UCO BANK - RECRUITMENT CLERICAL CADRE 2010 ONLINE APPLICATION FORM

ONLINE APPLICATION FORM FOR THE POST OF CLERKS

23043
Registration # : 460652 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 27-08-2010 13:59:37 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : VEENA CHOPRA use.

Category : OBC

Physically Challenged : No

Type of Disability : - Percentage of Disability : -

Do you intend to use the services of a scribe : -

Whether domiciled in Kashmir Division of the State of J&K during the No

period 1-1-1980 to 31-12-1989 :

Whether you belong to Religious Minority Community : No

Are you an Ex-Serviceman : No

Are you a disabled Ex-Serviceman (DISXS)? : No

Are you a dependent of an Ex-Serviceman (DXS)? : No

Are you Regular Employee of the Union Carbide Factory, Bhopal No

retrenched from service (Applicable to Madhya Pradesh State only)? :

Are you seeking relaxation under widow / divorced women / women No

judicially Separated from their husbands and who are not re-married? :

Nationality : INDIAN

State / Union Territory for which you are Rajasthan State / UT code : 21
applying :

Centre of Examination : Jaipur Centre code : 56

Application Fees / Postal Charges :

Transaction No. : AA123119

UCO Bank Branch Name : NEI JAIPUR Branch Code : 1796

Deposit Date : 27-08-2010 Amount : 300

Personal Details :
Date of Birth : August 08,1989 Age as on 01.07.2010: 20

Gender : FEMALE

Father’s Name / Husband’s Name : BADRI NARAYAN Mother’s Name : DEEPA CHOPRA
CHOPRA

Email ID : rjshchopra@gmail.com

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Address for Correspondence : D-153 hanuman nagar vaishali nagar, jaipur

District : jaipur

State/UT : RAJASTHAN Pin : 302021

Permanent Address : D-153 hanuman nagar vaishali nagar, jaipur

District : jaipur

State/UT : RAJASTHAN Pin : 302021

Contact Details:
Phone : 0141-2341869 Mobile : 9414208628

Qualification Details(as on 01.07.2010) :

Exams Passed Subject/Stream Year of Passing % of Marks Grade / Class
HSC / Equivalent : commerce 2007 61.54 First Class
Working Knowledge in MS Office : Yes

Would You like to undergo Pre-Exam Training : No

Centre for Pre-Examination Training : -

Languages Known Read Write Speak

Hindi Yes Yes Yes
English Yes Yes Yes
DECLARATION:
I hereby declare that all the 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 false or incorrect at any stage or not satisfying the eligibility criteria according to the
requirements of the relative advertisement, my candidature/ appointment is liable to be cancelled/terminated. I am willing to serve anywhere in
the State / UT applied for.

Place : Signature of Applicant

Date : 27-08-2010

VEENA CHOPRA
Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the Bank

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