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Common Written Examination(CWE) for Recruitment of POs/MTs in Participating Organizations - CWE PO/MT-III

Registration # : 1240769194

Full Name :


Category :
NOTE: Category change is not allowed after submission

GENERAL YES OC more than 40%

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

Do you intend to use the services of a scribe NO (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 ? : Are you an Ex-Serviceman? : Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?: Do you belong to a Religious Minority Community? : Religion : Have you appeared for the CWE PO/MT held in year 2011? : Have you appeared for the CWE PO/MT held in year 2012? : Nationality / Citizenship : State/ UT for your Centre of Examination : State code : Centre of Examination : NO NO NO NA NO Hindu NO YES INDIAN Andhra Pradesh 12 Narasaropeta

NOTE: As far as practicable, candidates will be allotted to a centre of his/her choice however IBPS also reserves the right to allot the candidate to any other centre

Personal Details : First Name : Middle Name : Last Name : Date of Birth : Age completed as on 01.07.2013 : Gender : DAMA MAHENDRA 18-06-1989 24 MALE

Husband's Name/Father's Name : Mother's Name : Address for correspondence : DAMA HARIBABU -DAMAVARPALEM ADDANKI NORTH ADDANKI District : State : Pin code : Permanent Address : PRAKASAM ANDHRA PRADESH 523201 DAMAVARPALEM ADDANKI NORTH ADDANKI District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Qualification Details (as on 01.07.2013) : Exam Passed Graduation / Equivalent : Degree B.Tech Subject /Stream Engineering YES Studied Computer/IT as a Subject in High School/College/Institute Computer Science as a subject Date of Passing 05-06-2011 % of Marks 65.09 9676095560 PRAKASAM ANDHRA PRADESH 523201

Do you have Operating and working knowledge in computer systems : Details of Computer Knowledge :

Other Details : Whether desirous of taking Pre-Exam Training (Only for SC/ST/ Minority Community) : If Yes, Centre for Training : Details of Preference : NA

1.IDBI Bank 2.Indian Bank 3.Punjab National Bank 4.Corporation Bank 5.Andhra Bank 6.Bank of Baroda 7.ECGC 8.Allahabad Bank 9.Bank of India

10.Canara Bank 11.Central Bank of India 12.Oriental Bank of Commerce 13.Syndicate Bank 14.UCO Bank 15.Union Bank of India 16.United Bank of India 17.Vijaya Bank 18.Bank of Maharashtra 19.Dena Bank 20.Indian Overseas Bank 21.Punjab & Sind 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 TELUGU ENGLISH Read YES YES Write YES YES Speak YES YES NO

Application Fee / Intimation charges : Payment In : Amount : Reference ID : Transaction Date : ONLINE 100.00 MHCC3067096601 05-08-2013

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/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.


Date: 05-08-2013

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