CHECKLIST OF DOCUMENTS / FORMALITIES REQUIRED TO BE COMPLETED FOR JOINING

THE BANK AS OFFICER SCALE-I (ASSISTANT MANAGER):

Candidates need to produce the following documents/certificates in original along

with two photocopies of the same duly self attested and two recent passport size
photographs, at the time of joining the Bank

i) Certificates in support of your educational qualification from SSC/ Matric

onwards, HSC or any equivalent examinations, Degree etc.
ii) Computer literacy certificate.
iii) Experience certificate, if any.
iv) Caste certificate issued by the Competent Authority in the format prescribed
by Government of India, in case you belong to SC/ST/OBC category.
v) Candidates belonging to OBC category should submit the OBC certificate
specifically mentioning comments on the Creamy Layer clause.
vi) Medical certificate from the medical Board of the District in case you belong
to physically challenged category.
vii) Relieving order of your present employer, if employed.
viii) Satisfactory reports from -2- referees (Two Character certificates - one must
be Head of the Institution last studied and the other by a Gazetted Officer).
ix) Duly signed and notarized Indemnity Bond as per attached copy of Text of
Bond (specimen). The text of the bond to be neatly typed on the non-judicial
stamp paper/s of value of Rs 100/- and executed by the candidate, surety,
two witness before notary/magistrate/judge
x) Medical fitness certificate by a medical officer of Govt. Hospital as per the
format enclosed.

Note : Please note that on completion of the above formalities candidates will be directed to
join the Branch/Office on the next day therefore candidates may come with necessary
arrangements accordingly.
 (The below appended text to be neatly typed in the non-judicial stamp paper/s of value of Rs 100/- and
executed by the candidate, surety, two witness before notary/magistrate/judge )

SERVICE INDEMNITY BOND WITH SURETY

This Indemnity is made and executed at _____________on______ day of __________2013 by

Mr./Ms./Mrs.___________________ S/o/D/o/W/o Mr. _________________ a permanent resident of
_____________________________________________ herein called Officer employee, the
party of the First Part,

AND

Mr./Ms./Mrs. ______________________S/o/D/o/W/o Mr.

___________________________________ a permanent resident of
(Address)_____________________________________________________________
__________________________________________________________ hereinafter called
Surety, the party of the Second Part, in favour of Baroda Uttar Pradesh Gramin Bank, a body
corporate established under the Regional Rural Banks Act, 1976 and having its Head Office at A1,
CivilLines,Raebareli,(U.P.)229001,hereinafter called Employer Bank.

The terms Officer employee, Surety and the Employer Bank unless repugnant to the context
shall mean and include their heirs, legal representatives, successors, executors and administrators.

WHEREAS the Officer employee has been selected for appointment as Assistant Manager
(Officer Scale-I) in the service of the Employer Bank.

WHEREAS an Offer of Appointment containing the terms and conditions of the appointment has
already been issued to the Officer employee vide letter No. HO/06/HRM/2013/__________ dated
______________ of the Employer Bank.

WHEREAS the terms and conditions of the Offer of appointment has been read and accepted by
the Officer employee.

Contd..2.
 -2-

WHEREAS one of the terms and conditions of the appointment is the Officer employee has to
serve the Employer Bank i.e. Baroda Uttar Pradesh Gramin Bank for minimum period of Three
years after appointment, has to execute an indemnity with surety in favour of Employer
Bank.

NOW THIS INDENTURE WITNESSETH as under:

1. In compliance of the aforesaid condition in Offer of Appointment subject to which the

Employer Bank has agreed to give appointment to the Officer employee, the Officer
employee hereby undertakes to serve the Employer Bank for a minimum period of three
years.
2. The party of the second part (Surety) i.e.
Mr./Ms/Mrs.___________________________________________________ S/o /D/o
/W/o Mr.________________________ agrees to stand as Surety for the due
performance of the obligation of the Officer employee under this agreement of indemnity.
In case of breach of the terms of this indemnity by the Officer employee and failure
to indemnify the Bank, the Surety shall be jointly and severally liable to pay the amount
of Rs. 2,00,000/- (Rs. Two lakh rupees only) to Employer Bank immediately on demand.
3. The Officer employee further agrees and undertakes that in case he/she commits
breach of the above condition and resigns from or leaves/abandons the service
and/or neglects in performance of the duty assigned to him/her leading to
termination of his/her service as per Rules and Regulations by the Employer Bank
for all losses, costs, charges and expenses upto extent of Rs.2,00,000/- (Two lakh
rupees only) and pay an amount of Rs. 2,00,000/- (Rs. Two lakh rupees only) with
the interest thereon from the date of breach of the above till payment as liquidated
damages/cost of training including on the job training, the Officer employee at
his/her place, and also on account of business loss suffered/to be suffered by
Employer Bank during intervening period. The Officer employee and surety agrees
that assessment of liquidated damages as assessed at Rs. 2,00,000/-
(Two lakh rupees only)are reasonable, which they both agree to pay jointly and
severally in case demand is made by the Employer Bank.

Contd..3.
 -3-

4. Notwithstanding anything contained herein above, furnishing of this indemnity will not
create any right in favour of the Officer employee to continue in the service of Employer
Bank for the aforesaid term of three years, and the Employer Bank shall always have
the right to take appropriate action against the Officer employee as per terms of the
appointment letter and/or the Rules and Regulations of the Employer Bank as
applicable, in case of commission of any misconduct by the Officer employee.

5. The amount specified above shall constitute a debt owing to the Employer Bank and
shall be recoverable from the Officer employee and the Surety jointly and severally with
interest thereon till payment.

IN WITNESS whereof, the OFFICER EMPLOYEE and the SURETY have put their
signatures in the presence of the witnesses.

Signed and delivered by the Party of the First Part i.e. the Officer employee and the
Party of the Second Part i.e. the Surety having perused and understood the contents of
this agreement.

1. WITNESS SIGNATURE: OFFICER EMPLOYEE SIGNATURE

NAME & ADDRESS: NAME & ADDRESS

2. WITNESS SIGNATURE: SURETY SIGNATURE

NAME & ADDRESS: NAME & ADDRESS

Executed before

At __________________________________________this ___________day of _________2013

in presence of
____________________________________________________________________

Notary/Magistrate/Judge

With Seal & Signature

BARODA UTTAR PRADESH GRAMIN BANK
(Head Office, A-1, Civil Lines, Raebareli )

HEADOFFICE:Date:..

FullName : ....

Address : ....

Age(Pleaseverify) : ..Years..Month....

Height : Weight...

COMPLAINT

PASTANDFAMILYHISTORY

Throat :... Eyes:...Temperature:.

Tongue:... Joints:.. Pulse:...

Teeth :... Glands: Heart:.

RespiratorySystem :........................................................................................................................

CirculatorySystem :..

GastroIntestinalSystem :..
.
NervousSystem :..

GenitoUrinarySystem :..

Remarks :..

Inviewoftheforegoing,IcertifythatMr./Mrs..ismedically.
forappointmentinBanksServices.

SignatureofDoctor
(withOfficialSeal)

SignatureofApplicant

Attested

SignatureofDoctorwithofficialseal