You are on page 1of 4

c c c

CENTRAL BANK OF INDIA - RECRUITMENT OF PROBATIONARY OFFICER in JMG Scale -I 2010


c
ONLINE APPLICATION FORM FOR THE POST OF PROBATIONARY OFFICER in JMG Scale -I 2010
c
APPLICATION PRINT-OUT NEED NOT BE SENT TO THE BANK
No.Of Times
cc Last Modified On :25-05-2010 21:51 0c
Modified :c
Please check Print Preview in A4 size Portrait format with 0.25" margin from all sides (Click to Print) c

24033 c
cc

Please paste
your recent
passport size
Registration # : 144168 photograph and
sign across it.
Full Name : LALATENDU SETHY Please retain
atleast 5 copies
Category : SC with you for
subsequent use.

Person With Disability : NO


Percentage of
Type of Disability : -- --
Disability :
Do you intend to use the services of a scribe : NO
Are you a candidate who had ordinarily been domiciled in
Kashmir Division of the State of J&K during the period NO
1-1-1980 to 31-12-1989 :
Whether you belong to Religious Minority Community : NO
Period of service
Are you an Ex-Serviceman : NO as in
military service: -
Date of Discharge : -
Rank at Present/Last held :
a) Acting : - Acting w.e.f : -
Acting
a) Substantive : - Substantive
w.e.f : -
Officers Serving in Regional Rural Banks and who have
NO
minimum 5 years of service :
Number of years of Service put in
-
as an officer in an RRB :
Whether children/family members of those who died
NO
in 1984 riots? :
Are you a clerical employee of Central Bank
NO
of India :
Employee No. : -
Date of Joining of Central Bank of India : -
Period of Service as an Employee of Central Bank of India
-
in months :
Nationality : INDIAN
Centre of Examination : Bhubaneshwar Centre code : 14
Application Fee/ Postal Charges Details :
Journal No. : 549292
RAIL
Branch Name :
VIHARCHANDRASEKHARPUR
Branch Code : 3184
Deposit Date : 24-05-2010 Amount : 25
Personal Details :
Age as on
Date of Birth : July 14,1983 26
01.04.2010:
Birth Place : KEONJHAR
Birth District : KEONJHAR
Birth State : ORISSA
Gender : MALE
Marital Status : Single
SHANTILATA
Husband's / Father's Name : PURUSOTTAM SETHY Mother's Name :
SETHY
Email ID : lalatendu.sethy@gmail.com
Contact Details:
Address for Correspondence : AT QR 3 B 10 LIC COLONY
MAITREE VIHAR
PO CHANDRASEKHARPUR BHUBANESWAR
State : ORISSA Pin : 751023
Permanent Address : AT BASANTAPUR
PO BASANTAPUR
DIST KEONJHAR
State : ORISSA Pin : 758001
Phone No : - Mobile No : 9438422453
Qualification Details (as on 01.04.2010) :

Exams Passed Subject /Stream Year Of Passing % of Marks


Graduation : COMMERCE 2003 50.94

Post Graduation : COMMERCE 2005 66.50

Whether Computer Course was one of the subjects in HSC


NO
(XII)/ Graduation level :
Have you undergone any certification course in
YES
Computers? :
If Yes, Duration of course in months : 12
Name of the Institute : APTECH COMPUTER EDUC
Post Qualification work experience details as on 01.04.20 10(Start from present Employer) :

Name of Total Period of Service Nature of


employer & Designation and Reason for Years of
From To duties
nature of rank, if any Leaving Service (yy/mm)
(mm/yyyy) (mm/yyyy) performed
Employment
BIRLA SUNLIFE AGENCY MANAGER 03/2008 06/2009 SALES AND HIGHER 01/03
INSURA MARKE STUDIES
NCE CO. LTD. TING

CIPLA PHARMA MANAGEMENT 08/2007 03/2008 SALES AND PERSONAL 00/07


CEUTICA TRAINEE MARKE
L LTD. TING

-- -- -- -- -- -- --

Centre for Pre-


Would You like to undergo Pre-Exam Training : YES Examination
Training : Kolkata

Languages
Read Write Speak
Known
ENGLISH Yes Yes Yes
HINDI Yes Yes Yes
ORIYA Yes Yes Yes

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:25-05-2010 Signature of Applicant:

LALATENDU SETHY
Please retain your Registration No. and Password emailed to you carefully for further reference.
c

c
c
cc
c

You might also like