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Specimen of Application form

Recent Passport Size Colour Photo

Name of the Candidate Father / Guardian s Name Sex and Marital Status Name of the Spouse Employment details of Spouse (if employed) Complete Postal Address for Communication

Email: Phone No: Date of birth & Age as per school records ** Religion, Caste ** , Community Educational Qualification ** SSLC HSC Graduation (Specify) Post Graduation Other Qualifications, if any Read / Write / Speak % % % % Year of Passing

Languages Known

Experience, if any ** (Employer & Service Details) Current Emoluments p.m. (if employed) reason for leaving the present employment Joining Time Required (if selected) References

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Any of your relatives employed in CUB (including retired employee) if so, please mention designation, latest branch/department served in Nativity & Mother Tongue Declaration:
I hereby declare that all the above particulars are true. I have cleared all my exams in my first attempt itself. I am willing to pursue my career with the Bank anywhere in India. I understand that if any of the particulars furnished are found to be false or not true, that would disqualify me at any stage.

Station

Date

Signature

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N.B-> PROOF TO BE ATTACHED

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