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This online application is provisional subject to payment of application fees/ intimation charges

22027
Registration # : 1111217134

Full Name :

Sakinder Singh

Category : If Person with Disability : 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)? : Whether Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of Jammu & Kashmir during the period 1-1-1980 to 31-12-1989? : Do you belong to a Religious Minority Community? : Religion to which you belong : Are you an Ex-Serviceman? : Are you a Disabled Ex-Serviceman (DISXS)? : Are you a Dependent of an Ex-Serviceman (DXS)? : Are you a matriculate Ex-Servicemen candidate, who has obtained the Army Special Certificate of Education or corresponding certificate in the Navy or Air Force after having completed not less than 15 years of service in the Armed Forces of the Union? : Percentage of Marks : Are you seeking relaxation under window / divorced women / women judicially separated from their husbands and who are not re-married? : Whether Regular Employees of the Union Carbide Factory, Bhopal, retrenched from service (applicable to Madhya Pradesh state only)? : Have you applied for the CWE for Clerical Cadre held in November/ December 2011? Note: If Yes, Please enter your Registration Number Registration Number: Nationality / Citizenship : State/ UT which the Centre of Examination Belongs : State / UT code : Centre of Examination : Centre code : Application Fee / Intimation Charges : Payment through : Amount : Personal Details : Date of Birth : Age completed as on 01.10.2012 : Gender : Husband's Name : Father's Name : Mother's Name : Address for Correspondence :

SC NO NA NO NO NO NO NO NO

NA

NO NO

YES 2005646567 Indian Punjab 38 Jalandhar 189

OFFLINE 50.00

15-01-1991 21 MALE

Malook Singh Paramjit Kaur H No 6 Basant Avenue Rehmanpur Road

10.2/2 Deep Nagar Jalandhar Cantt District State : Pin code : Permanent Address : Jalandhar PUNJAB 144005 H No 6 Basant Avenue Rehmanpur Road Deep Nagar Jalandhar Cantt District State : Pin code : Contact Details : Phone No : Mobile No : Email ID : Educational Qualification (as on 01.12 Class / Grade Second Class First Class 9041978995 sakinder_gill@yahoo.10.2012) : Other Details : Would you like to undergo Pre-Exam Training (SC/ST/Minority Community/ExServicemen/PWD)? : If Yes. my candidature is liable to be cancelled. complete and correct to the best of my knowledge and belief.26 71. Place: Date: 02-11-2012 Signature of Applicant Please retain your Provisional Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS . 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 stipulated.com Jalandhar PUNJAB 144005 DECLARATION: I hereby declare that all statements made in this application are true.2012) : Exam Passed Graduation / Equivalent : Others : Knowledge of Computers : Details of Computer Knowledge : Subject /Stream bba pgdca Date of Passing 05-06-2011 10-07-2012 YES Diploma in Computer Operations Do you have work experience? : Total Experience in months (as on 01. Centre for Training : Languages Known English Hindi Punjabi Read YES YES YES NO -Write YES YES YES Speak YES YES YES NO % of Marks 54.

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