1.

Passport Size Photo

2. Full Name
3. NIC No.
4. Passport No.
5. Residential Address
6. Religion
7. Date of Birth
8. Civil Status
9. Mobile No.
10. Fixed Land Line No.
11. Faxed No.
12. Personal E-mail
13. Official E-mail
14. Present Designation
15. Full name of the Spouse
16. NIC No. of the Spouse
17. Passport No. of the Spouse
18. Details of Children (Full Name, NIC No., Passport No.)
19. Academic Qualification (relevant discipline, country, name of the institution, year)
20. Professional Qualifications (relevant discipline, country, name of the institution, year)
21. Positions held (name of the institution, designation, work specialization, date of appointment,
service period)
22. Details of special assignments – consultancy (name of the institution, description, service
period)
23. Outstanding contributions (publications, seminars conducted, research, etc – need the topic,
institute and year)
24. Name of the account holding bank/s
25. Service No. (to enable us to get the Form 320)
26. Details of Close relations if employed at the Bank/ subsidiaries as DGMs/ AGMs
27. Details of facilities taken by close relations {name of the close relation, name of the institution,
date of transaction, amount (limit and outstanding both), type and value of collateral}
28. Rs. 50 stamp
29. Valuation of the properties kept as securities for the facilities taken