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CLERICAL PERSONNEL

CLERICAL PERSONNEL
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Basic Details (As printed on the Score Card for Common Written Exam) : Roll No : Registration No : Date on which the candidate took the Common Written Examination : Session of Written Examination : State/UT Applied for : Centre of Examination : Date of Birth: Category : Disabled Ex- Servicemen : Dependent of Ex-Servicemen : IAF Education Test for promotion to the rank of Corporal : Percentage of Marks : Passing Out (Indian Navy) Examination conducted by Boys Training Establishment, Visakhapatnam : Percentage of Marks : A matriculate Ex-Servicemen candidate, who have obtained the Indian Army Special Certificate of Education or corresponding Certificate in the Navy or the Air Force after having completed not less than 15 years of service in Armed Forces of the Union : Percentage of Marks : Full Name : Father's / Husband's Name: Details of Application Fee Paid : Payment In: Transaction No. : Branch Code : Branch Name : Deposit Date : (16.04.2012 - 28.04.2012) Amount : CBS 36272 7253 New Agra 24-04-2012 200.00 TARESH KUMAR HARINIWAS SHARMA No 2060777503 2003231227 4/12/2011 MORNING UTTAR PRADESH AGRA 1/11/1987 GENERAL No No No

No

IBPS Scores obtained (in the Common Written Examination): Reasoning : Numerical ability : Computer Knowledge : Total Weighted Standard Score(TWSS) : Date of Issuance of Score Card : IBPS Code Number printed on the score card : Qualification Details : Exam Passed SSC/X/Equivalent : HSC/XII/Equivalent : Graduation/Equivalent : Subject /Stream SCIENCE SCIENCE MATH ART % of Marks 61.00 57.80 51.40 Date of Passing 21-06-2002 21-05-2005 28-06-2008 Class First Class Second Class Second Class 33 32 32 164 1/3/2012 206376812 English : General Awareness (with Special Reference to Banking Industry) : 33 34

Have you completed a Foundation course on Computer Awareness & Office Automation for a duration of minimum 3 months from a reputed institute/ had computer subject as part of the curriculum at Pre-Degree/ Degree level? : Languages Known : Language HINDI ENGLISH Declaration : Read Yes Yes Write Yes Yes

Yes

Speak Yes Yes

I hereby declare that all the information furnished in this application and the information registered with IBPS, Mumbai are true and correct to the best of my knowledge and belief. I am aware that in case I have given wrong information or suppressed material fact or factual information or I do not satisfy the eligibility criteria for IBPS Common Written Examination for Clerical Staff conducted 27.11.2011/ 04.12.2011/ 11.12.2011/ 18.12.2011 or I do not satisfy the eligibility criteria as per the Bank Advertisement , then my candidature will be rejected / services will be terminated even after permanent employment without given any notice or reasons thereof. I am willing to serve anywhere in India and abide by the service rules applicable to officers from time to time. I undertake to abide by all the terms & conditions of this advertisement. I agree that any legal proceedings in respect of any matter or claims arising out of this application or out of the said advertisement can be instituted by me only at Mumbai only and the courts situated in Mumbai only shall have sole and exclusive jurisdiction to try any cause / dispute. I agree Place : Date : 24/04/2012

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