Recruitment in Clerical Cadre

Recruitment in Clerical Cadre

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Basic Details (As printed on the Score Card for Common Written Exam) : Registration No : Roll No : Full Name : Date of Birth: Category : Father's / Husbands Name: Centre of Examination : Date on which the candidate took the Common Written Examination : Session of Written Examination : State/UT Applied for : Centre for Interview : Centre Code : Disabled Ex- Servicemen : Dependent of Ex-Servicemen : Details of Application Fee Paid : Payment In: Transaction ID / Scroll No. : Branch Name : Branch Code : City : Deposit Date : (16.05.2012 - 02.06.2012) Amount : UCO BANK AA48016 CLUB ROAD 0575 MUZAFFARPUR 30-05-2012 Rs. 100.00 2001936728 1250737634 MD ZIYAUR RAHMAN 14/02/84 GENERAL MD HAFIZUR RAHMAN MUZAFFARPUR 27-11-11 EVENING BIHAR Patna 17 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 Matriculation/SSC or equivalent: HSC or equivalent: Graduation / Equivalent : Subject /Stream ALL SCIENCE HISTORY % of Marks 52.20 78.44 54.50 Date of Passing 30-06-1999 30-09-2001 18-05-2005 Class Second Class First Class Second Class 37 38 35 178 1/3/2012 125132159 English : General Awareness (with Special Reference to Banking Industry) : 28 40

Professional/ Others : Do you have computer knowledge: Languages Known HINDI URDU ENGLISH Declaration :

DCA

60.00

08-11-2006

First Class Yes

Read Yes Yes Yes

Write Yes Yes Yes

Speak Yes 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 on 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 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 Kolkata only and the courts situated in Kolkata only shall have sole and exclusive jurisdiction to try any cause / dispute. Place : Date : 30/05/2012 Signature