8/11/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M

InstituteofBankingPersonnelSelection
CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/Management
TraineesinParticipatingOrganizations(CWEPO/MTVI)

RegistrationNumber : 1471788708
FullName : BIPLESHKUMARSHUKLA
Category : GENERAL

AreyouaPersonwithDisability : NO
TypeofDisability :

Percentageofdisability :
Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected :

IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :
Whetheryourdominant(Writing)handisaffected :

IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :
Doyouintendtousetheservicesofascribe? :

Areyouachild/familymemberofthosewhodiedin1984riots? : NO
AreyouapersondomiciledintheStateofJammu&Kashmirduringthe : NO
period111980to31121989?

AreyouanExServiceman:? : NO
Actualservicerenderedindefenceserviceswhichmaybecountedfor :
qualifyingasanExserviceman(InMonths)

Dateofrelieffromdefenceservices :
HaveyoujoinedaGovernmentjobonthecivilsideafteravailingofthe :
benefitsgivenasanexserviceman?
Religiontowhichyoubelong : Hindu

DoyoubelongtoReligiousMinorityCommunity? : NO

WhetherservinginGovt./quasiGovt./PublicSectorUndertakings : YES
(includingNationalisedBanks&FinancialInstitutions)?

HaveyouappearedfortheCWEPO/MTheldinyear2011? : NO
RegistrationNo. :

HaveyouappearedfortheCWEPO/MTheldinyear2012? : NO

RegistrationNo. :

HaveyouappearedfortheCWEPO/MTheldinyear2013? : NO

RegistrationNo. :
HaveyouappearedfortheCWEPO/MTheldinyear2014? : YES

RegistrationNo. :

HaveyouappearedfortheCWEPO/MTheldinyear2015? : YES

RegistrationNo. :
DoyouholdAadharCard? : NO

AadharCardNo. :

Nationality/Citizenship : Indian

State/UT/NCRtowhichcentreofexambelongs : MadhyaPradesh

Statecode : 30

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8/11/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M
CentreofExamination : Satna

ApplicationFee/Intimationcharges
Amount : 600.00

PaymentStatus : PAID

ReferenceID : GHMP4671539624
TransactionDate : 11082016

PersonalDetails
DateofBirth : 09111988

Agecompletedason01.07.2016 : 27
Gender : MALE

MaritalStatus : Unmarried

Father'sName : HARIHARPRASADSHUKLA
Mother'sName : VIDYAWATISHUKLA

Spouse'sName :
AddressforCorrespondence : 991ANANTPUR

Address2 : NEARPANKUSINGHKI
BAGIYA
Address3 : MAJHIYARROADREWA

District : REWA
State : MADHYAPRADESH

Pincode : 486002
Permanentaddress : 991ANANTPUR
Address2 : NEARPANKUSINGHKI
BAGIYA
Address3 : MAJHIYARROADREWA

District : REWA
State : MADHYAPRADESH
Pincode : 486002

ContactDetails
MobileNo : +919993578062
AlternativeNumber : +919893871867
(MobileNo/LandlineNo)
EmailID : biplesh.1988@gmail.com

QualificationDetails(ason13.08.2016)

ExamPassed Degree Subject/Stream Dateof %ofMarks

Passing

Graduation/Equivalent B.E. OthersCOMPUTERSCIENCE 02072009 72.00

PostGraduation OthersMBA OthersFINANCE 10022013 68.00

DoyouhaveOperatingandworking : YES
knowledgeincomputersystems:?
DetailsofComputerKnowledge: : Degreein
: Computerlanguage

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8/11/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M

Workexperiencedetails(StartfrompresentEmployer)

Nameofthe Designationand TotalPeriodofService Yearsof Natureof IndustryType Reasonfor

Employer Rankifany From To Service duties Leaving
(YY/MM/DD) performed

MADHYANCHAL OFFICE 23/05/2016 10/08/2016 0/2/19 CASHIER BANKING WORKING

GRAMEE ASSISTANT
NBANK

TotalExperience(inmonths):2

OtherDetails

WhetherdesirousoftakingPreExam :
Training(ApplicableonlyforSC/ST/
MinorityCommunity)
IfYes,CentreforTraining :

OrganisationPreference

1UnitedBankofIndia
2UnionBankofIndia
3AllahabadBank
4BankofIndia
5PunjabNationalBank
6CentralBankofIndia
7BankofBaroda
8CanaraBank
9IndianBank
10UCOBank
OrganisationinorderofPreferences 11IDBIBank
12SyndicateBank
13AndhraBank
14IndianOverseasBank
15OrientalBankofCommerce
16BankofMaharashtra
17VijayaBank
18Punjab&SindBank
19CorporationBank
20DenaBank

Whetheranyprosecution/detention/
fine/conviction/sentenceagainstyouhasbeen NO
awardedbyanycourtoflawforanyoffence?

Ifyes,particularsofthesame

OtherDetails:
LanguagesKnown Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

Declaration:
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibility
criteriastipulated,andalsoincaseofcreatinginfluence/unduepressureregardingrecruitmentshalltantamounttocancellationofmy
candidature.

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8/11/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M

Date:10082016 SignatureofApplicant

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