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Recruitment of Probationary Officers - JMG Scale - I

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Basic Details (As printed on the Score Card for Common Written Exam) : Registration No : Roll No : Full Name : Category: Date of Birth: Father's / Husbands Name: Centre of Examination : Date on which the candidate took the Common Written Examination : Session of Written Examination : Details of Application Fee Paid : Payment In: Journal No : Branch Code : Branch Name : City : Date of Remittance : (17.02.2012 03.03.2012) Amount : Indian Bank 2177883 1104 HAUZ KHAS NEW DELHI 01/03/2012 Rs. 200.00 1002050376 1800916387 GAUTAM KUMAR OBC 02/10/1987 ASHOK KUMAR SIN NEW DELHI 18/09/2011 MORNING

IBPS Scores obtained (in the Common Written Examination) : Reasoning : General Awareness : 22 21 Quantitative Aptitude : Computer Knowledge : 26 28

English : Total Weighted Standard Score : Date of Issuance of Score Card : IBPS Code Number printed on the score card : Qualification Details : Exam Passed Subject /Stream COMPUTER SCIENCE Yes

26 122

Descriptive Paper :

24

12/12/2011 180328416

% of Marks 72.68

Date of Passing 30/06/2011

Clas s First Class

Graduation : (as on 01.07.2011) : Knowledge of Computers : Declaration :

I hereby declare that all the information furnished in this application and the information registered with IBPS, Mumbai are true and correct to the best of my knowledge and belief. I am aware that in case I have given wrong information or suppressed material fact or factual information or I do not satisfy the eligibility criteria for IBPS Common Written Examination for POs/MTs conducted on 18.9.2011 & 13.11.2011 or I do not satisfy the eligibility criteria as per the Bank Advertisement, then my candidature will be rejected / services will be terminated even after permanent employment without given any notice or reasons thereof. I am willing to serve anywhere in India and abide by the service rules applicable to officers from time to time. I undertake to abide by all the terms & conditions of this advertisement. I agree that any legal proceedings in respect of any matter or claims arising out of this application or out of the said advertisement can be instituted by me only at Chennai only and the courts situated in Chennai only shall have sole and exclusive jurisdiction to try any cause / dispute. Place: Date: 02/03/2012 Signature of Candidate

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