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1/18/2016

RecruitmentofOfficers(ScaleI)inKarnatakaBankLtdApplicationFormPrint

KarnatakaBankLtd
RecruitmentofOfficers(ScaleI)inKarnatakaBankLtd

RegistrationNumber

: 120018087

FullName

: PUTHETIASHOKKUMAR

Category

: GENERAL

AreyouaPersonwithDisability

: NO

TypeofDisability

Percentageofdisability

Areyousufferingfromcerebralpalsyandyourwritingspeedis
affected:?

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Whetheryourdominant(Writing)handisaffected?

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Doyouintendtousetheservicesofascribe(onlyforVIcandidates
andthecandidateswhosewritingspeedispermanentlyaffected)?.

AreyouapersondomiciledintheStateofJammu&Kashmirduring
theperiod111980to31121989:?

: NO

Religiontowhichyoubelong

: Hindu

DoyoubelongtoReligiousMinorityCommunity?

: NO

DoyouholdAadharCard?

: YES

AadharCardNo.

: 347406011671

Nationality/Citizenship

: Indian

CentreofExamination

: Bengaluru

ApplicationFee/Intimationcharges
Amount

: 600.00

PaymentStatus

: PAID

ReferenceID

: ESBI4241264149

TransactionDate

: 18012016

PersonalDetails
DateofBirth

: 01061989

Agecompletedason01.01.2016

: 26

Gender

: MALE

MaritalStatus

: Unmarried

Father'sName

: PMADHUSUDHANREDDY

Mother'sName

: PNIRMALA

http://ibps.sifyitest.com/kbrosjan16/registration_print.php?q=NGMxMWEyZjhkOGFiOWQxZWQ5YjcyNDk5ZjBhMzU0NTF8MTIwMDE4MDg3

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1/18/2016

RecruitmentofOfficers(ScaleI)inKarnatakaBankLtdApplicationFormPrint

Spouse'sName

AddressforCorrespondence

: THIRUMURUVILLAGEPOST

Address2

: VIAMALLAM

Address3

: VAKADUMANDAL

District

: SPSRNELLORE

State

: ANDHRAPRADESH

Pincode

: 524403

Permanentaddress

: THIRUMURUVILLAGEPOST

Address2

: VIAMALLAM

Address3

: VAKADUMANDAL

District

: SPSRNELLORE

State

: ANDHRAPRADESH

Pincode

: 524403

ContactDetails
MobileNo

: +919494752938

AlternativeNumber
(MobileNo/LandlineNo)

: +919866653860

EmailID

: p.ashokkumar.07@gmail.com

QualificationDetails(ason01.01.2016)
ExamPassed

Degree/Subject/Stream

DateofPassing

%ofMarks

Graduation/Equivalent

OthersBPHARMACY

13062011

71.39

PostGraduation

OthersMPHARMACY

27112013

74.71

Operatingandworkingknowledgein
computersystems:

: StudiedinHighSchool/College/Institute

DetailsofComputerKnowledge:

: MSOFFICE

TypingSkillDetailsIfany:

OtherDetails:

LanguagesKnown

Read

Write

Speak

ENGLISH

YES

YES

YES

TELUGU

YES

YES

YES

Declaration:
Iherebydeclarethatallthestatementsmadeinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfoundfalseorincorrectatanystageornotsatisfyingtheeligibilitycriteriaaccordingto
therequirementsoftherelativeadvertisement,mycandidature/appointmentisliabletobecancelled/terminated.Iamwillingtoserve
anywhereinIndia.
http://ibps.sifyitest.com/kbrosjan16/registration_print.php?q=NGMxMWEyZjhkOGFiOWQxZWQ5YjcyNDk5ZjBhMzU0NTF8MTIwMDE4MDg3

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1/18/2016

RecruitmentofOfficers(ScaleI)inKarnatakaBankLtdApplicationFormPrint

Date:18012016

SignatureofApplicant

http://ibps.sifyitest.com/kbrosjan16/registration_print.php?q=NGMxMWEyZjhkOGFiOWQxZWQ5YjcyNDk5ZjBhMzU0NTF8MTIwMDE4MDg3

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