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CWE for Recruitment of Clerks - (CWE - Clerks-IV)

Registration Number

: 1350380848

Full Name

: RAM KUMAR BASAK

Category

: OBC

If Person with Disability

: NO

Type of Disability

: -

Are you suffering from cerebral palsy and your writing

speed is affected?

: -

Percentage of Disability

: -

Do you intend to use the services of a scribe

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

: -

Are you a child/ family member of those who died in 1984 : NO

riots? :
Whether domiciled in Kashmir Division of the
State of J&K during the period 1-1-1980 to 31-12-1989?

: NO

Do you belong to a Religious Minority Community?

: NO

Religion:

: Hindu

Are you an Ex-Serviceman

: NO

Are you a Disabled Ex-Serviceman (DISXS)?:

: NO

Actual service rendered in defence services which may

be counted for qualifying as an Ex-serviceman (In
Months)

: -

Have you joined a Government job on the civil side after

availing of the benefits given as an ex-serviceman

Are you a Dependent of Serviceman killed in Action

(DXS) ?

: NO

Are you a matriculate Ex-Servicemen candidate, who has :

obtained the Indian Army Special Certificate of Education
or corresponding Certificate in the Navy or the Air Force
after having completed not less than 15 years of service
in Armed Forces of the Union as on 01.08.2014?
Percentage of Marks

Are you seeking relaxation under widow / divorced

women / women judicially Separated from their husbands
and who are not re-married?:

: NO

Whether Regular Employees of the Union Carbide

Factory, Bhopal, retrenched from service (applicable to
Madhya Pradesh state only)? :

: NO

Have you applied for the CWE for Clerical Cadre held in
November/ December 2011?

: NO

Have you applied for the CWE for Clerical Cadre held in
December 2012?

: NO

Have you applied for the CWE for Clerical Cadre held in
December 2013?

: NO

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Nationality / Citizenship

: Indian

State/UT to which centre of exam belongs

: Assam

State Code

: 14

Centre of Examination

: Guwahati

Application Fee / Intimation charges

Payment Mode

: OFFLINE

Amount

: 600.00

Payment Status

: PAID

Journal No

: 518391888

Transaction Date

: 01-09-2014

Transaction Branch

: 03204028

Personal Details
First Name

: RAM

Middle Name

: KUMAR

Last Name

: BASAK

Date of Birth

: 18-08-1984

Age completed as on 01.08.2014

: 29

Gender

: MALE

Husband's Name

Father's Name

: TARUN KUMAR BASAK

Mother's Name

: JHARNA BASAK

Address for Correspondence

: HOUSE NO - 81
: MALIGAON GATE NO 3
: GUWAHATI

District

: KAMRUP

State

: ASSAM

Pin code

: 781011

Permanent Address

: HOUSE NO - 81
: MALIGAON GATE NO 3
: GUWAHATI

District

: KAMRUP

State

: ASSAM

Pin code

: 781011

Contact Details
Phone No

: -

Mobile No

: +91 9435405689

Email ID

: ram.kumar.basak@gmail.com

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Educational Qualification (as on 01.09.2014) :

Exam Passed

Degree

Subject
/Stream

Date of Passing

% of Marks

Class/Grade

Graduation

Others DOEACC B
LEVEL

Others - IT

19-11-2013

59.00

Second Class

Do you have Operating and working

knowledge in computer systems

: YES

Details of Computer Knowledge

: Diploma in
: Computer language

Do you have work experience?

: YES

Total Experience in months

: 3

Details of Preference

: 1 : UCO Bank
2 : Allahabad Bank
3 : Andhra Bank
4 : Bank of Baroda
5 : Bank of India
6 : Bank of Maharashtra
7 : Canara Bank
8 : Central Bank of India
9 : Corporation Bank
10 : Dena Bank
11 : Indian Bank
12 : Indian Overseas Bank
13 : Oriental Bank of Commerce
14 : Punjab National Bank
15 : Punjab & Sind Bank
16 : Syndicate Bank
17 : Union Bank of India
18 : United Bank of India
19 : Vijaya Bank

Whether any prosecution/ detention/

fine/conviction/ sentence against you has
been awarded by any court of law for any
offence?

: NO

If yes, particulars of the same

Other Details
Whether desirous of taking Pre-Exam Training
(Only for SC/ST/Religious Minority
Communities/Ex-Servicemen/PWD)

: -

If Yes ,Centre for Training

: -

Languages Known

Read

Write

Speak

BENGALI

YES

YES

YES

ASSAMESE

YES

YES

YES

HINDI

YES

NO

YES

ENGLISH

YES

YES

YES

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

Place:

Date: 19-08-2014

Signature of Applicant

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

Copyright @ 2014, IBPS All Rights Reserved.

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