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

17033

Registration #:

1001500172

Full Name:

Peeyush

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 :

GENERAL NO --NA NO NO NO -NO NO Indian Haryana 22 Panchkula 42

NEFT IDIBH11210157570 Indian Bank Chandigarh 29-07-2011 450

Personal Details :
Date of Birth : Age as on on 01.07.2011. : Gender : Husband's Name / Father's Name : Mother's Name : 14-12-1987 23 MALE Mahesh Ghalotra Indu Ghalotra

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Address for Correspondence : House No 843 Sector 4q District State : Pin : Permanent Address : Panchkula HARYANA 134112 House No 843 Sector 4q District State : Pin : Panchkula HARYANA 134112

Contact Details:
Phone No : Mobile No: Email ID : Educational and Professional Qualification Details:(as on 01.07.2011) : 0172-2576843 7837701260 ashnish85@gmail.com

Exam Passed
Graduation : Other Details :

Subject/Stream
Science

Year of Passing
2010

% of Marks
66.66

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

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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: 31-07-2011 Signature of Applicant

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