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IDBI BANK - SPECIAL RECRUITMENT DRIVE


ONLINE APPLICATION FORM FOR THE POST OF ASSITANT MANAGER / MANAGER / ASSITANT GENERAL MANAGER

Please check Print Preview in A4 size Portrait format with 0.25" margin from all sides (Click to Print)

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Registration # : 137560 Please paste your recent


passport size photograph
and sign across it. Please
retain atleast 5 copies of
First Name : Shri SAIPAM
same photograph with you
for subsequent use.

Middle Name : -

Last Name : RAMROR

Post : Assistant Manager - Grade 'A'


Post Code : 01
Category : ST
Name of Caste/ Tribe/Class: tangkhul
Name of the State where Certificate Issued: MANIPUR
Certificate Issued By executive magistrate
Date Of Issue Of Certificate 11/01/2010
Certiifcate No. : 1213

If Person With Disability : NO


Type of Disability : - Percentage of Disability : -
Do you intend to use the services of a scribe
(only for VI & OC candidates whose writing -
speed is affected by cerebral palsy)? :
Are you candidate who had ordinarily been
domiciled in Kashmir Division of the State of J & K NO
during the period 1-1-1980 to 31-12-1989?
The Children/Family Members of those who died in 1984 Riots: NO
Whether Permanment Staff Of IDBI Bank Ltd. : NO

Ex-Employee of banking Institute NO


Whether you belong to Religious Minority Community? NO

Religion to which you belong : -


Are you an Ex-Serviceman ? NO

Total Period of Service as Exserviceman (in months) -


Nationality : Indian

Place of Birth : lamphel

District : imphal west


State : MANIPUR

Centre for Written Test and Personal Interview : New Delhi Centre code : 24

Application Fee / Postal Charges Details :


Payment In : SBI
Transaction ID / Challan No.: 11391645

Branch Name : VPCI


Branch Code : 10435

Deposit Date 15/10/2010

Amount : 125
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Personal Details :
Age as on 01.09.2010 (i.e
Date of Birth (As per School Leaving
20/03/1985 upto & inclusive of 25years,5months,11days
Certificate SSLC/SSC) :
31/08/2010):
Gender : MALE

Marital Status : Single


Father's Name/ Husband's Name : ELIZAH RAMROR

Contact Details:
Email ID : semleo2003@yahoo.com

Address for Correspondence :


Flat no. / Building name and No 16 THIRD FLOOR

Locality : INDRA VIHAR


State : NEW DELHI Pin : 110009

Permanent Address :
Flat no. / Building name and No TEINEM VILLAGE

Town and City : UKHRUL DISTRICT

State : MANIPUR Pin : 795142


Phone No : - Mobile No : 9999252996

Qualification Details (as on 01.09.2010 i.e upto & inclusive of 31/08/2010) :

Exams Passed Name Of the Subject /Stream Specialisation Month/Year of % of Marks


Institution/University passing
MANIPUR
Graduation : ARTS HISTORY 07/2008 64.00
UNIVERSITY

Post Graduation : DELHI UNIVERSITY ARTS HISTORY 08/2010 51.00

Knowledge of Computer: YES

Post Qualification work experience details as on 01.09.2010 i.e upto & inclusive of 31/08/2010 (Start from present Employment):

No Experience

Total Relevant Experience as an Officer with a Commercial Bank


-
(in months) ?

Have your services ever been 'terminated' either from IDBI Bank
(in case of ex-staff candidates) or from any of your previous NO
employer(s)?

If yes, give the reason for the same -


Have you ever been subjected to any disciplinary proceedings or
NO
penalties by your previous employer(s)?

If Yes, Give details of the same -


Have you ever been arrested for any reason or convicted or
NO
committed to prison or adjudicated insolvent?
If Yes, Give details of the same -

Are you presently being prosecuted for any criminal act? NO

If Yes, Give details of the same -

Other Details
Whether desirous of taking Pre-Exam Training (SC/ST) : NO
If yes Centre for Training : --

Languages Known Read Write Speak

ENGLISH YES YES YES

HINDI NO NO YES

MANIPURI YES YES YES


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DECLARATION:
I hereby certify that the information furnished above is true and accurate to the best of my knowledge and belief. I have not suppressed any
material fact or factual information in the above statements. 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 forthwith even after
permanent employment without giving any notice or reasons thereof.

I also understand that if I do not fulfill the eligibility criteria as stipulated in the advertisement, Bank would not call me for Written Test/Interview,
without any further communication. I agree that the Bank has a right to attach/shift me to any of the branches / offices/ business units/ departments of the
Bank/ Bank's associate institutions anywhere in India/abroad.

I undertake to abide by all the terms and conditions in the advertisement given by the Bank. I hereby agree that any legal proceedings in respect
of any matter(s) or claims or disputes arising out of this application and/or out of said advertisement can be instituted by me only at Mumbai and
Courts/Tribunals/Forums at Mumbai only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms and
conditions mentioned in the advertisement given by the Bank.

Place:
Date: 16/10/10 Signature of Applicant

Name: SAIPAM
NOTE:
Candidate must submit at the time of interview, the offer letter (s), appointment letter(s), relieving letter(s) as well as the experience
certificate(s) of all the previous employer(s) and the offer letter, appointment letter alongwith the recent pay slip of the present
employer, as declared above. Non submission of even one of these documents will render the candidates ineligible for the Personal
Interview. No undertaking or additional time for sumission will be entertained for the same.
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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