8/10/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M

InstituteofBankingPersonnelSelection
CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/Management
TraineesinParticipatingOrganizations(CWEPO/MTVI)

RegistrationNumber : 1471600736
FullName : RAHULPATHY
Category : GENERAL

AreyouaPersonwithDisability : NO
TypeofDisability :

Percentageofdisability :
Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected :

IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :
Whetheryourdominant(Writing)handisaffected :

IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :
Doyouintendtousetheservicesofascribe? :

Areyouachild/familymemberofthosewhodiedin1984riots? : NO
AreyouapersondomiciledintheStateofJammu&Kashmirduring : NO
theperiod111980to31121989?

AreyouanExServiceman:? : NO
Actualservicerenderedindefenceserviceswhichmaybecountedfor :
qualifyingasanExserviceman(InMonths)

Dateofrelieffromdefenceservices :
HaveyoujoinedaGovernmentjobonthecivilsideafteravailingofthe :
benefitsgivenasanexserviceman?
Religiontowhichyoubelong : Hindu

DoyoubelongtoReligiousMinorityCommunity? : NO

WhetherservinginGovt./quasiGovt./PublicSectorUndertakings : NO
(includingNationalisedBanks&FinancialInstitutions)?

HaveyouappearedfortheCWEPO/MTheldinyear2011? : NO
RegistrationNo. :

HaveyouappearedfortheCWEPO/MTheldinyear2012? : NO

RegistrationNo. :

HaveyouappearedfortheCWEPO/MTheldinyear2013? : NO

RegistrationNo. :
HaveyouappearedfortheCWEPO/MTheldinyear2014? : NO

RegistrationNo. :

HaveyouappearedfortheCWEPO/MTheldinyear2015? : NO

RegistrationNo. :
DoyouholdAadharCard? : YES

AadharCardNo. : 473629659391

Nationality/Citizenship : Indian

State/UT/NCRtowhichcentreofexambelongs : Odisha

Statecode : 36

http://ibps.sifyitest.com/crppotovijul16/registration_print.php?q=YzA3NWRhZDNhNTY2MmFlMzMyM2VkNjg0ZTM3YTc1MTl8MTQ3MTYwMDczNg== 1/3
8/10/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M
CentreofExamination : Bhubaneshwar

ApplicationFee/Intimationcharges
Amount : 600.00

PaymentStatus : PAID

ReferenceID : GSBI4667764754
TransactionDate : 10082016

PersonalDetails
DateofBirth : 09071992

Agecompletedason01.07.2016 : 23
Gender : MALE

MaritalStatus : Unmarried

Father'sName : GAUTAMKUMARPATHY
Mother'sName : LAXMIDEVI

Spouse'sName :
AddressforCorrespondence : ATKALARAHANGA

Address2 : POKALARAHANGA
Address3 : VIAKIIT
District : KHORDHA

State : ORISSA
Pincode : 751024

Permanentaddress : ATKALARAHANGA
Address2 : POKALARAHANGA
Address3 : VIAKIIT

District : KHORDHA
State : ORISSA
Pincode : 751024

ContactDetails
MobileNo : +919853594114
AlternativeNumber :
(MobileNo/LandlineNo)
EmailID : pathyrahul3@gmail.com

QualificationDetails(ason13.08.2016)

ExamPassed Degree Subject/Stream Dateof %ofMarks

Passing

Graduation/Equivalent B.Tech. OthersEEE 04102014 60.20

DoyouhaveOperatingandworking : YES
knowledgeincomputersystems:?

DetailsofComputerKnowledge: : Certificatein
: ComputerOperations

OtherDetails

http://ibps.sifyitest.com/crppotovijul16/registration_print.php?q=YzA3NWRhZDNhNTY2MmFlMzMyM2VkNjg0ZTM3YTc1MTl8MTQ3MTYwMDczNg== 2/3
8/10/2016 CommonRecruitmentProcess(CRP)forRecruitmentofProbationaryOfficer/ManagementTraineesinParticipatingOrganizations(CWEPO/M

WhetherdesirousoftakingPreExam :
Training(ApplicableonlyforSC/ST/
MinorityCommunity)

IfYes,CentreforTraining :

OrganisationPreference

1CanaraBank
2UnionBankofIndia
3IDBIBank
4PunjabNationalBank
5UCOBank
6OrientalBankofCommerce
7SyndicateBank
8UnitedBankofIndia
9BankofIndia
10AllahabadBank
OrganisationinorderofPreferences 11VijayaBank
12CentralBankofIndia
13Punjab&SindBank
14AndhraBank
15BankofBaroda
16BankofMaharashtra
17CorporationBank
18DenaBank
19IndianBank
20IndianOverseasBank

Whetheranyprosecution/detention/
fine/conviction/sentenceagainstyouhasbeen NO
awardedbyanycourtoflawforanyoffence?

Ifyes,particularsofthesame

OtherDetails:

LanguagesKnown Read Write Speak

ENGLISH YES YES YES

ODIYA YES YES YES

HINDI YES YES YES

Declaration:

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

Date:09082016 SignatureofApplicant

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