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Application for Recruitment of Officer & Office Assistant in Ballia Etawah Gramin Bank
Online Application for Recruitment of Officer & Office Assistant in
Ballia Etawah Gramin Bank - 2011
To
BALLIA ETAWAH GRAMIN BANK
Recruitment of Office Assistant
Post Box No.8365
Jogeshwari (West)
MUMBAI 400 102
Personal Details :
Date of Birth : 02/06/1988 Age completed as on 22
01.11.2010 :
Gender : Male Marital Status : Single
Husband's Name / PRATAP SINGH Mother's Name : VIDHYA DEVI
Father's Name :
Address for 192-KHA
Correspondence : SHAKTI NAGAR
FAIZABAD ROAD
District : LUCKNOW
State : Uttar Pradesh Pin : 226016
Permanent Address : 192-KHA
SHAKTI NAGAR
FAIZABAD ROAD
District LUCKNOW
State : Uttar Pradesh Pin : 226016
Contact Details:
Phone No : 0522-2350888 Mobile No : 9450553531
Email ID : ms1808@gmail.com
Others
DECLARATION:
I hereby certify that the information furnished above 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/services
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 the advised
criteria in respect of age, 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 the 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(s) or claims or disputes arising out of this
application or out of said advertisement can be instituted by me only at Ballia and Courts/Tribunal/ Forums
at Ballia only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all
the terms and conditions mentioned in the advertisement given by the Bank.
Place:
Date: 23/01/2011
Signature of Applicant:
Name :MAHENDRA SINGH
Note: Please retain your registration No. Password emailed to you and copy of printout carefully for further
reference.
Please retain your Registration No. and Password carefully for future reference.