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07/12/2015

RecruitmentofSpecialistOfficersinTheVariousVerticals/Scales20152016ApplicationFormPrint

SyndicateBank
RecruitmentofSpecialistOfficersinTheVariousVerticals/Scales20152016

RegistrationNumber

: 810017564

FullName

: RAVIJEETRANJAN

Postappliedfor:

: TechnicalOfficer(Civil)JMGSI

Category

: GEN

IfPersonwithDisability

: NO

TypeofDisability

Percentageofdisability

Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected:?

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Whetheryourdominant(Writing)handaffected?

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Doyouintendtousetheservicesofascribe(onlyforVIcandidatesandthecandidates :
whosewritingspeedispermanentlyaffected)?
Religiontowhichyoubelong

: Hindu

WhetheryoubelongtoReligiousMinorityCommunity?

: NO

AreyouanExServiceman:

: NO

PeriodofService(inmonths):

HaveyoujoinedaGovernmentjobonthecivilsideafteravailingofthebenefitsgiven
asanexserviceman?

http://ibps.sifyitest.com/sbrsonov15/registration_print.php?q=MGIxY2FhMGUyYjdhYmIwNjA2NGM1MjJhMTljZjZhZDV8ODEwMDE3NTY0

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07/12/2015

RecruitmentofSpecialistOfficersinTheVariousVerticals/Scales20152016ApplicationFormPrint

Areyouseekingrelaxationunderwidow/divorcedwomen/womenjudicially
Separatedfromtheirhusbandsandwhoarenotremarried?:

: NO

WhetherareyouaChildren/FamilyMembersofthosewhodiedin1984Riots?

: NO

WhetherapersonwhohaveordinarilybeendomiciledintheStateofJ&Kduringthe
period01.01.1980and31.12.1989?

: NO

Nationality/Citizenship:

: Indian

DoyouholdAadharCard?

: NO

AadharCardNo.

CentreofExamination

: Delhi

ApplicationFee/IntimationChargesDetails
Amount

: 600.00

PaymentStatus

: PAID

ReferenceID

: ESBI4157107532

TransactionDate

: 07122015

PersonalDetails
DateofBirth

: 01111992

Agecompletedason01.07.2015

: 22

Gender

: MALE

MaritalStatus

: Unmarried

Father'sName

: RAKESHKUMARGUPTA

SpouseName

Mother'sName

: BABITAGUPTA

AddressforCorrespondence

: 71A2AOPPOSITESTREETNO.4

Address2

: BHOLANATHNAGARIDGHA
ROAD

District

: SHAHDARA

State

: DELHI

http://ibps.sifyitest.com/sbrsonov15/registration_print.php?q=MGIxY2FhMGUyYjdhYmIwNjA2NGM1MjJhMTljZjZhZDV8ODEwMDE3NTY0

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07/12/2015

RecruitmentofSpecialistOfficersinTheVariousVerticals/Scales20152016ApplicationFormPrint

Pincode

: 110032

Permanentaddress

: 71A2AOPPOSITESTREETNO.4

Address2

: BHOLANATHNAGARIDGHA
ROAD

District

: SHAHDARA

State

: DELHI

Pincode

: 110032

ContactDetails
MobileNo

: +919717792506

AlternativeNumber
(MobileNo/LandlineNo)

: +919555510671

EmailID

: rjranjan.111@gmail.com

EducationalQualificationDetails(ason01.07.2015)
ExamPassed

Degree/Subject/Stream

DateofPassing(*date
mentionedinmarksheetor
certificatewhicheveris
earlier)

%ofMarks

Class/Grade

Graduation

BTechinCivil

27052015

77.10

FirstClass

DoyouhavemembershipoftheInstituteofCompany
SecretariesofIndia(ICSI)?:

DoyouhaveFRMcertificationfromGlobal
AssociationofRiskProfessionals?:

DoyouhavePRMCertificationfromProfessionalRisk :
ManagersInternationalAssociation?:
DoyouhaveworkingknowledgeinComputers?:

: YES

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07/12/2015

RecruitmentofSpecialistOfficersinTheVariousVerticals/Scales20152016ApplicationFormPrint

OtherDetails:

LanguagesKnown

Read

Write

Speak

ENGLISH

YES

YES

YES

HINDI

YES

YES

YES

Declaration:
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestofmyknowledgeandbelief.Iunderstandthatinthe
eventofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibilitycriteriastipulated,andalsoincaseofcreating
influence/unduepressureregardingrecruitmentshalltantamounttocancellationofmycandidature.

Date:06122015

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SignatureofApplicant

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