PUNJAB NATIONAL BANK - RECRUITMENT OF CLERK

ONLINE APPLICATION FORM FOR THE POST OF CLERK

     
Registration # : 102245

Full Name : Sanjeev Kumar Sagar

Post : Clerk   Post Code : 04

Category : SC    
Person With Disability : NO  
Percentage --
Type of Disability : --
of Disability :
Do you intend to use the services of a scribe : NO  
Are you an employee of Punjab National Bank: NO
Major illness/operation/accident: NO
Domiciled in Kashmir Division of J & K during the period 1-1-1980 to 31-12-1989 : NO
Belong to Religious Minority Community : NO
Ex-Serviceman : NO
Disabled Ex-Serviceman : NO
Dependent Of Serviceman Killed in Action : NO
Seeking relaxation under widow/divorced woman/woman judicially separated from her
NO
husband and who is not re-married :
Children/Family members of those who died in 1984 Riots: NO
Nationality : Indian
Place of Domicile : DELHI
UTTAR    
State/Union Territory for which you are applying :
PRADESH
LUCKNOW Centre 26
Centre of Exam :
code :
Transaction ID : M476839
New Rohtak Branch Code 061900
Branch Name :
Road :
January,27 Amount : Rs. 50
Deposit Date :
2010
August,13 Age as on 25
Date of Birth :
1984 01.01.2010:
Gender : MALE
Jagdish Mother's Sheela Devi
Husband's / Father's Name : Prashad Name :
Sagar
Email ID : sanjeev_sagarss@yahoo.com
Address for Correspondence : G-255 Gali No-7
Shiv Mandir Road
Saroop Nagar Delhi-42
State : DELHI Pin : 110042
Permanent Address : G-255 Gali No-7
Shiv Mandir Road
 Saroop Nagar Delhi-42
State : DELHI Pin : 110042
Contact Details:  
Phone No : - Mobile No : 9213751977
Details of Educational Qualification (as on 25.01.2010):

Exams Passed Stream Year Of % of

Passing Marks
Graduation/Equivalent :   Commerce   2007   36.00
Working Knowledge of MS Office : YES
Would You like to undergo Pre-Exam Training : YES    

Languages Known Read Write Speak

Hindi Yes Yes Yes
English Yes Yes Yes
DECLARATION:
                    I hereby certify that the above information furnished 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 and educational qualification 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 or claims or disputes arising out of
application or out of said advertisement can be instituted by me only at New Delhi and Courts/Tribunal/
Forums at New Delhi only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake
to abide by all the terms and conditions in the advertisement given by the Bank.
Place:
Date:
Signature of Applicant:

Note: Candidate must retain the copy of print out of application form for future reference.
Please do not send printout of application form to the bank.
Please retain your Registration No. and Password carefully for future reference.