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ON-LINE APPLICATION FOR ANDHRA BANK PROBATIONARY OFFICERS RECRUITMENT PROJECT

18038

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 # : 251244
Full Name : DILIP SHARMA
Category : GENERAL
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 : Hyderabad
Centre code : 25

Application Fee / Postal Charges Details :

Payment in : Andhra Bank Branch
Transaction ID : 0083639
Branch Name : AMBERPET

Branch SOL ID : 1423

Deposit Date : 18-02-2011

Amount : 400

Personal Details :
Age completed as on
Date of Birth : June 1986,26 24
31.12.2010 :
Gender : MALE

Father's Name/ Husband's Name : GHEESALAL SHARMA

Mother's Name : SAROJ SHARMA

Email ID : dilipsharma26@gmail.com

Address for Correspondence : H.NO.2-3-64/10/1/3 FIRST FLOOR

ANKIT GRAIN & KIRANA JAISWAL GARDEN

AMBERPET
District HYDERABAD
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State : ANDHRA PRADESH
Pin : 500013

Permanent Address : H.NO.2-3-64/10/1/3 FIRST FLOOR

ANKIT GRAIN & KIRANA JAISWAL GARDEN

AMBERPET

District HYDERABAD
State : ANDHRA PRADESH

Pin : 500013

Contact Details:
Phone No : -

Mobile No: 9966180396

Qualification Details (as on 31.12.2010):

Exams Passed Subject/Stream Year Of Passing % of Marks

Graduation : BCOM March-2007 63.20

Post Graduation / Equivalent : MBA May-2009 66.00

Others : CA PE I November-2005 57.00

Knowledge of Computers : YES

Details of Computer Knowledge : OP SYS WIN XP, MS OFFICE, INTERNET,

Other Details :

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

--
Community):

If Yes ,Centre for Training : --

Languages Known Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

TELUGU 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: 18-02-2011 Signature of Applicant

DILIP SHARMA
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
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