BANK OF INDIA – RECRUITMENT OF CLERKS ONLINE APPLICATION FORM FOR THE POST OF CLERKS Top of Form 46032 Registration # : 898768 Full Name : LANKA NANDA KISHORE Category : General 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 : NO 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 judicially Separated from their husbands and who are not re-married? NO Nationality : INDIAN State / Union Territory for which you are applying : Andhra Pradesh State / UT code : 11 Centre of Examination : Visakhapatnam Centre code : 1102 Application Fees /Postal Charges : Transaction No : N397124 Branch Name : SURYA BAGH BRANCH VISAKHAPATNAM Branch Code No. : 8611 Deposit Date : 04-08-2010 Amount : 250 Personal Details : Date of Birth : July 13,1983 Age as on 30. 06. 2010: 6 Gender : MALE Husband’s Name / Father’s Name : L TRINADHA RAO Mother’s Name : L RAJESWARI Email ID : [email protected] com Address for Correspondence : PLOT NO 189 SAI CHANDANA ENCLAVE G 1 GOWTHAMI STREET PRAHALADHAPURAM SIMHACHALAM District : VISAKHAPATNAM State : ANDHRA PRADESH Pin : 530027 Permanent Address : PLOT NO 189 SAI CHANDANA ENCLAVE G 1 GOWTHAMI STREET PRAHALADHAPURAM SIMHACHALAM District : VISAKHAPATNAM State : ANDHRA PRADESH Pin : 530027 Contact Details: Phone No : – Mobile No : 9247758613 Qualification Details (as on 30. 06. 010): Exams Passed Subject/Stream Year of Passing % of Marks Class / Grade Matriculate : ENGLISH MEDIUM 1998 63. 00 First Class HSC / Equivalent : MPC 2000 54. 50 Second Class Graduation : COMMERCE 2003 57. 00 Second Class Knowledge of Computer : YES Would You like to undergo Pre-Exam Training : NO Centre for Pre-Examination Training : — Languages Known Read Write Speak TELUGU Yes Yes Yes HINDI 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 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: LANKA NANDA KISHORE 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. Bottom of Form | |