12/9/2016 ManipalSchoolofBankingPGDBFCourse201617

IDBIBankLtd.
ManipalSchoolofBankingPGDBFCourse201617

RegistrationNumber : 133213335

FullName : VIKANTDIXIT

Category : GENERAL
AreyouaPersonwithDisability : NO
TypeofDisability :

Percentageofdisability :
Areyousufferingfromcerebralpalsyandyourwritingspeedis :
affected

IfYes,Doyouneedcompensatorytimeatthetimeof :
examination?
Whetheryourdominant(Writing)handisaffected :

IfYes,Doyouneedcompensatorytimeatthetimeof :
examination?
Doyouintendtousetheservicesofascribe(applicableonlyfor :
VHorOHCandidates)?
Categorycode : 10

Areyouachild/familymemberofthosewhodiedin1984riots? : NO
AreyouapersondomiciledintheStateofJammu&Kashmir : NO
duringtheperiod111980to31121989?

Religiontowhichyoubelong : Hindu
DoyoubelongtoReligiousMinorityCommunity? : NO

AreyouanExServicemen,CommissionedOfficersincluding : NO
EmergencyCommissionedOfficers(ECOs)/ShortService
CommissionedOfficers(SSCOs):?
Actualservicerenderedindefenceserviceswhichmaybe :
countedforqualifyingasanExserviceman(InMonths)
HaveyoujoinedaGovernmentjobonthecivilsideafteravailing :
ofthebenefitsgivenasanexserviceman?

Nationality/Citizenship : Indian

DoyouholdAadhaarCard? : YES
AadhaarCardNo. : 237476709154

Place(District)ofdomicile : BHIND

Stateofdomicile : MADHYAPRADESH
State/UT/NCRforwhichthecentreofExaminationbelongs : MadhyaPradesh

CentreofExamination : Jabalpur

ApplicationFee/Intimationcharges

http://ibps.sifyitest.com/idbimsbnov16/registration_print.php?q=NTgwNTJhNzU3MDMzMTFmMGUwZTQzZTAyZDRkYzk3ZDF8MTMzMjEzMzM1 1/3
12/9/2016 ManipalSchoolofBankingPGDBFCourse201617
Amount : 700.00

PaymentStatus : PAID

ReferenceID : HSBI4957609254
TransactionDate : 09122016

PersonalDetails

DateofBirth : 20061991

Agecompletedason01.10.2016 : 25

Gender : MALE
MaritalStatus : Unmarried

Father'sName : JAGATPRAKASHDIXIT

Mother'sName : SANDHYADEVI

Spouse'sName :
AddressforCorrespondence : BIJASENROAD

Address2 : WARDNO.1

Address3 : LAHARBHIND
District : BHIND

State : MADHYAPRADESH
Pincode : 477445

Permanentaddress : BIJASENROAD
Address2 : WARDNO.1
Address3 : LAHARBHIND

District : BHIND
State : MADHYAPRADESH
Pincode : 477445

ContactDetails
MobileNo : +918819845475

AlternativeNumber : +919630443099
(MobileNo/LandlineNo)

EmailID : vkrntdxt04@gmail.com

EducationalQualification(ason01.10.2016)

ExamPassed Nameofthe Nameofthe Degree Subject/Stream/Specialization Dateof %ofMarks Class/

College University Passing Grade

Graduation/ SATI RGPV OthersBE CIVILENGINEERING 2605 FirstClass

Equivalent VIDISHA BHOPAL 2015
(passed)

Academicyear Semester MarksObtained TotalMarks Semester MarksObtained TotalMarks MarksObtained TotalMarks

YearI 1 6.06 10 2 5.88 10 11.94 20
YearII 3 6.69 10 4 6.69 10 13.38 20

YearIII 5 6.56 10 6 7.44 10 14.00 20

YearIV 7 8.06 10 8 8.31 10 16.37 20

http://ibps.sifyitest.com/idbimsbnov16/registration_print.php?q=NTgwNTJhNzU3MDMzMTFmMGUwZTQzZTAyZDRkYzk3ZDF8MTMzMjEzMzM1 2/3
12/9/2016 ManipalSchoolofBankingPGDBFCourse201617

YearV 9 0 0 10 0 0 0.00 0

GrandTotal 55.69 80
Total% 69.61

Doyouhaveproficiencyincomputers:? : YES

DetailsofComputerKnowledge: : SIMPLEWORKINGKNOWLEDGE

OtherDetails:

WhetherdesirousoftakingPreExamTraining(Only :
forSC/ST/OBC):
IfYes,CentreforTraining :

Whetheranyprosecution/detention/fine/conviction/ : NO
sentenceagainstyouhasbeenawardedbyany
courtoflawforanyoffence?:
Ifyes,particularsofthesame: :

LanguagesKnown Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

SANSKRIT YES YES YES

Declaration:
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibility
criteriastipulated,andalsoincaseofcreatinginfluence/unduepressureregardingrecruitmentshalltantamounttocancellationofmy
candidature.

Date:09122016 SignatureofApplicant

http://ibps.sifyitest.com/idbimsbnov16/registration_print.php?q=NTgwNTJhNzU3MDMzMTFmMGUwZTQzZTAyZDRkYzk3ZDF8MTMzMjEzMzM1 3/3