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Common Written Examination for Recruitment of Probationary Officers/ Management Trainees in 19 Public Sector Banks

27033

Registration #:

1000535733

Full Name:

DIPU P

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VI and OC candidates whose writing speed has been affected by cerebral palsy) : Whether Children/Family Members of those who died in 1984 Riots? : 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? : Religious Minority Community to which you belong : Are you an Employee who has completed 5 years of service in RRBs ? : Are you an Ex-Serviceman : Nationality / Citizenship : State/ UT which the Centre of Examination Belongs: State code : Centre of Examination Centre code : Application Fee / Intimation Charges : Payment Mode : NEFT UTR No : Sending Bank Name : City : Deposit Date : Amount :

SC NO --NA NO NO NO -NO NO indian Kerala 27 Kozhikode 61

NEFT 200711C36507 BANK OF INDIA MANJERI 20-07-2011 50

Personal Details :
Date of Birth : Age as on on 01.07.2011. : Gender : Husband's Name / Father's Name : Mother's Name : 09-10-1985 25 MALE KUNCHOOLAN P SEETHA VC

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Address for Correspondence : DEEPTHI NIVAS KOZHAKKOTTUR AREACODE POST District State : Pin : Permanent Address : MALAPPURAM KERALA 673639 DEEPTHI NIVAS KOZHAKKOTTUR AREACODE POST District State : Pin : MALAPPURAM KERALA 673639

Contact Details:
Phone No : Mobile No: Email ID : Educational and Professional Qualification Details:(as on 01.07.2011) : 0483-2852183 9895048434 dipu4deepu@gmail.com

Exam Passed
Graduation : Other Details :

Subject/Stream
BCOM

Year of Passing
2006

% of Marks
55.00

Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : If Yes Centre for Training :

NO --

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 stipulated, my candidature is liable to be cancelled.

Place: Date: 25-07-2011 Signature of Applicant

DIPU P
Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please do not send the application printout to IBPS