9/23/21, 5:10 PM Recruitment of Specialist Officers

Union Bank of India 350149

Recruitment of Specialist Officers

Registration Number : 670097839

Full Name : UDIT KUMAR BANGAL

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 : Hindu

Are you an Ex-Serviceman (including ECOs/ SSCOs) : ? : NO
Period of Service ( in months) : -

Date of relief from defence services: : -

https://ibpsonline.ibps.in/ubirscoaug21/registration_print.php?q=OWEwMjdjODdmYzVjZTI5NmIwNWMxYzFjYWJhZWJiMmR8NjcwMDk3ODM5 1/4
9/23/21, 5:10 PM Recruitment of Specialist Officers

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 ? : NO

Nationality / Citizenship : Indian

Centre of Examination : Kolkata
I intend to bring the following ID when appearing for the examination : (I confirm : YES
my name on this ID and this application exactly match)
ID Proof : Aadhar Card
ID Proof No. : XXXXXXXX4152

Personal Details
Date of Birth : 06-11-1998

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 : UTTAM KUMAR BANGAL
Mother's Name : ASHIMA BANGAL

Spouse's Name : -
Address for Correspondence
Address 1 : PASCHIM BURIKHALI

Address 2 : BURIKHALI
Address 3 : BAURIA
District : HOWRAH

State : WEST BENGAL

Pincode : 711310
Permanent address
Address 1 : PASCHIM BURIKHALI
Address 2 : BURIKHALI

https://ibpsonline.ibps.in/ubirscoaug21/registration_print.php?q=OWEwMjdjODdmYzVjZTI5NmIwNWMxYzFjYWJhZWJiMmR8NjcwMDk3ODM5 2/4
9/23/21, 5:10 PM Recruitment of Specialist Officers
Address 3 : BAURIA
District : HOWRAH
State : WEST BENGAL
Pincode : 711310

Contact Details

Mobile No : +91 9875638598

Alternative Number : +91 8584094691
(Mobile No/Landline No)

Email ID : udit.bangal@gmail.com
     

Educational Qualification(as on 03.09.2021)

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

Graduation Electronics Engineering 22-07-2021 72.00 First Class

Other Details :

  Languages Known Read Write Speak

 ENGLISH  YES  YES  YES

 BENGALI  YES  YES  YES

 HINDI  NO  NO  YES

Uploaded Document Details :

1. Left thumb impression

 

 
https://ibpsonline.ibps.in/ubirscoaug21/registration_print.php?q=OWEwMjdjODdmYzVjZTI5NmIwNWMxYzFjYWJhZWJiMmR8NjcwMDk3ODM5 3/4
9/23/21, 5:10 PM Recruitment of Specialist Officers

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:
23-09-2021 Signature of Applicant

Left thumb impression

https://ibpsonline.ibps.in/ubirscoaug21/registration_print.php?q=OWEwMjdjODdmYzVjZTI5NmIwNWMxYzFjYWJhZWJiMmR8NjcwMDk3ODM5 4/4