1/3

ON-LINE APPLICATION FOR PROBATIONARY OFFICER

14023

Registration #:

3330203

Full Name:

ABHISHEK GERA

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VH and OH both hands affected by cerebral palsy) : Category Code : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : Religious Minority Community to which you belong : Are you an Ex-Serviceman : No of chances appeared in past : Bank You Prefer to Join: Preference 1 : Preference 2 : Preference 3 : Centre of Examination Centre code : Application Fee / Postal Charges Details : Deposit Journal No : SBI Branch Name : SBI Branch Code : Deposit Date : Amount :

GENERAL NO --NO 10 [GEN] NO NO -NO -

State Bank of Bikaner & Jaipur State Bank of Patiala State Bank of Hyderabad Bangalore 16

020445562 ANUPGARH 5105 12-06-2011 500

Personal Details :

Personal Details :
Date of Birth : Age as on on 01.06.2011. : Gender : Husband's Name / Father's Name : Mother's Name : Address for Correspondence : 12-01-1990 21 MALE PREM SAGAR GERA ANITA GERA 2-J-6 ADARSH COLONY ANOOPGARH District State : Pin : Permanent Address : GANGANAGAR RAJASTHAN 335701 2-J-6 ADARSH COLONY ANOOPGARH District State : Pin : GANGANAGAR RAJASTHAN 335701

2/3

Contact Details:
Phone No : Mobile No: Email ID : Qualification Details (as on 01.06.2011): 12th Std : Diploma course after 10th : YES -01498-252230 9413377230 er.abhishek.1990@gmail.com

Exams Passed
12th / Diploma : Graduation : Other Details :

Subject/Stream
NONMEDICAL B TECH

Year of Passing
2007 2011

% of Marks
58.00 65.00

Whether desirous of taking Pre-Exam Training (SC/ ST/Religious Minority Community) : If Yes Centre for Training :

---

DECLARATION:
I hereby declare that all 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 untrue or incorrect at any stage or my not satisfying any of the eligibility criteria according to the Central Recruitment & Promotion Department, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas.

Place: Date: 20-06-2011 Signature of Applicant

3/3
ABHISHEK GERA
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