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Common Written Examination for Recruitment of Probationary Officers/ Management Trainees in 19 Public Sector Banks

32034

Registration #:

1000367564

Full Name:

HARSHAD NARESH PATIL

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VI and OC candidates whose writing speed has been affected by cerebral palsy) : Whether Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : Religious Minority Community to which you belong : Are you an Employee who has completed 5 years of service in RRBs ? : Are you an Ex-Serviceman : Nationality / Citizenship : State/ UT which the Centre of Examination Belongs: State code : Centre of Examination Centre code : Application Fee / Intimation Charges : Payment Mode : NEFT UTR No : Sending Bank Name : City : Deposit Date : Amount :

OBC NO --NA NO NO NO -NO NO INDIAN Maharashtra 30 Pune 74

NEFT 220711C18550 BANK OF INDIA PUNE 22-07-2011 450

Personal Details :
Date of Birth : Age as on on 01.07.2011. : Gender : Husband's Name / Father's Name : Mother's Name : 06-05-1985 26 MALE NARESH MUKUND PATIL PALLIAVI NARESH PATIL

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Address for Correspondence : BLOCK NO 1 PRATHMESH APPARTMENT SAHAKAR NAGAR BHUSAWAL District State : Pin : Permanent Address : JALGAON MAHARASHTRA 425201 BLOCK NO 1 PRATHMESH APPARTMENT SAHAKAR NAGAR BHUSAWAL District State : Pin : JALGAON MAHARASHTRA 425201

Contact Details:
Phone No : Mobile No: Email ID : Educational and Professional Qualification Details:(as on 01.07.2011) : 02582-223670 9970207370 harshadpatil1@hotmail.com

Exam Passed
Graduation : Post Graduation : Other Details :

Subject/Stream
BCOM MCOM

Year of Passing
2005 2009

% of Marks
63.00 55.00

Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : If Yes Centre for Training :

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DECLARATION:
I hereby declare that all 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 untrue or incorrect at any stage or my not satisfying any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place: Date: 22-07-2011 Signature of Applicant

HARSHAD NARESH PATIL

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please do not send the application printout to IBPS