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ON-LINE APPLICATION FOR ANDHRA BANK PROBATIONARY OFFICERS RECRUITMENT PROJECT

34030

Please paste your recent


passport size photograph
and sign across it. Please
retain atleast 5 copies of
same photograph with you
for subsequent use.

Registration # : 279277
Full Name : KUNCHE NINASIRI
Category : SC
If Person with Disability : NO

Type of Disability : -- Percentage of Disability : --


Do you intend to use the services of a scribe( only for VI and
--
OC candidates whose writing speed is affected by cerebral palsy) :
Whether domiciled in Kashmir
NO
Division of the State of J&K during the period 1-1-1980 to 31-12-1989?
Whether you belong to Religious Minority Community? : NO
Minority Religion : --
Are you an Ex-Serviceman? NO
Are you Children/family members of those who died in 1984 ? : NO

Are you an employee of Andhra Bank : NO


If yes, Staff Code No:
Nationality : INDIAN
Centre of Examination : Vishakapatnam
Centre code : 28

Application Fee / Postal Charges Details :


Payment in : Andhra Bank Branch
Transaction ID : 61055
Branch Name : RAYAVARAM

Branch SOL ID : 0472

Deposit Date : 21-02-2011


Amount : 75

Personal Details :
Age completed as on
Date of Birth : March 1985,22 25
31.12.2010 :
Gender : FEMALE

Father's Name/ Husband's Name : K BABJEE

Mother's Name : K S SUVATHSALA


Email ID : neenasiri@gmail.com

Address for Correspondence : 2-159 Near Govt Hospital


Rayavaram

District East Godavari


State : ANDHRA PRADESH
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Pin : 533346
Permanent Address : 2-159 Near Govt Hospital

Rayavaram

District East Godavari


State : ANDHRA PRADESH

Pin : 533346

Contact Details:
Phone No : -

Mobile No: 9490168412

Qualification Details (as on 31.12.2010):

Exams Passed Subject/Stream Year Of Passing % of Marks


Graduation : MSC ZOOLOGY October-2009 58.00

Knowledge of Computers : YES

Details of Computer Knowledge : PGDCA

Other Details :

Whether you like to undergo Pre-Exam Training (SC/ST /Minority


NO
Community):
If Yes ,Centre for Training : --

Languages Known Read Write Speak

TELUGU YES YES YES


ENGLISH YES YES YES

DECLARATION:
I hereby certify that the above information furnished 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/ service 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 advised criteria in respect of age, caste, 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 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 or claims or disputes arising out of application or out of said advertisement can be
instituted by me only at Hyderabad and courts/ Tribunal/ forums at Hyderabad only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake
to abide by all the terms and conditions in the advertisement given by the Bank.

Place:
Date: 21-02-2011 Signature of Applicant

KUNCHE NINASIRI
Please retain your Registration No. and Password emailed to you carefully for further reference
NOTE: Please DO NOT SEND application print-out to the Bank