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ON-LINE APPLICATION FOR RECRUITMENT OF PROBATIONARY OFFICERS

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Basic Details (As printed on the Score Card for Common Written Exam) : Registration No : Roll No : Full Name : Date of Birth: Father's / Husbands Name: Centre of Examination : Date of Examination : Session of Examination : Details of Application Fee Paid : Transaction No : Branch Name : Branch Code : City : Deposit Date : (30.12.2011 - 14.01.2012) Amount : AA1151531 DWARKA 53640 NEW DELHI 14/01/2012 Rs. 200.00 1002005503 1801354176 Parul Tyagi 30/05/1984 MR. RAJ VIR TYA NEW DELHI 18/09/2011 MORNING

IBPS Scores obtained (in the Common Written Examination) : Reasoning : Quantitative Aptitude : General Awareness : 25 28 30

Computer Knowledge : English : Descriptive Paper : Total : Date of Issuance of Score Card : IBPS Code Number : Qualification Details : Exam Passed Subject /Stream BA INTERNATIONAL REL

26 35 28 141 12/12/2011 180353996

% of Marks 82.30

Date of Passing 25/05/2007

Clas s First Class

Graduation : (as on 01.07.2011) :

Have you completed a Course in Computer Awareness & Office Automation for duration of minimum 60 hours from a reputed Computer Training Institute/ Studied Computer as a subject in Graduation / Post Graduation Declaration :

Yes

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 Bank, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas. Place: Date:

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