ON-LINE APPLICATION FOR BANK OF BARODA PROBATIONARY OFFICERS RECRUITMENT
PROJECT
Please check Print Preview in A4 size Portrait format with 0.25" margin from all sides (Click to Print) 33031 Please paste your recent passport size photograph and sign across it. Please retain atleast 5 copies of same photograph with you for subsequent use.
Registration # : 395169 Full Name : Mr MUKESH KUMAR Category : OBC If Person with Disability : NO Type of Disability : -- Percentage of Disability : -- Do you intend to use the services of a scribe( only for VH and OH candidates whose writing speed is affected by cerebral palsy) : -- Are you candidate who had ordinarily been domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? NO Whether you belong to Religious Minority Community NO Minority Religion : -- Are you an Ex-Serviceman (Including ECO/SSCO)? NO Preference for Posting : Preference1 : BIHAR Preference2 : JHARKHAND Preference3 : DELHI Are you an employee of Bank of Baroda : NO If yes,E. C. No : Nationality : INDIAN Centre of Examination : Bengaluru Centre code : 20 Application Fee / Postal Charges Details : Transaction ID : M506181 Branch Name : INDIRA NAGAR Branch Code No : 2784 Deposit Date : 21-01-2011 Amount : 300
Personal Details : Date of Birth : February 05,1986 Age as on on 01.01.2011. : 24 Gender : MALE Father's Name/ Husband's Name : RAJA RAM SINGH Mother's Name : RAM KALI DEVI Email ID : MUKESH.ECE@rediffmail.com Address for Correspondence : NO.22 GROUND FLOOR 19TH MUNESWARA BLOCK BSK 3rd STAGE Welcome to BANK OF BARODA http://registration.sifyitest.com/bobpojan11/registr... 1 of 3 Saturday 22 January 2011 11:05 AM ADJECENT TO VENKATSWARA THEATRE District BANGALORE State : KARNATAKA Pin : 560026 Permanent Address : C/O SRI RAJA RAM SINGH NEAR SUB-REGISTRY OFFICE DALSINGH SARAI District SAMASTIPUR State : BIHAR Pin : 848114 Contact Details: Phone No : - Mobile No: 7795580483 Qualification Details (as on 01.01.2011): Exams Passed Subject/Stream University / Board Year Of Passing % of Marks Graduation : BTECH SASTRA UNIVERSITY 20-05-2010 68.00 Possess certificate in computer literacy : YES Post qualification work experience details as on 01.01.2011 (Start from Present Employer) : Name of the Employer & Nature of Employment Designation and Rank if any Total Period of Service Years of Service (yy/mm) Nature of duties performed Remark (Reason for Leaving) From (mm/yyyy) To (mm/yyyy) VENKATMANGUDI CONSULTING PVT LTD ACCOCIATE CONSULTANT 12/2010 02/2011 0/2 SCREEN DESIGN FOR PROJECT MANAGEMEN STILL WORKING Other Details : Whether desirous of taking Pre-Exam Training (SC/ST /PWD/Minority Community) : -- If Yes Centre for Training : -- Languages Known Read Write Speak HINDI YES YES YES ENGLISH YES YES YES
If Yes Centre for Training : -- DECLARATION: I hereby certify that the information furnished above is correct to the best of my knowledge and belief. I have not suppressed any material fact or factual information in the above statement. I am aware, that, in case, I have given wrong information or suppressed any material fact or factual information or, I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected/services terminated even after permanent employment without giving any notice or reasons thereof. I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of the advised criteria in respect of age, educational qualification and experience, etc. I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of the country and/or to any job position at its sole discretion in terms of applicable staff rules from time to time. I hereby agree that any legal proceeding in respect of any matter(s) or claims or disputes arising out of this application or out of said advertisement can be instituted by me only at Mumbai and Courts/Tribunal/ Forums at Mumbai only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms and conditions mentioned in the advertisement given by the Bank.
Place: Date: 22-01-2011 Signature of Applicant
Welcome to BANK OF BARODA http://registration.sifyitest.com/bobpojan11/registr... 2 of 3 Saturday 22 January 2011 11:05 AM MUKESH KUMAR Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application print-out to the Bank
Welcome to BANK OF BARODA http://registration.sifyitest.com/bobpojan11/registr... 3 of 3 Saturday 22 January 2011 11:05 AM