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

Registration # : 1251491738

Full Name :

Siddhi Jain

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


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 : First Name : Siddhi NO NO NO NO NO Indian Rajasthan 39 Jodhpur NO NO YES Jain NO NO

2013 : Gender : Husband's Name : Father's Name : Mother's Name : Address for correspondence : Jain 02-04-1987 26 FEMALE Arun Jain Ashok Kumar Jain Rekha Jain Flat No 101 Gokulkrishna Apartments Near SBI Bank Yousufguda District : State : Pin code : Permanent Address : Hyderabad ANDHRA PRADESH 500073 Flat No 101 Gokulkrishna Apartments Near SBI Bank Yousufguda District State : Pin code : Contact Details : Phone No.Union Bank of India 2. : Email ID : Educational Qualification (as on 01.08.UCO Bank . Centre for Training : Details of Preference : NO 1.08. : Mobile No.2013) : Exam Passed Graduation / Equivalent : Post Graduation : Degree Others .MIB Subject /Stream Commerce Commerce YES Studied Computer/IT as a Subject in High School/College/Institute IT as a subject NO Date of Passing 02-04-2008 10-04-2010 % of Marks 54.61 73.2/4 Middle Name : Last Name : Date of Birth : Age completed as on 01.73 Class / Grade Second Class First Class 9618492611 Hyderabad ANDHRA PRADESH 500073 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.BBA Others .

particulars of the same : Languages Known : Languages Known Hindi English Read YES YES Write YES YES Speak YES YES NO Application Fee / Intimation charges : Payment In : Amount : Reference ID : Transaction Date : ONLINE 600.Indian Bank 5.Oriental Bank of Commerce 9.3/4 3.United Bank of India 19.Punjab National Bank 8. .Dena Bank 17.Corporation Bank 12.Vijaya Bank 16.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. my candidature is liable to be cancelled.00 MICI3098291359 06-09-2013 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.Andhra Bank 4.Canara Bank 13.Bank of Maharashtra 18.Allahabad Bank 15.Central Bank of India 11.Syndicate Bank 7.Indian Overseas Bank 6.Bank of India 10.Bank of Baroda 14.

4/4 Place: Date: 06-09-2013 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 .