Welcome to CANARA BANK - Application Form Print

http://ibpsreg.sifyitest.com/canfeb14/registration_print.php?regno=NjI...

RECRUITMENT OF MANAGERS(MMGS-II) IN SPECIALIST CADRE

14026
Registration # : 62000330

Full Name :

Shyam Srinivasan Manager Technical (Electrical/Mechanical) MMGS II 01 UR NO NA NO -

Post : Post Code : Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you wish to use the services of a scribe ? (in case a Written Examination is held only for VI and OC candidates whose writing speed is affected by cerebral palsy) ? : Whether you belong to Religious Minority Community ? : Minority Religion :

Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? : NO Whether are you a Children/Family Members of those who died in 1984 Riots? : Are you an Ex-Serviceman : Period of Service(in months) : Date of relief from defence services : NO NO --

Have you joined a Government job on civil side after availing of the benefits given as an Ex-Servicemen NO :? State / UT to which the Centre of Exam belongs: State Code : Nationality : Centre of Examination : Application Fee / Postal Charges Details : Payment In: Transaction Sequence No : Branch DP Code : Branch Name : Date of Deposit (08.02.2014 - 22.02.2014) : Amount (in Rupees) : Personal Details : First Name : Shyam CANARA BANK 154 8693 Chinmaya Nagar Chennai 12-02-2014 500.00 Tamilnadu 35 Indian Chennai

1 of 3

2/12/2014 6:23 PM

Welcome to CANARA BANK - Application Form Print

http://ibpsreg.sifyitest.com/canfeb14/registration_print.php?regno=NjI...

Middle Name : Last Name : Date of Birth : Age completed as on 01.01.2014 : Gender : Father's Name : Husband's Name : Mother's Name : Address for Correspondence : Prabha Srinivasan Flat G 101 Premier Apartments Sanjay Gandhi Nagar Virugambakkam District State : Pin code : Permanent Address : Chennai TAMILNADU 600092 Flat G 101 Premier Apartments Sanjay Gandhi Nagar Virugambakkam District State : Pin code : Contact Details : Phone No : Mobile No : Email ID : Educational Qualification Details (as on 01.01.2014): Exam Passed Graduation /equivalent: Post Graduation : Working knowledge of computers : Details Knowledge of Computer: Working Knowledge of Hindi: Degree B.E. MS Aero Subject /Stream Mechanical TBC Date of Passing 26-04-2004 04-04-2008 % of Marks 78.00 75.00 YES Windows MS Office Internet YES Class / Grade First Class First Class +91044-23771143 +919841926772 shyamsrinivasan82@gmail.com Chennai TAMILNADU 600092 Srinivasan 03-12-1982 31 MALE Pichumani Srinivas an

Post Qualification work experience details (As on 01.01.2014) (Start from present Employer) : Name of the Employer TI Cycles Designation and Rank if any Design Engineer From (DD/MM /YYYY) 14/10/2013 To (DD/MM /YYYY) 01/01/2014 Duration of Service (Y/M/D) 0/2/18 Nature of Duties Performed Design of Cycle Co mponents Design of Tractor Components Reason for Leaving Current Employer

Escorts India Ltd

Assistant Manager Research Analyst

04/02/2013

08/03/2013

0/1/5

Family Accommodati on Issues

Frost & Sullivan

03/11/2009

24/10/2012

2/11/22

Market Study of Business Unit Clos Me ure chanical Industry

2 of 3

2/12/2014 6:23 PM

Welcome to CANARA BANK - Application Form Print

http://ibpsreg.sifyitest.com/canfeb14/registration_print.php?regno=NjI...

Trusted Aerospace Engg Ltd

Asst Design Engine er

02/01/2009

02/11/2009

0/10/1

Design of Aeros En gine Components

Company Sunk Finan cially

Total Relevent Experience (in months) : Language Details : : Languages Known English Tamil Hindi Read YES YES YES Write YES NO NO

48

Speak YES YES YES

DECLARATION :
I hereby declare that I had read Canara Bank advertisement CB/RP/1/2014 published in Employment News & Bank's website fully & thoroughly and understood the contents and I undertake to abide by all the terms & conditions. Further, I certify that all the information furnished in this application are true and correct to the best of my knowledge and belief. I am aware that in case I have given a wrong information or suppressed any material fact or factual information or if I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected / services will be annulled even after permanent employment without giving any notice or reasons thereof. I am willing to serve anywhere in India depending upon the Bank's requirement and shall abide by the service & conduct rules of the Bank applicable from time to time. I agree that any legal proceedings in respect of any matter or claims arising out of this application or out of the said advertisement can be instituted by me at Bangalore only and the courts situated in Bangalore only shall have sole and exclusive jurisdiction to try any cause / dispute.

Place:

Date: 12-02-2014 Please retain your Registration No. and Password emailed to you carefully for further reference

Signature of Applicant

3 of 3

2/12/2014 6:23 PM