Elisha

BANK OF INDIA - RECRUITMENT OF CLERKS ONLINE APPLICATION FORM FOR THE POST OF CLERKS 19032 Registration # : 951031 Registration Date and Time: 05-08-2010 12:55:09 Full Name : PALLE SUNITHA Please paste your recent passport size photograph and sign across it.Please retain atleast 5 copies with you for subsequent use. Category : SC 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 period 1-1-1980 to 31-12-1989 : Whether you belong to Religious Minority Community : No 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 judicially Separated from their husbands and who are not re-married' : Nationality : No Indian State / Union Territory for which you are applying : Centre of Examination : Andhra Pradesh State / UT code : 11 Hyderabad Centre code : 1101 Personal Details : Date of Birth : June 02,1986 Age as on 30.06.2010: 24 Gender : FEMALE Husband’s Name / Father’s Name : RASAPAKA ASHOK Mother’s Name : laxmi Email ID : ashoksunitha.p@gmail.com Address for Correspondence : h:no- 34-25 ramnagar, mandamarri (yapal) District : adilabad State : ANDHRA PRADESH Pin : 504231 Permanent Address : h:no- 34-25 ramnagar, mandamarri (yapal) District : adilabad page 1 / 2 State : ANDHRA PRADESH Pin : 504231 Contact Details: Phone : Mobile : 9246744300 Qualification Details(as on 30.06.2010) : Exams Passed Matriculate : HSC / Equivalent : Knowledge of Computers : Subject/Stream maths science mpc Year of Passing 2002 2005 No % of Marks 72.33 56.00 Class / Grade First Class First Class Would You like to undergo Pre-Exam Training : No Centre for Pre-Examination Training : - Languages Known English Telugu Hindi Read Yes Yes No Write Yes No No Speak 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 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 : Date : 05-08-2010 Signature of Applicant PALLE SUNITHA 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 page 2 / 2 Powered by TCPDF (www.tcpdf.org)