UCO BANK - RECRUITMENT CLERICAL CADRE 2010 ONLINE APPLICATION FORM

ONLINE APPLICATION FORM FOR THE POST OF CLERKS

22032
Registration # : 309118 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 16-08-2010 21:24:00 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : Sanchari Das Gupta use.

Category : General

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 Jharkhand State / UT code : 11
applying :

Centre of Examination : Ranchi Centre code : 43

Application Fees / Postal Charges :

Transaction No. : AA67595

UCO Bank Branch Name : Sakchi Branch Code : 0719

Deposit Date : 27-07-2010 Amount : 300

Personal Details :
Date of Birth : May 17,1990 Age as on 01.07.2010: 20

Gender : FEMALE

Father’s Name / Husband’s Name : Bickram Kumar Das Mother’s Name : Jayasree Das Gupta
Gupta

Email ID : sancharidasgupta1990@gmail.com

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Address for Correspondence : gf-3/142 golmuri, PO-agrico

Jamshedpur

District : east singhbhum

State/UT : JHARKHAND Pin : 831009

Permanent Address : gf-3/142 golmuri, PO-agrico

Jamshedpur

District : east singhbhum

State/UT : JHARKHAND Pin : 831009

Contact Details:
Phone : 0657-2421971 Mobile : 9608521453

Qualification Details(as on 01.07.2010) :

Exams Passed Subject/Stream Year of Passing % of Marks Grade / Class
HSC / Equivalent : arts 2009 65.60 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

English Yes Yes Yes
Hindi 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 : 16-08-2010

Sanchari Das Gupta

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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