6/7/2014

Welcome to Bank of Baroda - Application Form Print

Baroda Manipal School of Banking

40030
Registration # :

81039694

Full Name :

GEETIKA TEWARI

Category :

GENERAL

If Physically Challenged :

NO

Type of Disability :

Percentage of Disability :

Do you intend to use the services of a scribe at the time of examination

(Applicable only for VI and OC whose writing speed is affected by cerebral palsy) ? :

Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : NO
Whether are you a Children/Family Members of those who died in 1984 Riots? :

NO

Whether you belong to Religious Minority Community ? :

NO

Religion to which you belong :

Hindu

Are you an Ex-Serviceman :

NO

Period of Service as an Ex-Serviceman (in months) :

Nationality:

Indian

Centre of Examination :

Delhi -NCR

Application Fee / Intimation charges :

Payment In:

ONLINE (Using only Debit or Credit

Cards)

Amount :

550.00

Reference ID :

201407061358176

Transaction Date :

06-07-2014

Personal Details :
First Name :

GEETIKA

Middle Name :
Last Name :

TEWARI

Date of Birth :

08-10-1992

Age completed as on 16.07.2014 :

21

Gender :

FEMALE

Father's Name :

HEM CHANDRA TEWARI

Husband's Name :

--

Mother's Name :

PARVATI TEWARI

Address for Correspondence :

HC-2.3 A LAJPAT APARTMENT

LAJPAT NAGAR .SAHIBABAD

District

GHAZIABAD

State :

UTTAR PRADESH

Pin code :

201005

Permanent Address :

VILLAGE TEWARI KHOLA

P.O HALDIYANI VIA-GARAMPANI

District

NAINITAL

State :

UTTARAKHAND

Pin code :

263136

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6/7/2014

Welcome to Bank of Baroda - Application Form Print

Contact Details :
Phone No :

Mobile No :

8826286853

Email ID :

gtika.tewari@gmail.com

Qualification Details(as on 16.07.2014) :

Exam Passed

Subject /Stream

Date of Passing

% of Marks

Class / Grade

Graduation/ Equivalent :

Commerce

28-06-2014

76.48

First Class

Other:

CS EXE MODULE I

25-02-2014

51.00

Second Class

Other Details :
Languages
Known

Read

Write

Speak

HINDI

YES

YES

YES

ENGLISH

YES

YES

YES

Have you ever been arrested or kept under detention/was imprisoned or bound down/fined/ convicted by a Court of Law for any offence or
FIR lodged / complaint registered/ charges framed against you or any criminal case pending against you before any court of Law/authority or
debarred/disqualified by the Public Service Commission from appearing at its examination selection or debarred from taking any examination or
restricted by any authority/ any institution / terminated from service by any previous employer for any criminal offence/indiscipline for any other
act/s of misconducts etc:
If yes, state full particulars of the case/s, misconduct/s, offence/s, detention, imprisonment, fine, conviction, sentence, FIR, charged framed
against, as the case may be :

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 i am not satisfying any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place:

Date: 06-07-2014

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference

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