10/6/2019 COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING ORGANISATIONS (CRP CLERKS-IX)

Institute of Banking Personnel Selection 380143

COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING
ORGANISATIONS (CRP CLERKS-IX)

Registration Number : 1800766708

Full Name : AVINASHA BARIK

Category : OBC
Are you a person with benchmark disability of 40% and above ? : NO

Type of Disability : -

Sub-Type of Disability for ID & Others : -

Sub-Type of Disability : -
Sub-Type of Multiple Disability : -

Do you need compensatory time at the time of examination ? : -

Are you suffering from cerebral palsy and your writing speed is : -
affected

If Yes, Do you need compensatory time at the time of examination? : -

Whether your dominant (Writing) hand is affected : -

If Yes, Do you need compensatory time at the time of examination? : -

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

Are you a child/ family member of those who died in 1984 riots ? : NO

Are you a person domiciled in the State of Jammu & Kashmir during : NO
the period 1-1-1980 to 31-12-1989 :?
Religion to which you belong : Hindu

Do you belong to Religious Minority Community ? : NO

Are you an Ex-Serviceman : ? : NO

Are you a Disabled Ex-Serviceman (DISXS) : NO

Actual service rendered in defence services which may be counted : -
for qualifying as an Ex-serviceman (In Months)

Date of relief from defence services : -

Have you joined a Government job on the civil side after availing of : -
the benefits given as an ex-serviceman?

Are you a Dependent of Serviceman killed in Action (DXS) : NO

Are you a matriculate Ex-Servicemen who have obtained the Army : -
Special Certificate of Education or corresponding certificate in the
Navy or Air Force after having completed not less than 15 years of
service in the Armed Forces of the Union as on 09.10.2019
Percentage of Marks : -

Are you seeking relaxation under widow / divorced women / women : NO

judicially Separated from their husbands and who are not re-married
?
Whether Regular Employees of the Union Carbide Factory, Bhopal, : NO
retrenched from service (applicable to Madhya Pradesh state only)?

Have you appeared for the CWE for Clerical Cadre earlier ? : YES

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10/6/2019 COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING ORGANISATIONS (CRP CLERKS-IX)
How many attempts ? : 1

Select the CWE-CLERKS attempted earlier : CWE CLERKS-VIII

Nationality / Citizenship : Indian
Vacancies of State/UT you are applying for : Odisha

State code : 36
Centre of Preliminary Examination : Bhubaneshwar
Centre of Main Examination : Bhubaneshwar

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 508.48
Tax : 91.52 (IGST)

Amount : 600.00
Payment Status : PAID
Reference ID : RSM28067051633

Transaction Date : 07-10-2019

Personal Details

Date of Birth : 09-03-1997

Age completed as on 01.09.2019 : 22
Gender : MALE
Marital Status : Unmarried

Father's Name : MADAN MOHAN BARIK

Mother's Name : SHANTILATA BARIK
Spouse's Name : -
Address for Correspondence : AT ANDHAIPALLY
Address 2 : PO ANDHAIPALLY

District : BHADRAK
State : ORISSA
Pincode : 756112
Permanent address : AT ANDHAIPALLY
Address 2 : PO ANDHAIPALLY

District : BHADRAK
State : ORISSA
Pincode : 756112
State for GST invoicing : Permanent Address
(ORISSA)

Contact Details

Mobile No : +91 9348229931

Alternative Number : +91 8260038013
(Mobile No/Landline No)
Email ID : avinashabarik@gmail.com

Educational Qualification (as on 09.10.2019)

Exam Passed Degree Subject / Stream Date of % of Marks Class / Grade

Passing

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10/6/2019 COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING ORGANISATIONS (CRP CLERKS-IX)
Graduation / Equivalent B.Sc Science 29-05-2017 56.33 Second Class

Do you have Operating and working : YES

knowledge in computer systems

Details of Computer Knowledge: : Degree in

: Computer Operations

1 Andhra Bank
2 Bank of Baroda
3 Allahabad Bank
4 Punjab & Sind Bank
5 Central Bank of India
6 UCO Bank
7 Canara Bank
8 Bank of India
Banks in order of Preference 9 Indian Overseas Bank
10 Indian Bank
11 Punjab National Bank
12 Syndicate Bank
13 Union Bank of India
14 United Bank of India
15 Corporation Bank
16 Bank of Maharashtra
17 Oriental Bank of Commerce

Other Details :

Whether desirous of taking Pre-Exam Training (Only : -

for SC/ST/Religious Minority Communities/Ex-
Servicemen/DISXS/DXS/PWD) : :

If Yes ,Centre for Training : -

Whether any prosecution / detention / fine / conviction : NO
/ sentence against you has been awarded by any
court of law for any offence? :
If yes, particulars of the same : : -

Languages Known Read Write Speak

ENGLISH YES YES YES

ODIA YES YES YES

HINDI YES YES YES

Uploaded Document Details :

1. Left Thumb impression

2. Hand Written Declaration

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 untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.

Date: 07-10-2019 Signature of Applicant

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10/6/2019 COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING ORGANISATIONS (CRP CLERKS-IX)

Left Thumb impression

Hand Written Declaration

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