(/ )

RECRUITMENT OF SPECIALIST CADRE OFFICERS (CONTRACTUAL/ REGULAR) IN STATE BANK OF INDIA

Post :
:

DATE OF INTERVIEW:
/ CENTRE:
./ REGISTRATION NO. : ___________________________________________________
/ NAME : __________________________________________________________________
/ CATEGORY : _______________________________________________________________

FOR OFFICE USE ONLY
1) :
Date of appearing in interview :
2) / : //
Eligibility/ Certificates verified by: Shri/Smt/ Kum. :____________________________________
3) :
Deficiencies and Discrepancies found : ______________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Signature & Designation of Documents Verifying Official

Designation AGM/CM

Signature _________________

(1)

Paste a copy of passport size

photograph
which
was
pasted on call letter at the
time of examination and sign
across it in full with date

CENTRAL RECRUITMENT & PROMOTION DEPARTMENT

CANDIDATE'S BIO-DATA-CUM-ATTESTATION FORM
(
)
(Please fill in the form in your own handwriting after reading carefully)

Centre for Interview :

/ Date :

/ Registration No. : _______________________

:
Name of Post: :
: /
Choice of Language Interview: Hindi/ English
1.

2.

() :
(a) Name in full, in block letters as per degree certificate:
/ / Shri/Smt./Kum. :_____________________________________________________________
() : /
(b) Marital Status : Married / Unmarried
()
(a) Date of Birth
/Date
/Month
/Year
,
( )
As per High School Certificate, Passport, Others (please enclose) :
() :
:
(b) Place of Birth :
District :
()
(c)

:
State :

:
District and State to which you belong :

3.

() :
(a) Nationality : _____________________________

() :
(b) Religion : ________________________________

4.

() / / :
(a) Father's /Husband's name and occupation/profession/designation: _____________________________________________
___________________________________________________________________________________________________
()
(b) Mother's name and occupation : ________________________________________________________________________

5.

() :
(a) Nationality :

:
Father :

______________

:
Mother : _______________

() / :
:
(b) Place of Birth of Husband/ Wife : _________________

6.

/
Husband/ Wife: _____________________

:
District :________________

() ( )
(a) Category (Tick the appropriate box)

SC

State : __________________

ST

OBC

GEN

()
/
/

/ /
SC / ST / OBC candidates state the name of CASTE / TRIBE / COMMUNITY
()
(b)

(c)

If you are Physically Challenged, please tick appropriate box. i.e. OH or VH
.

(2)

OH

VH

() .
(d) If you are a Physically Challenged person, please give details of your handicap. ______________________________________
_______________________________________________________________________________________________________
7.

() / / .
(a) If you are a repatriate / migrant / displaced person, give particulars : ______________________________________________
_______________________________________________________________________________________________________
()

/ .
(b) If Ex-serviceman, please give date of discharge / retirement. _____________________________________________________

8.

() :
(a)

Mother Tongue : ________________________________________

()
(b) Knowledge of languages other than English
.

SN.

Language

Speak

Read

Write

Examination passed, if any

1.
2.
3.
9. : ,

( )
Details of Educational Qualifications: The aggregate Marks of all subjects whether optional, pass course or honors course will be
shown in total marks & marks obtained column (Please enclose copies of relevant certificates & Mark-Sheets).

Educational Qualification

Month & Year
of Passing

10 ( )
10th Std. Certificate (Proof of Age)

/ Graduation

/Name of University
:
/First Semester
/Second Semester/ /First Year

/Third Semester

/Forth Semester/ /Second Year

/Fifth Semester

/Sixth Semester/
/Third Year
/Seventh Semester

/Eight Semester/ /Forth Year

Ninth Semester
Tenth Semester / Fifth Year
/Total
/: Post Graduation :

/ /Name of University/ Institute

/Approved by Govt.

Final Marks sheet/ degree

/ Other qualifications, if any

1
2
3

(3)

Total Marks

Marks
Obtained

Percentage

10

( ) : Minimum experience as
( Experience Details (Please enclose copies of relevant certificates):
/Period

Sl. No.

Name & Address of Employer

Position and nature of duties

From

To

Years &
Months

From

To

Year/Mon
th

2
2

10A

( ) : Experience as

Name & Address of Employer

Position and nature of duties

11.

/ :

Particulars of any special qualification/training in Banking: _______________________________________________

__________________________________________________________________________________________
12.

()
(a)

()
(b)
13.

, ,

Particulars of sports and other extra-curricular activities in which you have participated, Credits & Distinctions obtained :
__________________________________________________________________________________________________
__________________________________________________________________________________________________

Hobbies & other interest: _____________________________________________________________________

Present address in full for correspondence:

14.

___________________________________________

Permanent address in full for correspondence:

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

Pin Code: __________________________________

Pin Code: __________________________________

Tel. No. with STD Code

Tel. No. with STD Code

Mobile No.

Mobile No.

E-mail Address:

E-mail Address

(4)

15.

16.

.
Particulars of places where you have resided for more than 1 year during the last 5 years:

From

To

Residential address in full

(1)

(2)

(3)

3
District Head Quarter of the place
mentioned in the column No. 3
(4)

/ / / .
Particulars of any prosecution/detention/fine/conviction/sentence against you awarded by any court of law for any offence.
_______________________________________________________________________________________________
________________________________________________________________________________________________

17.

(/ ) .
Particulars of cases pending against you in any court of law including case (s) for non-payment of any loan from Banks/ Financial Institutions.
___________________________________________________________________________________________________

___________________________________________________________________________________________________
18.

, / , .
Particulars of disqualification/ debarment by any Service Commission, examining body at their selection/examination:
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________

19.

() / ,

20.

21.

. Particulars of any case (s) of disciplinary action instituted/ pending against you by
your present or previous employer (s). Please also state whether you were debarred from appearing in any promotional examination.
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
1. Last Educational Institute

2. Past /Present Employer
Particulars of character certificates enclosed :
3. Gazetted Officer of State/ Central Govt. MLA, MLC, MP, Branch
Head of State Bank of India or a Nationalized Bank

, :
Names, occupations and addresses of two respectable referees :

Sr. No.

22.

Name

Address

Tel. No.

.
Additional particulars, if any, which may be of use to the Bank :
_____________________________________________________________________________________________
__________________________________________________________________________________________________________

(5)

23.

/ , .
. /
/ 1961 .

, , .
/- /2016-17/08

20.08.2016 .

I certify that the particulars furnished above are true, correct and complete to the best of my knowledge and belief. I am not aware of
any circumstance which might impair my fitness for employment in the Bank. I am willing to serve anywhere in India and in any other
country. Further, I declare that I have never been convicted for any dowry offence under the Dowry Prohibition Act, 1961, or any
criminal offence under any other law.
In case the particulars submitted by me are found to be false or not true and / or suppression of material facts by me while
submitting the form is revealed at a later date, the Bank shall have the right to cancel the appointment including the offer for
appointment, as the case may be. The above details are submitted in reference to State Bank of India advertisement No. CRPD/SCOIT/2016-17/08 Dated 20.08.2016 & my online application thereto.

Place :

Signature of candidate :

Date :

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RECRUITMENT OF SCOs IN STATE BANK OF INDIA

CTC Format (To be filled by the candidate applied for contractual positions)
Post applied:
Name:
Age
Total Experience
Educational Qualification
Graduation
Other
Specialisation, if any
Present Employer
Designation
Present CTC (p.a.)

:
:
:
:
:
:
:
:

:
:Fixed:Variable:Total(Attach Latest Copy of Income tax return/Form-16/Salary certificate duly signed by the Employer)
Expected CTC (p.a.)
:Fixed:Variable:TotalRemark:-

Signature of candidate
For CTC Negotiation Committee
Recommended CTC
Remark

Member

:
:

Member

(7)

Member


Tick the appropriate box

List of Enclosures

Enclosed

1) ( , )

1) Proof of Age - Name of Document (High School Certificate, Passport, Others)

2) ( )
2) Graduation Mark-sheet (Please specify )

3)
3) Graduation Degree
4) / :
4) Post Graduation/ Other qualification Certificates & Mark Sheets 5)
5) Two Character Certificates
6)

6) No Objection Certificate from Present Employer

7)

7) Experience Certificate
8)

8) Identity Proof.
9)
9) Brief Resume
10)
10) CTC Form

:.
Date :

Signature of candidate

(8)