Utkal Gramya Bank Recruitment for the Post of Officer Junior Management Grade Scale-I - Group A and Office

Assistant (Multi Purpose) - Group-B in Utkal Gramya Bank APPLICATION PRINT-OUT NEED NOT BE SENT TO THE BANK Last Modified On : -No.Of Times Modified : 0 28037 Registration No. : Post : Post Code : Full Name : Category : Person With Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe : 28927 Office Assistant (Multi Purpose) - Group-'B' 02 GOPAL KRUSHNA BISHOYI GENERAL No ----

Whether you belong to No Religious Minority Community : Religion to which you belong: Others: Domiciled in Kashmir Division: Ex-Serviceman : Total Period of Service : (in Months) Disabled Ex-Serviceman (DISXS) : Dependent Ex-Serviceman (DXS) : Seeking relaxation under widow/ divorced women/ women judicially Separated from their husbands and who are not re-married. Domiclie of Odisha State: Nationality : Centre of Examination : Centre code : No No --No No -No

Yes Indian Sambalpur 11

Application Fee/ Postal Charges Details : Payment In Transaction Id.: Branch Name : Branch Code : Deposit Date : Personal Details : Date of Birth : Gender : Husband's Name / Father's Name : Address for Correspondence : 17/04/1987 Male LINGARAJ BISHOYI AT- ANANTAI PO-BANTHAPALLI VIA-BERHAMPUR GANJAM Orissa AT- ANANTAI PO-BANTHAPALLI VIA-BERHAMPUR GANJAM Orissa Pin : 760002 Pin : 760002 Mother's Name : SASI BISHOYI Age completed as on 01.04.2011 : 23 State Bank of India 008865479 SBI MAIN BRANCH BERHAMPUR 00033 02/10/2011 Amount : 400

District : State : Permanent Address :

District State : Contact Details: Phone No : Email ID :

gopal.bishoyi@gmail.com

Mobile No :

7873221325

Qualification Details(as on 01.04.2011): Exams Passed Name of the Course / Degree MIL ENG MTG SSC SSG SSH SCIENCE ARTS Year Of Passing % of Marks Class / Grade

Ssc

2002

57.46

Second Class

Hsc Graduation Post Graduation Professional Qualification Others Knowledge of Computers Skill : Details of computer Knowledge : Diploma in Banking : Minimum Typing Speed :

2004 2008

39.66 44.85

Pass Class Pass Class

Yes PGDCA No --

Post Qualification work experience details (Start from present Employer) : Name of the Employer Designation Period of Service From-To Total Period of Work Experience (in months) : -Nature of duties performed Reason for Leaving Length of Service (YY/MM)

Knowledge of the local language of the State / Union Territory for which he / she is applying Languages Known Odia English Hindi Read Yes Yes Yes Write Yes Yes Yes Speak Yes Yes Yes

Pre-Examination Training : Centre for Pre-Examination Training : DECLARATION:

No --

I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have not suppressed any material fact or factual information in the above statement. I am aware that in case I have given wrong information or suppressed any material fact or factual information or I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected/ service terminated even after permanent employment without giving any notice or reasons thereof. I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of advised criteria in respect of age, caste, educational qualification etc. I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can be instituted by me only at Odisha and courts/ Tribunal/ forums at Odisha only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake to abide by all the terms and conditions in the advertisement given by the Bank. Place: Date: 02/10/2011 Signature of Applicant: Name :GOPAL KRUSHNA BISHOYI Note: Please retain your registration No. Password emailed to you and copy of printout carefully for further reference. Please DO NOT SEND application print-out to the Bank. Please retain your Registration No. and Password carefully for future reference.