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ON-LINE APPLICATION FOR COMMON WRITTEN EXAMINATION(CWE) FOR RECRUITMENT OF POS/MTS IN 19 PSBS- CWE PO/MT-II

Last Modified On: 27-03-2012

No Of Times Modified: 1

30037
Registration # : 5000911383

Full Name :

EDA VIJAYA BABU

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe (only for VI & OC candidates whose writing speed is affected by cerebral palsy) ? : Whether Children/Family Members of those who died in 1984 Riots? :

OBC NO NA NO

Whether domiciled in Kashmir Division of the State of J & K during the period 1-1-1980 to 31-12-1989? : NO Are you an Employee who has completed 5 years of service in RRBs : Are you a Clerical employee of a Participating Public Sector Bank ? : If yes, please specify the Name of the Public Sector Bank : Are you an Ex-Serviceman ? : Whether you belong to Minority Community ? : Religion to which you belong : Have you appeared for CWE PO/MT exam held on 18/09/2011 and 13/11/2011 ? : Nationality / Citizenship : State/ UT which the Centre of Examination Belongs : State Code : Centre of Examination : Centre Code : Application Fee / Intimation Charges details: Payment Mode: Amount : Reference ID : Transaction Date : Personal Details : Date of Birth : Age completed as on 01.01.2012 : Gender : Husband's Name/Father's Name : Mother's Name : Address for Correspondence : 21-08-1988 23 MALE KRISHNA MOHAN CHANDRAKALA D NO:3-19A ROLUPADI TIRUVURU MANDAL District State : Pin : Permanent Address : KRISHNA DISTRICT ANDHRA PRADESH 521235 D NO:3-19A ROLUPADI ONLINE 450.00 NO NO NO NO NO INDIAN Andhra Pradesh 02 Hyderabad 13

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TIRUVURU MANDAL District State : Pin : Contact Details : Email ID : Phone No : Mobile No : Qualification Details (as on 01.01.2012): Exam Passed Graduation/Equivalent : Other Details : Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : If Yes, Centre for Training : --Subject /Stream BE in ECE Date of Passing 10-04-2009 % of Marks 76.17 vijayababu.e@gmail.com 9390209415 KRISHNA DISTRICT ANDHRA PRADESH 521235

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: 26-03-2012

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS