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ON-LINE APPLICATION FOR SPECIALIST OFFICERS

Last Modified On: 18-06-2011

No Of Times Modified: 1

16028

SBI SPECIALIST OFFICER RECRUITMENT PROJECT-2011 Post Box. No. 7480 Jogeshwari (East) Mumbai 400 060 Registration # : 15172

Full Name:

Deepak Shroff

Post : Post Code : Category : Category Code : If Person with Disability : Type of Disability : Percentage of Disability :

Assistant Manager (Law) AMLA General 13 - [GEN] NO -

Do you intend to use the services of a scribe(only for VI and NA OH both hands affected by cerebral palsy) ? : : Whether domiciled in Kashmir Division of the State of J & K during the period 1-1-1980 to 31-12-1989?: Whether you belong to Religious Minority Community? : Minority Religion : Are you an Ex-Serviceman ? : Period of Service(in months) : Have you applied for any additional post ? If yes, Specify the Post Applied for: Post Code: Centre of Examination : Centre code : Application Fee / Postal Charges Details : Deposit Journal No : 012036139 NO --Bhopal 13 NO NO -NO

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SBI Branch Name : SBI Branch Code No. : Deposit Date : Amount : Nigdi Pune 11646 16-06-2011 500

Personal Details : Date of Birth: Age completed as on 30.04.2011 : Gender : Husband's Name/Father's Name : Mother name: Address for Correspondence : 26-10-1981 29 MALE Rajendra Shroff Jyoti Shroff House No. M-21 New Indira Colony Near Burhanpur Public School District State : Pin : Permanent Address : Burhanpur MADHYA PRADESH 450331 House No. M-21 New Indira Colony Near Burhanpur Public School District State : Pin : Contact Details: Phone No : Mobile No: Email ID : 9770076730 deepak.shroff@in.com Burhanpur MADHYA PRADESH 450331

Educational and Professional Qualification (as on 01.06.2011): Exams Passed Graduation : Post Graduation : Working Knowledge of Computers : Details of Computer Knowledge : Subject /Stream Law Others-Master of Laws YES Diploma in Computer Applicatio Year of Passing 2006 2009 % of Marks 61.00 57.07

Post Qualification work experience details as on 01.06.2011 (Start from present Employee): Name of the Employer / Nature of Employment Advocate V.R. Computers Advocate Legal Advisor 02/2009 11/2006 06/2011 01/2009 Practicing Lawyer Legal Advisor NA Self Employment Designation and Rank From(mm/yyyy) To(mm/yyyy) if any Nature of Duties Performed Reason for Leaving Years of Service (YY/MM) 2/4 2/2

Total Relevant Experience ( in months) : Other Details : Languages

54

Languages Known English Hindi Gujrati

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Read YES YES YES Write YES YES YES Speak YES YES YES

DECLARATION:
I hereby declare that all 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 my not satisfying any of the eligibility criteria according to the Central Recruitment & Promotion Department, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas.

Place: Date: 16-06-2011 Signature of Applicant

Deepak Shroff
Please retain your Registration No. and Password emailed to you carefully for further reference