UCO BANK - RECRUITMENT CLERICAL CADRE 2010 ONLINE APPLICATION FORM

ONLINE APPLICATION FORM FOR THE POST OF CLERKS

10030
Registration # : 102520 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 22-07-2010 15:40:12 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : RAJASEKHAR P use.

Category : OBC

Physically Challenged : No

Type of Disability : - Percentage of Disability : -

Do you intend to use the services of a scribe : -

Whether domiciled in Kashmir Division of the State of J&K during the No

period 1-1-1980 to 31-12-1989 :

Whether you belong to Religious Minority Community : No

Are you an Ex-Serviceman : No

Are you a disabled Ex-Serviceman (DISXS)? : No

Are you a dependent of an Ex-Serviceman (DXS)? : No

Are you Regular Employee of the Union Carbide Factory, Bhopal No

retrenched from service (Applicable to Madhya Pradesh State only)? :

Are you seeking relaxation under widow / divorced women / women No

judicially Separated from their husbands and who are not re-married? :

Nationality : INDIAN

State / Union Territory for which you are Andhra Pradesh State / UT code : 06
applying :

Centre of Examination : Hyderabad Centre code : 36

Application Fees / Postal Charges :

Transaction No. : AA95589

UCO Bank Branch Name : MALKAJGIRI BRANCH Branch Code : 1670

Deposit Date : 21-07-2010 Amount : 300

Personal Details :
Date of Birth : November 21,1987 Age as on 01.07.2010: 22

Gender : MALE

Father’s Name / Husband’s Name : PRAKASH RAO P Mother’s Name : TULASI P

Email ID : rsekhar247@gmail.com

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Address for Correspondence : H-NO: 09-04-117 II FLOOR, AZIZ STREET KASPA BAZAR

KHAMMAM

District : KHAMMAM

State/UT : ANDHRA PRADESH Pin : 507001

Permanent Address : H-NO: 09-04-117 II FLOOR, AZIZ STREET KASPA BAZAR

KHAMMAM

District : KHAMMAM

State/UT : ANDHRA PRADESH Pin : 507001

Contact Details:
Phone : 08742-223556 Mobile : 9441643167

Qualification Details(as on 01.07.2010) :

Exams Passed Subject/Stream Year of Passing % of Marks Grade / Class
HSC / Equivalent : MPC 2005 89.60 First Class
Other Higher qualification : AME-AVIONICS 2008 80.00 First Class
Working Knowledge in MS Office : Yes

Would You like to undergo Pre-Exam Training : No

Centre for Pre-Examination Training : -

Languages Known Read Write Speak

ENGLISH Yes Yes Yes
HINDI Yes Yes Yes
TELUGU Yes Yes Yes
DECLARATION:
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I
understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the
requirements of the relative advertisement, my candidature/ appointment is liable to be cancelled/terminated. I am willing to serve anywhere in
the State / UT applied for.

Place : Signature of Applicant

Date : 22-07-2010

RAJASEKHAR P
Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the Bank

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