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22026
Registration #: 3107308
Category : OBC
Centre code : 31
Amount : 200
Personal Details :
Date of Birth : 10-06-1981
Age as on 31.03.2011: 29
Gender : MALE
District ANANTAPUR
State : ANDHRA PRADESH
Pin : 515641
Permanent Address : G KOTHAPALLI(V)
GANDLAPARTHI(P)
RAPTAD(M)
District ANANTAPUR
Contact Details:
Phone No : 08554-254345
Mobile No: 9704033691
Email ID : nageshalakunta@gmail.com
Other Details :
DECLARATION:
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 etc.
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 Mangalore and courts/ Tribunal/ forums at Mangalore 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: 22-04-2011 Signature of Applicant
Please retain your Registration No. and Password emailed to you carefully for further reference
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NOTE: Please DO NOT SEND application print-out to the Bank