Annexure -1

Affix recent passport size photograph duly signed

APPLICATION FOR THE POST OF PROBATIONARY OFFICER 1. Name of the applicant (in capitals)
2.Fathers name 3.Sex 4.Date of Birth and Age as on 01.11.2011 5. Place of Birth 6. Place of Domicile 7. Permanent address 8. Address for communication 9.Phone: Land line (with STD Code) Mobile No. Email ID : 10. Nationality/ Religion 11. Languages Known a) b) c) 12. If selected Place /branch preferred. (refer para 3) Male /Female

TO SPEAK

TO READ

TO WRITE

Choice

Name of branch

Distance from place of Domicile

First Second

13. Marital Status

14. Educational qualification Sl Examination / No. Course 01. SSLC/SSC 02. Pre University/Intermediate 03. Graduation 04. Any other qualification 15. Previous Experience (if any). Sl From To No. University/ Board Subject Year of Passing % of marks

Name of the employer

Designation

16. Knowledge of Driving 17.Particulars of application fee

YES / NO DD No: ___________ Date: _________

Name of Bank : __________ Amount : Rs.______ I hereby declare that, all the statements made in this application are true and if any of the particulars furnished by me are found to be incorrect, my candidature is liable to be rejected at any stage of the selection process. PLACE : DATE : SIGNATURE OF THE CANDIDATE

NB: Please note to fill all the columns in the application.