CORPORATION BANK - RECRUITMENT OF CLERKS
ONLINE APPLICATION FORM FOR THE POST OF CLERKS
24027
Registration # : 63951 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 16-07-2010 09:23:19 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : Varun V T 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 disabled Ex-Serviceman (DISXS)? : 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 : Indian
State / Union Territory for which you are Tamil Nadu State / UT code : 24
applying :
Centre of Examination : Chennai Centre code : 52
Application Fees including Out of Pocket Expenses :
Receipt Number (TSL Number). : 7186
Branch Name : Tambaram Sanitorium Branch Code : 469
Deposit Date : 15-07-2010 Amount : 200
Personal Details :
Date of Birth : October 31,1984 Age as on 01.06.2010: 25
Gender : MALE
Husband’s Name / Father’s Name : Thiruchelvan V Mother’s Name : Thilagavathy K
Email ID : vtvarun84@gmail.com
Address for Correspondence : Plot No 12 Do No 1 Pamban Swamigal, st Muthu Lakshmi Nagar avunue 3rd
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Chittlapakkam
District : Kancheepuram
State : ARUNACHAL Pin : 600064
PRADESH
Permanent Address : Plot No 12 Do No 1 Pamban Swamigal, st Muthu Lakshmi Nagar avunue 3rd
Chittlapakkam
District : Kancheepuram
State : ARUNACHAL Pin : 600064
PRADESH
Contact Details:
Phone : 044-22233097 Mobile : 9840508582
Qualification Details(as on 01.06.2010) :
Exams Passed Subject/Stream Year of Passing % of Marks Class / Grade
HSC / Equivalent : MPC State Board 2002 73.00 First Class
Graduation : B E Intrumentation 2007 62.00 First Class
Would You like to undergo Pre-Exam Training (SC/ST/Minority Community/Ex-Serviceman) : No
Centre for Pre-Examination Training : -
Languages Known Read Write Speak
Tamil Yes Yes Yes
English Yes Yes Yes
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 Mangalore and Courts/Tribunal/ Forums at Mangalore 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 : 16-07-2010
Varun V T
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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