
3 Central Bank of India
4 Indian Bank
5 Indian Overseas Bank
Banks in order of Preference 6 Union Bank of India
7 Bank of India
8 Bank of Baroda
9 Bank of Maharashtra
10 Punjab National Bank
11 Punjab & Sind Bank

Other Details :

For the safety and wellbeing of candidates, : NO


Pre-Exam Training may not be held. In case it
is possible to hold Pre-Exam Training, are you
desirous of taking Pre-Exam Training ? (Only
for SC/ST/Religious Minority Communities/Ex-
Servicemen/DISXS/DXS/PWBD):

If Yes ,Centre for Training : -


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

 Hindi  YES  YES  YES

 English  YES  YES  YES

Uploaded Document Details :

1. Left thumb impression


 

2. Hand written declaration


 

Declaration:
I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the said post
and all the statements made in the application are True, Complete and Correct to the best of my knowledge and belief. I
understood 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 will follow all the Guidelines regarding Social Distancing Mode of Exam given in advertisement and subsequently. Any
violation may result in cancellation of my candidature

There is a change in my name and I will bring a documentary proof for the same at the time of examination  
 
 
 
 
 
  

Date:
15-07-2022

Left thumb impression

Hand written declaration

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