3/16/2015

Admission to Baroda Manipal school of banking - Project 2015-16 in Bank of Baroda - Application Form Print

BankofBaroda
ADMISSIONTOBARODAMANIPALSCHOOLOFBANKINGPROJECT201516

RegistrationNumber

: 270178460

FullName

: NAWLESHNIHAR

Category

: Unreserved

IfPhysicallyChallenged

: NO

TypeofDisability

PercentageofDisability

Areyousufferingfromcerebralpalsyandyour
writingspeedisaffected?

IfYes,Doyouneedcompensatorytime?

Whetheryourdominant(Writing)handaffected?

IfYes,Doyouneedcompensatorytime?

Doyouintendtousetheservicesofascribe(only
forVIorOCCandidates)?

WhetherdomiciledinKashmirDivisionoftheState
ofJ&Kduringtheperiod111980to31121989:
?

: NO

WhetherareyouaChildren/FamilyMembersof
thosewhodiedin1984Riots?

: NO

Religiontowhichyoubelong

: Hindu

WhetheryoubelongtoReligiousMinority
Community?:

: NO

AreyouanExServiceman

: NO

PeriodofServiceasanExServiceman(inmonths) :
:
Nationality:

: Indian

CentreofExamination

: DelhiNCR

ApplicationFee/Intimationcharges:
PaymentIn

: ONLINE

Amount

: 600.00

PaymentStatus

: PAID

http://ibps.sifyitest.com/bobmsbmar15/registration_print.php?q=NTA3NmQ2OGNjMmNmYWQ4ZTNkZGU3ZWVlNWM5MDM4NTN8MjcwMTc4NDYw

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3/16/2015

Admission to Baroda Manipal school of banking - Project 2015-16 in Bank of Baroda - Application Form Print

ReferenceID

: BSBI3706094117

TransactionDate

: 15032015

PersonalDetails
DateofBirth

: 25011991

Agecompletedason17.03.2015

: 24

Gender

: MALE

MaritalStatus

: Unmarried

FathersNameinFull

: SUKHDEOSINGH

MothersNameinFull

: USHADEVI

HusbandsNameinFull

AddressforCorrespondence

: C279TOPFLOOR
: NEHRUVIHAR
: NEARMUKHERJEE
NAGAR

District

: CIVILLINES

State

: DELHI

Pincode

: 110054

PermanentAddress

: H.NO132
: VILLAGEDHARAMPUR
: PONAWAGARH

District

: GIRIDIH

State

: JHARKHAND

Pincode

: 825318

ContactDetails
PhoneNo

MobileNo

: +919015823668

EmailID

: nawleshnihar@gmail.com

QualificationDetails(ason01.06.2015):
ExamPassed

Degree/Subject/Stream

Graduation/Equivalent: Engineering
Passed

Dateof
Passing

%of
Marks

Class/Grade

22032014

67.00

FirstClass

http://ibps.sifyitest.com/bobmsbmar15/registration_print.php?q=NTA3NmQ2OGNjMmNmYWQ4ZTNkZGU3ZWVlNWM5MDM4NTN8MjcwMTc4NDYw

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3/16/2015

Admission to Baroda Manipal school of banking - Project 2015-16 in Bank of Baroda - Application Form Print

OtherDetails:
LanguagesKnown

Read

Write

Speak

HINDI

YES

YES

YES

ENGLISH

YES

YES

YES

Haveyoueverbeenarrestedorkept
: NO
underdetention/wasimprisonedor
bounddown/fined/convictedbya
CourtofLawforanyoffenceorFIR
lodged/complaintregistered/
chargesframedagainstyouorany
criminalcasependingagainstyou
beforeanycourtofLaw/authorityor
debarred/disqualifiedbythePublic
ServiceCommissionfromappearing
atitsexaminationselectionor
debarredfromtakinganyexamination
orrestrictedbyanyauthority/any
institution/terminatedfromserviceby
anypreviousemployerforany
criminaloffence/indisciplineforany
otheract/sofmisconductsetc
Ifyes,statefullparticularsofthe
case/s,misconduct/s,offence/s,
detention,imprisonment,fine,
conviction,sentence,FIR,charged
framedagainst,asthecasemaybe.

Date:15032015

SignatureofApplicant

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