BANK OF INDIA - RECRUITMENT OF CLERKS
ONLINE APPLICATION FORM FOR THE POST OF CLERKS
26032
Registration # : 886220 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 04-08-2010 22:11:01 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : B.A SOWBHAGYAVATHI 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 the State of J&K during the No
period 1-1-1980 to 31-12-1989 :
Whether you belong to Religious Minority Community : No
Are you an Ex-Serviceman : No
Are you a dependent of an Ex-Serviceman (DXS)? : No
Are you seeking relaxation under widow / divorced women / women No
judicially Separated from their husbands and who are not re-married? :
Nationality : Indain
State / Union Territory for which you are Andhra Pradesh State / UT code : 11
applying :
Centre of Examination : Visakhapatnam Centre code : 1102
Application Fees / Postal Charges :
Transaction No. : m69973
Branch Name : Anaparthi Branch Code No. : 5633
Deposit Date : 04-08-2010 Amount : 250
Personal Details :
Date of Birth : February 09,1992 Age as on 30.06.2010: 18
Gender : FEMALE
Husband’s Name / Father’s Name : ADINARAYANA Mother’s Name : LAKSHMI
Email ID : dora.mba07@gmail.com
Address for Correspondence : B.A SOWBHAGYAVATHI, d no 7-546 GIRLS HOSTAL STREET
ANAPARTHI
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District : EAST GODAVARI
State : ANDHRA PRADESH Pin : 533342
Permanent Address : B.A SOWBHAGYAVATHI, d no 7-546 GIRLS HOSTAL STREET
ANAPARTHI
District : EAST GODAVARI
State : ANDHRA PRADESH Pin : 533342
Contact Details:
Phone : 08857-228088 Mobile : 9491434661
Qualification Details(as on 30.06.2010) :
Exams Passed Subject/Stream Year of Passing % of Marks Class / Grade
HSC / Equivalent : M.P.C 2009 57.00 Second Class
Knowledge of Computers : No
Would You like to undergo Pre-Exam Training : No
Centre for Pre-Examination Training : -
Languages Known Read Write Speak
Telugu Yes Yes Yes
English Yes Yes No
DECLARATION:
I hereby certify that the information furnished above 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(s) or claims or disputes arising out of application or out of said advertisement
can be instituted by me only at Mumbai and Courts/Tribunal/ Forums 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.
Place : Signature of Applicant
Date : 04-08-2010
B.A SOWBHAGYAVATHI
Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the Bank
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