191172016 Common Receutment Process (CRP) for Recruitment of Probationary Offcer/ Management Trainees in Participating Organizations- (CWE POM. Institute of Banking Personnel Selection Common Recruitment Process (CRP) for Recruitment of Probationary Officer/ Management Trainees in Participating Organizations- (CWE PO/MT-VI) Registration Number 1 1471956162 Full Name + Dinesh Pratap Singh Chauhan Category 5 GENERAL ‘Ave you a Person with Disability NO Type of Disability . Percentage of dsabilly re ‘Ate you suffering from cerebral palsy and your wing speed isaffected «= - A. i IFYes, Do you need compensatory time at the time of examination? Pe Whether your dominant (Writing) hand is affected Pe ItYes, Do you need compensatory time at he time of examination? - Do you intend to use the services ofa scribe ? ‘Are you a chil family member ofthose who dled In 1984 rots? NO ‘Ave you a person domiciled in the State of Jammu & Kashmir during the: NO period 1-1-1980 to 91-12-1989? ‘Are you an ExServiceman :? + NO ‘Actual service rendered in defence services which may be counted for ‘qualifying as an Ex-serviceman (In Months) Date of relief trom defence services Have you joined a Governmentjab on the civil side after avalling ofthe: ~ benefis given as an ex-serviceman? Religion to which you belong = Hindu o you belong to Religious Minority Community? 2 NO Whether serving in Govt/ quasi Govt/ Public Sector Undertakings. : NO (including Nationalised Banks & Financial Istutons)? Have you appeared forthe CWE POIMT held in year 2011 7 + NO Registration No, Pe Have you appeared forthe CWE POMT held in year 2012 7 : NO Rogistration No. re Have you appeared for the CWE POIMT held in year 2013 ? : NO Registration No. - Have you appeared forthe CWE POMT held in year 2014 7 Registration No. re Have you appeared forthe CWE POMT held in year 2015 YES Registration No Pe Do you hold Aadhar Card? YES ‘Aadhar Card No. 799918109527 Natonaliy/Ciizenship = Indian State!UTINCR to which centre of exam belongs + Debi hieptopssitytet comferppotovil18reqstraion prin. php?eeYmFANGNANTFIYmimYjkxNzRmNTOZYWYOYMFIYWiiZmNEMTOSMTKINDEZMg== 13,87112016 Common Recruitment Process (GRP) for Recruitment of Probationary Oficer/ Managoment Trainees in Participating Organizations. (CWE POM State cose Cente of Examination 20 Dathi Application Fee / intimation charges Amount Payment Status Reference ID Transaction Date Personal Details Date of Binh ‘Age completed as. on 01.07.2016 Gender Marital Stats Father's Name Mother's Name Spouse's Name ‘Address for Correspondence ‘Address 2 ‘Addross 3 District State Pincode Permanent address ‘Adress 2 ‘Adress 3 District State Pincode Contact Details Mobile No Alternatve Number (Mobile No/Landline No} Email 10 600.00, Palo Ghvpa671725962 2 11.08.2016 2 25-04-1988 28 MALE Unmartiod Rajpal singh chaunan kama devi 2-100-3 + laxmi park + nanglol Delhi DELHI 10041 5 e003 laxmi park 5 nangloi Debi DELHI 10041 491 9011974108 +91 9250179904 pratapainesh&8@gmailcom Qualification Details(as on 13.08.2016) Exam Passed Degree [eeatuntoneualent ee ‘Subject /Stream Date of of Marks Passing Engineering 17-98-2013 67.28 Do you have Operating and working knowledge in computor systems :? Details of Computer Knowledge. Other Details Yes ‘Studied in High SchoolCollegeMnstiute Computer as a Subject hieptopssitytet comferppotoviul18reqstration_prin.php?e=YmFANGNANTFIYmimYjkxNzRmNTOZYWYOYMFIYWi)ZmNEMTOSMTKINDEZMg== 2,87112016 Common Recruitment Process (GRP) for Recruitment of Probationary Oficer/ Managoment Trainees in Participating Organizations. (CWE POM Whether desirous of taking Pre-Exam “Training (Applicable only for SC/ST Minority Community) IFYes Centre for Training Organisation Preference 1 Bank of Baroda 2 Canara Bank 3 Bank of india 4 Corporation Bank 5 Syndicate Bank 5 Punjab National Bank 7 Allanabaa Bank 8 Union Bank of India 9 Oriental Bank of Commerce 410 Indian Bank 11 1DBI Bank 42. Central Bank of India 13 Bank of Maharashira 14 Andnra Bank 415 Dona Bank 18 UCO Bank 17 Punjab & Sind Bank 1B Indian Overseas Bank 19 United Bank of ncia 20 Vijaya Sank Organisation in order of Preferences Whether any prosecution’ detention! fineiconvicton’ sentence againstyou has been NO awarded by any court of law fr any offence? Ityes, particulars ofthe same : Other Details : Hindi yes yes Yes English Yes Yes Yes Declaration: I hereby declare that all the statements made in tis application are True, Complete and Corractto the best of my knowladge and belie. Understand that in te event of any information being found untrue or incorrect at any stage or lam not satistying any of the eligibility criteria stipulated, and also in case of creating influencelundue pressure regarding recruiment shall tantamount to cancellation of my orendawre st \ ba 1.082018 Signore otAppicant hiepRopssitytet comferppotoviul16reqstration prin. php? YmFANGNANTFIYmimYjkxNzRmNTOZYWYOYMFIYWi)ZmNEMTOSMTKINDEZMg== 33,