UNITED BANK OF INDIA - RECRUITMENT OF PROBATIONARY OFFICERS

ONLINE APPLICATION FORM FOR THE POST OF PROBATIONARY OFFICERS

25032

Registration # : 161557 Please paste your

recent passport size
photograph and sign
Full Name : Anish Kumar across it.Please retain
atleast 5 copies with
you for subsequent
Category : General use.

Person With Disability : NO

Type of Disability : -- Percentage of Disability: --

Do you intend to use the services of a --

scribe :

Whether domiciled in Kashmir Division of NO

the State of J&K during the period
1-1-1980 to 31-12-1989 :
Belongs to Religious Minority Community : NO Minority Religion : --

Are you an Ex-Serviceman (Including ECO NO

/ SSCO)? :

Nationality : Indian

Centre of Examination : Trivandrum Centre code : 36

Application Fee Details :

Transaction Id : M99147

Branch Name : Rajendra Path Branch Sol ID : 0828

Deposit Date : 04/09/10 Amount : 400

Personal Details :
Date of Birth : 03/04/1987 Age as on 01.07.2010 : 23

Gender : Male

Father’s Name : Anil Kumar

Mother’s Name : Asha Devi Marital Status : Single

Spouse Name(if Married) : --

Email ID : anish_mit22@yahoo.in

Address for Correspondence : Naryanshree Apartments Block b1

Flat no 305 Mazar gali

Sheikhpura Patna

District : Patna

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State : BIHAR Pin: 800014

Permanent Address: Naryanshree Apartments Block b1

Flat no 305 Mazar gali

Sheikhpura Patna

District : Patna

State : BIHAR Pin : 800014

Phone : - Mobile : 8089895247

Qualification Details(as on 01.07.2010):

Exams Passed Subject / Stream University / Board Year Of Passing % of Marks
Graduation / Equivalent : B.E Biomedical Manipal University 2010 65.08
Post Graduation : -- -- -- --
Others : -- -- -- --

Whether undergone Computer Course for YES

six months :

Other Details:
Whether desirous of taking Pre-Exam NO Centre for Training : --
Training (Only for SC/ST/Minority
Community) :

Languages Known Read Write Speak

English YES YES YES
Hindi YES YES YES

DECLARATION:
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/services 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 the advised criteria in respect of age, educational
qualification and experience etc.
I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of the country and/or to any job position
at its sole discretion in terms of applicable staff rules from time to time.
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 Kolkata only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms
and conditions in the advertisement given by the Bank.

Place : Signature of Applicant

Date : 06/09/10

Anish Kumar
Please retain your Registration No. and Password emailed to you carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the Bank

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