( )

APPLICATION FOR THE POST OF MANAGER (SECURITY)

-/The Chief Manager- HRMD

/Punjab National Bank
7 /7 Bhikhaji Cama Place
/New Delhi- 110 066

(
)
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Affix recent passport size

Affix recent passport size photograph in Uniform
photograph in civil dress (self showing last rank held clearly
attested across) (self attested across)

( )
Recruitment for the post of Manager (Security)

/Sir,

_____________ ,

With reference to your advertisement dated_____________, I submit my
application in prescribed format.

1. /Name (In full) :______________________________________

2. /Fathers Name :______________________________________

3. /Date of Birth : ____/____/_________

(10 - /As per 10 pass certificate - proof to be attached)
th

4.
/Details of Non refundable Application Fee:
- /Transaction ID :
/Amount :

/Name of PNBs Branch where fee deposited
:
( /Also enclose copy of Cash Voucher)
5. / Age (01-01-2017 /Completed years as on 01-01-2017)
: ____ /years _____/months ____/days
6. /Birth Place: ______________ /Native Place: _______________
7. /Gender :
Male/ Female
8. /Religion : _____________________________
9. /Nationality : ____________________________
10. /Category :

GEN OBC SC ST

11. /Permanent Address : _______________________________________

/Domicile _______________________________________
_______________________________________
12. /Address for Correspondence
/Present Address : _______________________________________
_______________________________________
_______________________________________

13. - /E-mail id : ____________________________

14. ./Telephone No. ( /With STD Code): __________________
/Mobile No. ( /If any): _________________________
15. /Full Service No. : _______________________________
16. / Retired/Serving: ______________________________
17. / Rank from which retired/serving
: ______________________________
(
/ )
(Proof to be attested in form of scored out Identity Card/Certificate from Department Head)
18. /Date of Joining Service: ___________________________
19.
/Date of Discharge from Service: _______________________
20. /Total Years served: ___________________________________
21. /Medical Category: ___________________________________________
22. ()/Educational Qualification (Civil): ________________
..
Sl No Level Subject % of Marks
/XII
/Graduation
/PG
/Other ..
 23. ()/Educational Qualification (Service): ___________________________
24. - /Details of employment in chronological order:
. /
No. Post held From To Grade Pay Nature of Duties
Name of the
Min/Office
(1) (2) (3) (4) (5) (6) (7)
1
2
3
4
5

25. /
/
Qualifications/experience prescribed for eligibility to the post applied for vis--vis
qualifications/experience of the applicant:

Prescribed for the post Possessed Remarks
// 5 //

Yes/No/Not
applicable
An Officer with 5 years Commissioned
Service in Indian Army/Navy/Air Force
/OR //
Yes/No/Not
.5400/- ( applicable
) 05
/
/


A Gazetted Police/Para Military/Central
Police Organisations officer not below
the rank of Assistant Comdt with
minimum of 05 years of service in
grade pay (as per VI pay Commission )
of Rs 5,400/- and above.
( /Proof to be attached)

26. /Declaration:

/



/




 I hereby declare that the particulars furnished above are true and correct to the best of my
knowledge and belief and I have not suppressed any material fact(s)/ information. I
understand that in the event of any information being found false or incorrect at any stage or
my not satisfying the eligibility criteria according to the requirements of the related
advertisement, my candidature/ appointment for the said post is liable to be cancelled at any
stage and even after appointment for the said post is liable to be cancelled at any stage and
even after appointment, my services are liable to be terminated without any notice. I am willing
to serve anywhere in India.

/

/
/
I hereby agree that any legal proceedings in respect of any matter of claim or dispute arising out
of this application and/ or out of the said advertisement can be instituted by me only New Delhi
and Courts/tribunals/forums at New Delhi.

I undertake to abide by all the terms and conditions mentioned in the advertisement displayed
on Banks website.

/PLACE : __________ /SIGNATURE:______________________

/DATE : __________ /NAME OF CANDIDATE: _________________

( /In Block letters)

/Enclosures:
1. ()/Date of birth proof (self attested)
2.
/
()/Proof to be attested in form of scored out Identity Card/ Certificate from
Departmental Head (self attested)
3.
()/Proof of experience for eligibility (self attested)