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InstituteofBankingPersonnelSelection
CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/Management
TraineesinParticipatingOrganizations(CWEPO/MTVI)
RegistrationNumber : 1471788708
FullName : BIPLESHKUMARSHUKLA
Category : GENERAL
AreyouaPersonwithDisability : NO
TypeofDisability :
Percentageofdisability :
Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected :
IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :
Whetheryourdominant(Writing)handisaffected :
IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :
Doyouintendtousetheservicesofascribe? :
Areyouachild/familymemberofthosewhodiedin1984riots? : NO
AreyouapersondomiciledintheStateofJammu&Kashmirduringthe : NO
period111980to31121989?
AreyouanExServiceman:? : NO
Actualservicerenderedindefenceserviceswhichmaybecountedfor :
qualifyingasanExserviceman(InMonths)
Dateofrelieffromdefenceservices :
HaveyoujoinedaGovernmentjobonthecivilsideafteravailingofthe :
benefitsgivenasanexserviceman?
Religiontowhichyoubelong : Hindu
DoyoubelongtoReligiousMinorityCommunity? : NO
WhetherservinginGovt./quasiGovt./PublicSectorUndertakings : YES
(includingNationalisedBanks&FinancialInstitutions)?
HaveyouappearedfortheCWEPO/MTheldinyear2011? : NO
RegistrationNo. :
HaveyouappearedfortheCWEPO/MTheldinyear2012? : NO
RegistrationNo. :
HaveyouappearedfortheCWEPO/MTheldinyear2013? : NO
RegistrationNo. :
HaveyouappearedfortheCWEPO/MTheldinyear2014? : YES
RegistrationNo. :
HaveyouappearedfortheCWEPO/MTheldinyear2015? : YES
RegistrationNo. :
DoyouholdAadharCard? : NO
AadharCardNo. :
Nationality/Citizenship : Indian
State/UT/NCRtowhichcentreofexambelongs : MadhyaPradesh
Statecode : 30
http://ibps.sifyitest.com/crppotovijul16/registration_print.php?q=YmRlNjE2MmU0NTAxODJmODE2OThhNDQ3Mzc2ZDliMzd8MTQ3MTc4ODcwOA== 1/4
8/11/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M
CentreofExamination : Satna
ApplicationFee/Intimationcharges
Amount : 600.00
PaymentStatus : PAID
ReferenceID : GHMP4671539624
TransactionDate : 11082016
PersonalDetails
DateofBirth : 09111988
Agecompletedason01.07.2016 : 27
Gender : MALE
MaritalStatus : Unmarried
Father'sName : HARIHARPRASADSHUKLA
Mother'sName : VIDYAWATISHUKLA
Spouse'sName :
AddressforCorrespondence : 991ANANTPUR
Address2 : NEARPANKUSINGHKI
BAGIYA
Address3 : MAJHIYARROADREWA
District : REWA
State : MADHYAPRADESH
Pincode : 486002
Permanentaddress : 991ANANTPUR
Address2 : NEARPANKUSINGHKI
BAGIYA
Address3 : MAJHIYARROADREWA
District : REWA
State : MADHYAPRADESH
Pincode : 486002
ContactDetails
MobileNo : +919993578062
AlternativeNumber : +919893871867
(MobileNo/LandlineNo)
EmailID : biplesh.1988@gmail.com
QualificationDetails(ason13.08.2016)
DoyouhaveOperatingandworking : YES
knowledgeincomputersystems:?
DetailsofComputerKnowledge: : Degreein
: Computerlanguage
http://ibps.sifyitest.com/crppotovijul16/registration_print.php?q=YmRlNjE2MmU0NTAxODJmODE2OThhNDQ3Mzc2ZDliMzd8MTQ3MTc4ODcwOA== 2/4
8/11/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M
Workexperiencedetails(StartfrompresentEmployer)
TotalExperience(inmonths):2
OtherDetails
WhetherdesirousoftakingPreExam :
Training(ApplicableonlyforSC/ST/
MinorityCommunity)
IfYes,CentreforTraining :
OrganisationPreference
1UnitedBankofIndia
2UnionBankofIndia
3AllahabadBank
4BankofIndia
5PunjabNationalBank
6CentralBankofIndia
7BankofBaroda
8CanaraBank
9IndianBank
10UCOBank
OrganisationinorderofPreferences 11IDBIBank
12SyndicateBank
13AndhraBank
14IndianOverseasBank
15OrientalBankofCommerce
16BankofMaharashtra
17VijayaBank
18Punjab&SindBank
19CorporationBank
20DenaBank
Whetheranyprosecution/detention/
fine/conviction/sentenceagainstyouhasbeen NO
awardedbyanycourtoflawforanyoffence?
Ifyes,particularsofthesame
OtherDetails:
LanguagesKnown Read Write Speak
Declaration:
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibility
criteriastipulated,andalsoincaseofcreatinginfluence/unduepressureregardingrecruitmentshalltantamounttocancellationofmy
candidature.
http://ibps.sifyitest.com/crppotovijul16/registration_print.php?q=YmRlNjE2MmU0NTAxODJmODE2OThhNDQ3Mzc2ZDliMzd8MTQ3MTc4ODcwOA== 3/4
8/11/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M
Date:10082016 SignatureofApplicant
http://ibps.sifyitest.com/crppotovijul16/registration_print.php?q=YmRlNjE2MmU0NTAxODJmODE2OThhNDQ3Mzc2ZDliMzd8MTQ3MTc4ODcwOA== 4/4