‘v.25, 9:34 PM. 0% State Bank of India (etd aint Pr Dgmet Cope nt ra Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No. CRPDICR2024-25/24) State Bank of India Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No. CRPD/CR/2024-25/24) Registration Number Full Name Circle Circle Preference 1 (for allotment, if selected) Circle Preference 2 (lor allotment, if selected) State/UT you want to apply for Local Language for language proficiency test: Do you have 10th or 12th standard mark sheet/centificate evidencing having studied ‘Specified opted local language ? Category Sub Caste {confirm that | am in possession / will produce EWS certificate issued based on annual income for Financial Year 2023-24 ‘Are you trained Apprentice of SBI? 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 disabilty of 40% and above ? Type of Disability ‘Sub-Type of Disability for's! &'e! ‘Sub-Type of Disability ‘Sub-Type of Muttiple Disability ‘Are you suffering from corebral palsy and your writing speed is affected -ntps:bpsontinebps.insbidjadec24/rog\sration_printphp?4=OTkyNmRINTQWYzguMITZNMISINGIEYTY4Njm¥2UyMad8MQOMTU2NikyMo: rare 1: 2441836922 Ashutosh Thakur : NEW DELHI : DELHI Hindi : YES : OBC 2 Other Backward Classes NO 8‘vsi2s, 9:6 PM Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No. CRPOICR2024-25/24) Yes, Do you need compensatory time at: - the time of examination? Whether your dominant (Writing) handis = affected ? Yes, Do you need compensatory time at: - the time of examination? Do you intend to use the services of a scribe: - | accept the Guidelines for Seribe - ‘Are you a person with a Specified NO disability covered under the definition of Soc 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 ? IWYes, Do you need compensatory time at: - the time of examination? ‘Are you a person with a Specified re 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 ? {certify that, | 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 Disabilties (Divyangjan) circular no F. No, 29-6/2019-DD.-Iil dated 10.08.2022. Lerify/ undertake that Qualification of: - Scribe availed by me shall be one step below my qualification (OM-FNo. 29- 6/2019-DD.lll dated 10.08.2022). Religion to which you belong Hindu Do you belong to Religious Minority NO Community ? Nationality / Citizenship Indian ‘Are you seeking relaxation under widow No ‘divorced women / women judicially ‘Separated from their husbands and who are not re-marrieg ? ‘Are you an Ex-Serviceman ? No ‘Are you a Disabled Ex-Serviceman (DISKS): NO Period of Service (in months) re Have you joined a Governmentjob onthe: - Chil side after availing of the benefits given as an ex-serviceman ? ‘Are you a Dependent of Serviceman killed in : NO Action (XS) ? ‘Are you a Matriculate Ex-serviceman, who: - have obtaines the Indian Army Special Certificate of Education or corresponding Pitpsshbpsonine.\bps.vsbikjadoc24rogistation_print php?q+OThyNmRINT QwYZgwMITZAMJAINGEEY TY4NjmYZUyNtzd8M|QOMTUZNIKyMg‘vsi2s, 9:6 PM Recruitment of Junior Associates (Customer Suppor & Sales) (Advertisement No. CRPOICR2024-2524) 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 34.12.2024) ? ‘Are you already working in SBI in the clerical : NO cadre ? Have you earlier employed in State Bank of : NO India and resigned from the Bank while in clerical cadre ? Do you have record of default in repayment: NO of loansicredit card dues andlor against whose name adverse report of CIBIL or other extemal agencies ? Islare there adverse report regarding NO character & antecedents, moral turpitude ? State/UT to which the Preliminary : Karnataka Examination Centre Belong State code 125 Contre of Preliminary Examination Bengaluru State/UT to which the Main Examination Karnataka Centro Belong State code Centre of Main Examination Bengaluru intend to bring the following ID when : YES appearing for the examination : (I confirm ‘my name on this ID and this application exactly match) 1D Proof : Aadhar Card 1D Proot No. 1 X0OOOOOKXRSS Kindly indicate Medium of Paper in + English and Hindi Preliminary and Main Examination - how you would like the paper to be presented to you ? Application Fee / intimation charges Payment in + ONLINE Foos + 636.60 Tax 2 114.40 (16ST) Amount 750.00 Payment Status + PAID Reference ID + YHD#2507436964 ‘Transaction Date + 06-01-2025 Personal Details Date of Birth 12-01-2001 ‘Age completed as on 01.04.2024 223 Gender 1 MALE Pitpssbpsonine.\bps.ivsbikjadoc24rogistation_print php?q+OThyNmRINT QwYzgwMITZAMAINGEEY TY4NImYZUyNtzd8M|QOMTUZNIKyMg“1625, 9:36 >M RRecrutment of unio Associates (Customer Suppor & Sales) (Advertisement No, CRPO/CRY2024-25°24) Do you have twin brother I sister ? + NO Gender of the twin - Name ofthe twin e Marital Status + Unmarried Fathors First Name + Manoj Fathers Middle Name : Fathors Last Name 2 Thakur Mother's First Name Leena Mothers Middle Name - Mother's Last Name + Dew Spouse's First Name :- Spouse's Middle Name - Spouse's Last Name - [Address for Correspondence Address 1 + Vivekanand Colony near bazar dand Address 2 + Jashpurnagar Chhattisgarh District + Jashpur State : CHHATTISGARH Pincode 496331 Permanent address Address 1 Vivekanand Colony near bazar dang Address 2 + Jashpurnagar Chhattisgarh District + dashpur State + CHHATTISGARH Pincode 5 496931 State for GST invoicing + Permanent Address (CHHATTISGARH) Contact Details Mobile No 1 +91 9021041109 Altemative Number 1 +91 6264088198, (Mobile No/Landline No) Email ID + ashutoshthakur120101@gmail com Educational Qualification (as on 31.12.2024) Exam Passed AppearediPassed Degree Name of College Date of % of Marks. Class ‘Subject/ University Passing Grade Stream Pitpssbpsonine.\bps.ivsbikjadoc24rogistation_print php?q+OThyNmRINT QwYzgwMITZAMAINGEEY TY4NImYZUyNtzd8M|QOMTUZNIKyMg‘ve.25, 9:34 PM. Recruttment of Junior Associates (Customer Support & Sales) (Advertisement No. CRPOICR2024-25/24) Graduation Science Sant Gahira Guru 1iEquivalent Passed Vishwavidyalaya 62.00 First Class Other Details : Whether desirous of taking Pre-Exam Training: NO (SCISTIOBCIEXS/DISXS/DXS/PWBD) StatolUT Pe State code B Contre of Pre-Examination Training Local Language of The State : Hindi YES YES YES English yes Yes Yes Uploaded Document Details : 41. Left Thumb Impression 2. Hand Written Declaration Declaration: | hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belie. | understand that in the event of any information being found untrue or incorrect at any stage or | am not satisfying any of the eligibility criteria stipulated, and also in caso of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature, | confirm that my name as filed by me in the application form exactly matches with the name in my ID proof Butoh Date: 06-01-2025 -ntps:bpsonine.bps.insbidjadec24irog\stration_printphp?4=OTkyNmRINTQWY2guMITZNMSINGIEY TY 4Njm¥2UyMad8MQOMTU2NikyMo:‘v.25, 9:34 PM. Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No. CRPOICR2024-25/24) Left Thumb Impression Hand Written Declaration -ntps:bpsontine.bps.n'sbidjadec24/reg\stration_print pip?q=OTkyNmRINTOWYZgwAITZHMIGINGYTY4NImY2UyMzd8MjQOMTUZNkyMg==