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ON-LINE APPLICATION FOR COMMON WRITTEN EXAM FOR SPECIALIST OFFICERS

27031
Registration # : 3000196224

Full Name :

KHUSHBOO SINGH

Post : Post Code : Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe (only for VI & OC both hands affected by cerebral palsy) ? : Whether you Children / family members of those who died in 1984 riots? : Whether you domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? : Are you an Employee of any participating Bank ? : Name of the Participating Bank : Employee Number : Are you an Ex-Serviceman ? Nationality / Citizenship : State/ UT which the Centre of Examination Belongs : State / UT Code : Centre of Examination : Centre Code : Application Fee / Intimation Charges details: Payment Mode: Name Of Payee Bank : Transaction No. : Branch Name : DP Code / Branch Code No : Deposit Date : Amount : Personal Details : Date of Birth : Age completed as on 01.12.2011 : Gender : Husband's Name/Father's Name : Mother's Name : Address for Correspondence :

HR/Personnel Officer (Scale I) 06 GENERAL NO NA NO NO NO --NO INDIAN Karnataka 26 Bangaluru 126

CBS Bank of Baroda 110112500673160 Bank of Baroda BANGBS 11-01-2012 450

21-03-1987 24 FEMALE MR. H.K SINGH MRS SARITA SINGH FD-8 HAL SENIORS OFFICERS ENCLAVE OLD MADRAS ROAD NEAR BAIYAPPANAHALLI METRO STATION

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District State : Pin : Permanent Address : BANGALORE KARNATAKA 560093 FD-8 HAL SENIORS OFFICERS ENCLAVE OLD MADRAS ROAD NEAR BAIYAPPANAHALLI METRO STATION District State : Pin : Contact Details : Email ID : Phone No : Mobile No : Qualification Details (as on 01.12.2011): Exam Passed Degree Subject /Stream Business Administration Management with specialization in HRD Date of Passing Graduation: Post Graduation/Equivalent : Others-BBA 10-08-2009 71.00 First Class % of Marks Class / Grade khushboosingh2103@gmail.com 9886440600 BANGALORE KARNATAKA 560093

MBA

12-05-2011

82.00

First Class

As on date for Post Qualification Work Experience should be 01.12.2011 Name of the Employer & Nature of Employment Spectrum Consultan ts India Pvt Ltd Total Experience (in months) : Languages Known HINDI ENGLISH Read YES YES Write YES YES Speak YES YES Designation and Rank if any Associate Consulta nt From(mm/yyyy) 06/2011 To(mm/yyyy) 12/2011 Nature of Duties Performed Recruitment Remark(Reason for Leaving) FOR BETTER CAREER OPPORTUNITY Years of Service (YY/MM) 0/6

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: 13-01-2012

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS