Bank of Maharashtra Clerical Recruitment Project – 2010

Application Format
LAST DATE FOR RECEIPT OF APPLICATION:- 24-07-2010
LAST DATE FOR RECEIPT OF APPLICATION FROM FAR FLUNG AREAS-31-07-2010

Paste here
your recent
colour
passport size
photograph &
sign it across
(On line applicants may submit at the time of interview if called for)

To,

Bank of Maharashtra Clerical Recruitment Project-2010

Post Box No. 912, Shivaji Nagar, Pune-411005.

Dear Sir,

With reference to Bank of Maharashtra`s advertisement, I submit my application

as per format given below :-

1. Post Applied For : Clerk

a) District:___________________

b) i)State:____________________

2. Full Name (in Block Letters keep one box blank between the parts of your
name )
Shri/ Smt/ Kum :

3. Correspondence Address (In Block Letters) :

PIN CODE NO.

4. Contact Tele No. (with STD Code ):
Mobile No. :
E mail Address :

5. State Dist. Applied For :______________________

(Candidates can apply for vacancies in one Dist/State/UT only and have to
appear for the interview center for that particular Dist./State/UT)

6. Category to which you belong (Indicate by marking Tick in the appropriate

Box)
SC ST OBC General

(a) if SC/ ST/ OBC, please mention name of caste :

______________________.

(b) Name of the State/UT/Dist. to which you belong : _____________

( c) If physically challenged candidate, please tick mark appropriate box :

Orthopaedically Challenged Hearing Impaired Visually Impaired

(OC) (HI) (VI)

Percentage of Disability ; ______________________.

(d) Do you intend to use the services of a Scribe ? Yes _____ No _______

7. (a) Date of Birth : _________ __________ ____________

(Date) (Month) (Year)

(b) Age as on 01-06-2010 :_________ Years _______ Months.

Relaxation of Age (if claimed) : No of Years ______under Category ______

8. Particulars Application Fee : IF PAID AT BANK OF MAHARASHTRA

I)
Name of Branch of Branch Date of Receipt Journal/ Amount
BOM code Payment Scroll transaction (in
No. NO. NO. Rs.)
II) IF PAID BY DEMAND DRAFT/BANKER`S CHEQUE

NAME OF DD/BANKERS` DATE OF AMOUNT OF NAME OF

THE CHEQUE NO. DD/ DD/ DRAWEE
ISSUEING BANKERS` BANKERS` BANK/BRANCH
BRANCH CHEQUE CHEQUE

9. Permanent Address (In Block Letters) :

PIN CODE NO.

10.Place of Birth : Town _________ District ____________ State _________.

11. Sex : Male ___________ Female ____________.

12.Father’s / Husband’s Name : ______________________________________.

13. (a) Are you an Ex- Serviceman ? Yes _____________ No _____________.

(b) Whether you belong to Minority Community ? Yes _______ No _______.

14. Educational Qualifications : (As on 01-06-2010 From class X onwards)

a) Marks Obtained in Mathematics in SSC/10th Std.______ Out of _____ &

________%

b)

Examination Name of Subjects Date, Month & % of Marks/

Passed Board/ Studied Year of Class
University Passing obtained
15. Languages Known :

Language Read Write Speak

16. Before submitting the Application, please Check that You Have Correctly
Mentioned :
(1) The Dist./State/UT for which you have submitted Application. (2) Category/
Sub-Category. (3) Details of fees/postage deposited in Bank of Maharashtra
and journal/transaction number is mentioned, details of DD/Bankers` cheque is
mentioned(4) Address for Communication. (5) Details for claiming relaxation in
Age.

Declaration

I hereby declare that all the statements made in this application are true,
complete and correct to the best of my knowledge and belief. I understand that in
the event of any information being found false or incorrect at any stage or not
satisfying the eligibility criteria according to the requirements of the relative
advertisement, my candidature/ appointment is liable to be cancelled/ terminated.
I am willing to serve anywhere in the Dist./State/UT applied for. I also agree that
the Bank has right to transfer me to any part of the Dist./State/UT at its
discretion.
I hereby agree that any legal proceedings in respect of any matter (s) or claims
or disputes arising out of this application and/ or out of said advertisement can be
instituted by me only in Pune and Courts/Tribunal/ Forums at Pune only shall
have sole and exclusive jurisdiction to try any cause/ dispute. I undertake to
abide by all the terms & conditions mentioned in the advertisement given by the
Bank.

Place :
Date : ____________________
(Signature of Candidate)