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Disability category : -
Type of Disability : -
Nature of Disability : -
Do you need compensatory time at the time of examination : -
Are you suffering from cerebral palsy and your writing speed is affected : -
If Yes, Do you need compensatory time at the time of examination? : -
Whether your dominant (Writing) hand is affected : -
If Yes, Do you need compensatory time at the time of examination? : -
Reference ID : QHD47592320797
Transaction Date : 30-05-2019
Personal Details
https://ibpsonline.ibps.in/epfoamay19/registration_print.php?q=ZDAxYTA3ZDY3MTVjZWEzMTc2ZWUzYzk3MzA5OWYyYWF8ODQwMDExNjM= 1/3
6/2/2019 RECRUITMENT OF ASSISTANTS
Date of Birth : 17-07-1995
Age completed as on 25.06.2019 : 23
Gender : MALE
Marital Status : Unmarried
Father's Name : KAPUGANTI GOPI KRISHNA
Mother's Name : KAPUGANTI SURYA KUMARI
Spouse's Name : -
Address for Correspondence : 26 175 A
Address 2 : BUTTAIPETA
Address 3 : MACHILIPATNAM
District : KRISHNA
State : ANDHRA PRADESH
Pincode : 521001
Permanent address : 26 175 A
Address 2 : BUTTAIPETA
Address 3 : MACHILIPATNAM
District : KRISHNA
State : ANDHRA PRADESH
Pincode : 521001
Contact Details
Mobile No : +91 8688990313
Alternative Number : -
(Mobile No/Landline No)
Email ID : harshanani352@gmail.com
Name of the Designation Total Period of Service Nature of Duties Remark Reason Years of
Employer From To of leaving Experience
(YY/MM/DD)
Presently : NO
working?
Other Details :
https://ibpsonline.ibps.in/epfoamay19/registration_print.php?q=ZDAxYTA3ZDY3MTVjZWEzMTc2ZWUzYzk3MzA5OWYyYWF8ODQwMDExNjM= 2/3
6/2/2019 RECRUITMENT OF ASSISTANTS
HINDI YES YES NO
ENGLISH YES YES YES
2. Handwritten Declaration
Declaration:
I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I
understand that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.
Handwritten Declaration
https://ibpsonline.ibps.in/epfoamay19/registration_print.php?q=ZDAxYTA3ZDY3MTVjZWEzMTc2ZWUzYzk3MzA5OWYyYWF8ODQwMDExNjM= 3/3