KARNATAKA BANK LTD

330125
Recruitment of Clerks

Registration Number : 160023337

Full Name : Mahammadrafiq Nadaf
Category : OBC

Are you a Person with Benchmark Disability of 40% and : NO

above?
Type of Disability : -

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 an Ex-Serviceman:? : NO

Period of service: : -
Religion to which you belong : Muslim

Do you belong to Religious Minority Community?: : YES

Nationality / Citizenship : Indian
Centre of Examination : Hubballi

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 700.00

Tax : 63.00 (CGST) + 63.00

(SGST)
Amount : 826.00

Payment Status : PAID

Reference ID : WUR21159831671
Transaction Date : 20-05-2022
 Personal Details

Date of Birth : 13-02-1998

Age completed as on 01.05.2022 : 24
Gender : MALE

Do you have twin brother / sister ? : NO

Name of the twin : -
Gender of the twin : -
Marital Status : Unmarried

Father's Name : Allasaheb

Mother's Name : Bibijan
Spouse's Name : -
Address for Correspondence

Address 1 : 4th cross

Address 2 : Sai nagar harti road
Address 3 : Hulkoti

District : Gadag
State : KARNATAKA
Pincode : 582205
Permanent address
Address 1 : 4th cross
Address 2 : Sai nagar harti road

Address 3 : Hulkoti
District : Gadag
State : KARNATAKA
Pincode : 582205
State for GST invoicing : Permanent Address
(KARNATAKA)

Contact Details
Mobile No : +91 8151016028

Alternative Number : +91 8197560528

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

Educational Qualification(as on 01.05.2022)

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

Passing

Graduation / Equivalent Commerce 10-10-2020 81.92 First Class

 Do you have knowledge of computer ? : YES
Details of Computer Knowledge: : Basic computer

Are you able to speak any of the : YES

vernacular / State language along with
Hindi and English ?

Other Details :

  Languages Known Read Write Speak

 Hindi  YES  YES  YES

 English  YES  YES  YES

 Kannada  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 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.

 
 
 
 
 
 
  

Date:
20-05-2022

Left thumb impression

Hand written declaration