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Common Written Examination for Recruitment of Clerks - (CWE - Clerks-III)

Last Modified On: 19-08-2013

No Of Times Modified: 1

17025
Registration # : 1250000090

Full Name :

SUMEET PURI

Category : If Person with Disability : Type of Disability : Percentage of disability :

GENERAL NO -

Do you intend to use the services of a scribe NA (only for VI and OC whose writing speed is affected by cerebral palsy) ? : Whether are you a Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : Do you belong to a Religious Minority Community? : Religion : Are you an Ex-Serviceman? : Are you a Disabled Ex-Serviceman (DISXS)? : Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?: Are you a Dependent of Serviceman killed in Action (DXS) ? : Are you seeking relaxation under widow / 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? : Have you applied for the CWE for Clerical Cadre held in December 2012? : Nationality / Citizenship : State/ UT applied for: State code : Centre of Examination : Personal Details : NO NO NO YES NO Indian Haryana 22 Ambala NO NO NO Hindu NO NO

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First Name : Middle Name : Last Name : Date of Birth : Age completed as on 01.08.2013 : Gender : Husband's Name : Father's Name : Mother's Name : Address for correspondence : SUMEET PURI 10-02-1993 20 MALE GOPAL KRISHAN PURI NEELIMA PURI 322 F RAILWAY COLONY AMBALA CANTT District : State : Pin code : Permanent Address : AMBALA HARYANA 133001 322 F RAILWAY COLONY AMBALA CANTT District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Educational Qualification (as on 01.08.2013) : Exam Passed Graduation / Equivalent : Degree B.Com Subject /Stream Commerce YES Certificate in Computer Operations NO Date of Passing 01-07-2013 % of Marks 61.02 Class / Grade First Class 9466867668 sumeetkpuri@yahoo.com AMBALA HARYANA 133001

Do you have Operating and working knowledge in computer systems : Details of Computer Knowledge : Do you have work experience? : Other Details : Whether desirous of taking Pre-Exam Training (Only for SC/ST/Religious Minority Communities/Ex-Servicemen/PWD): If Yes, Centre for Training : Details of Preference :

NA

1.Punjab National Bank 2.Central Bank of India 3.Bank of Baroda

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4.Allahabad Bank 5.Bank of India 6.Canara Bank 7.Corporation Bank 8.Dena Bank 9.Indian Overseas Bank 10.Oriental Bank of Commerce 11.Syndicate Bank 12.UCO Bank 13.Union Bank of India 14.Punjab & Sind Bank 15.Indian Bank 16.Bank of Maharashtra 17.Andhra Bank 18.United Bank of India 19.Vijaya Bank
Whether any prosecution/ detention/ fine/conviction/ sentence against you has been awarded by any court of law for any offence? : If yes, particulars of the same : Languages Known : Languages Known HINDI ENGLISH PUNJABI Read YES YES NO Write YES YES NO Speak YES YES YES NO

Application Fee / Intimation charges : Payment In : Amount : Reference ID : Transaction Date : ONLINE 600.00 MSPD3080051218 19-08-2013

DECLARATION :
I understand that in the event of any information being found untrue or incorrect at any stage/in the event any circumstances which may impair my fitness for employment in Banks/ organisation/ I do not satisfy any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place:

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Date: 19-08-2013 Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS