Common Written Examination for Recruitment of Probationary Officers/ Management Trainees in 19 Public Sector Banks


Registration #:


Full Name:


Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VI and OC candidates whose writing speed has been affected by cerebral palsy) : Whether 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? Whether you belong to Religious Minority Community? : Religious Minority Community to which you belong : Are you an Employee who has completed 5 years of service in RRBs ? : Are you an Ex-Serviceman : Nationality / Citizenship : State/ UT which the Centre of Examination Belongs: State code : Centre of Examination Centre code : Application Fee / Intimation Charges : Payment Mode : NEFT UTR No : Sending Bank Name : City : Deposit Date : Amount :

OBC NO --NA NO NO NO -NO NO INDIAN Tamilnadu 41 Chennai 99

NEFT 10BAN11208002560 INDIAN OVERSEAS BANK CHENNAI 27-07-2011 450

Personal Details :
Date of Birth : Age as on on 01.07.2011. : Gender : Husband's Name / Father's Name : Mother's Name : Address for Correspondence : 28-07-1983 27 MALE V.T.KANNIAPPAN P.AMSA NO : 666/1 MARVADI QUATERS

and Password emailed to you carefully for further reference NOTE: Please do not send the application printout to IBPS . my candidature is liable to be cancelled.00 Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : If Yes Centre for Training : --- DECLARATION: I hereby declare that all statements made in this application are true.KUMARAVEL Please retain your Registration No. 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. Place: Date: 27-07-2011 Signature of Applicant K.2011) : 044-25726408 9884658178 vels500@gmail. complete and correct to the best of my knowledge and belief.07.com Exam Passed Graduation : Others : Other Details : Subject/Stream B TECH DIPLOMA IN COM TECH Year of Passing 2006 2002 % of Marks 72.00 72.2/2 THIRU NAGAR 1ST STREET THIRUVOTTIYUR District State : Pin : Permanent Address : THIRUVALLORE TAMILNADU 600019 NO : 666/1 MARVADI QUATERS THIRU NAGAR 1ST STREET THIRUVOTTIYUR District State : Pin : THIRUVALLORE TAMILNADU 600019 Contact Details: Phone No : Mobile No: Email ID : Educational and Professional Qualification Details:(as on 01.

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