STATE BANK OF INDIA

RECRUITMENT OF JUNIOR ASSOCIATES (CUSTOMER SUPPORT & SALES) Advertisement No. CRPD/CR/2023-
24/27 120130

Registration Number : 2350730334

Full Name : Shalu Devi Santosh Dubey

Circle : MAHARASHTRA/ MUMBAI

METRO

Circle Preference 1 (for allotment, if selected) : Mumbai Metro

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

State you want to apply for : MAHARASHTRA

Local Language for language proficiency test : Marathi

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

Category : General

Sub Caste : -

I confirm that I am in possession / will produce EWS certificate issued based on : -

annual income for Financial Year 2022-23

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% and above ? : NO

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 under the definition of Sec 2(s) of : NO
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 women / women judicially : NO
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) : -

Are you a Dependent of Serviceman killed in Action (DXS) ? : NO
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 31.12.2023) ? :

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

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

Do you have record of default in repayment of loans/credit card dues and/or against : NO
whose name adverse report of CIBIL or other external agencies ?

Is/are there adverse report regarding character & antecedents, moral turpitude ? : NO
State/UT to which the Preliminary Examination Centre Belong : Maharashtra

State code : 30
Centre of Preliminary Examination : Mumbai/ Thane/Navi
Mumbai/MMR

State/UT to which the Main Examination Centre Belong : Maharashtra

State code : 30

Centre of Main Examination : Mumbai/ Thane/Navi

Mumbai/MMR
I intend to bring the following ID when appearing for the examination : (I confirm my : YES
name on this ID and this application exactly match)
ID Proof : PAN Card

ID Proof No. : XXXXXX940D

Kindly indicate Medium of Paper in Preliminary and Main Examination - how you : English and Hindi
would like the paper to be presented to you ?

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 635.60
Tax : 57.20 (CGST) + 57.20 (SGST)

Amount : 750.00
Payment Status : PAID

Reference ID : YHD42159849004

Transaction Date : 01-12-2023

Personal Details

Date of Birth : 17-01-2001

Age completed as on 01.04.2023 : 22

Gender : FEMALE
Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -

Marital Status : Unmarried

Father's First Name : Santosh

Father's Middle Name : -

Father's Last Name : Tiwari

Mother's First Name : Nisha

Mother's Middle Name : -

Mother's Last Name : Dubey

Spouse's First Name : -

Spouse's Middle Name : -

Spouse's Last Name : -

Address for Correspondence

Address 1 : Shukla Chawl Road No 23

Address 2 : Subhash Nagar 2 Mahakali cave

rd
Address 3 : Chakala MIDC Mumbai
District : Mumbai
State : MAHARASHTRA

Pincode : 400093
Permanent address
Address 1 : Shukla Chawl Road No 23
Address 2 : Subhash Nagar 2 Mahakali cave
rd

Address 3 : Chakala MIDC Mumbai

 District : Mumbai
State : MAHARASHTRA
Pincode : 400093

State for GST invoicing : Permanent Address

(MAHARASHTRA)

Contact Details

Mobile No : +91 7355070094

Alternative Number : -
(Mobile No/Landline No)

Email ID : shaludubey546@gmail.com

Educational Qualification (as on 31.12.2023)

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

Graduation 1/Equivalent Commerce Tolani College of Com 20-07-2021 89.50 First Class
Passed
merce

Other Details :

Whether desirous of taking Pre-Exam Training : -

(SC/ST/OBC/EXS/DISXS/DXS/Religious Minority Community):
State/UT : -

State code : -
Centre of Pre-Examination Training (If conducted through : -
classroom mode):

Local Language of The State :

Languages Known Read Write Speak

 Marathi 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.

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

Date: 01-12-2023
 Left Thumb Impression

Hand Written Declaration