Union Bank of India 400126

Recruitment of Specialist Officers

Registration Number : 670080041

Full Name : Sushant Sudhakar Kadam

Post Applied for: : Assistant Manager (Technical
Officer) JMGS-I
Category : SC

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

Disability category : -
Type of 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 Members of those who died in 1984 Riots? : NO

Religion to which you belong : Buddhist

Are you an Ex-Serviceman (including ECOs/ SSCOs) : ? : NO

Period of Service ( in months) : -

Date of relief from defence services: : -

Have you joined a Government job on the civil side after availing : -
the benefits given as an Ex-Serviceman ?

Do you belong to Religious Minority Community ? : YES

Nationality / Citizenship : Indian

Centre of Examination : Mumbai /NaviMumbai/Greater
Mumbai/Thane
I intend to bring the following ID when appearing for the : YES
examination : (I confirm my name on this ID and this application
exactly match)

ID Proof : Aadhar Card

ID Proof No. : XXXXXXXX0098

Personal Details
 Date of Birth : 06-06-1999
Age completed as on 01.08.2021 : 22

Gender : MALE

Do you have twin brother / sister ? : NO

Name of the twin : -

Gender of the twin : -

Marital Status : Unmarried

Father's Name : Sudhakar

Mother's Name : Vanita

Spouse's Name : -

Address for Correspondence

Address 1 : Room no 76

Address 2 : New anandwadi

Address 3 : Saltpen road

District : Mumbai

State : MAHARASHTRA

Pincode : 400037
Permanent address
Address 1 : Room no 76

Address 2 : New anandwadi

Address 3 : Saltpen road
District : Mumbai

State : MAHARASHTRA
Pincode : 400037

Contact Details
Mobile No : +91 9167793736

Alternative Number : +91 7738841976

(Mobile No/Landline No)
Email ID : sushantkadam159@gmail.com

     

Educational Qualification(as on 03.09.2021)

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

Graduation Chemical Engineering 27-07-2021 72.85 First Class

Other Details :

  Languages Known Read Write Speak

 English  YES  YES  YES

  Marathi  YES  YES  YES

 Hindi  YES  YES  YES

Uploaded Document Details :

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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.

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

              

Date: 02-09-2021 Signature of Applicant

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