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Welcome to ANDHRA BANK


Please paste your recent passport size photograph and sign across it. Please retain atleast 5 copies of same photograph with you for subsequent use.

Registration # : Full Name : Category : If Person with Disability : Type of Disability : Do you intend to use the services of a scribe( only for VI and OC candidates whose writing speed is affected by cerebral palsy) :

KOKKALA SRAVANTHI OBC NO --Percentage of Disability : --

Whether domiciled in Kashmir NO Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : Minority Religion : Are you an Ex-Serviceman? Are you Children/family members of those who died in 1984 ? : Are you an employee of Andhra Bank : If yes, Staff Code No: Nationality : Centre of Examination : Centre code : Application Fee / Postal Charges Details : Payment in : Transaction ID : Branch Name : Branch SOL ID : Deposit Date : Amount : Andhra Bank Branch 0023568 BALANAGAR 057 18-02-2011 400 INDIAN Hyderabad 25 NO -NO NO NO

Personal Details :
Date of Birth : Gender : Father's Name/ Husband's Name : Mother's Name : Email ID : Address for Correspondence : April 1986,29 FEMALE KURUVA GIRIBABU KAMALA H NO B147 HAL COLONY BALANAGAR District State : Pin : Permanent Address : HYDERABAD ANDHRA PRADESH 500042 H NO B147 HAL COLONY BALANAGAR District State : Pin : HYDERABAD ANDHRA PRADESH 500042 Age completed as on 31.12.2010 : 24

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2/19/2011 7:30 PM

then my candidature will be rejected/ service terminated even after permanent employment without giving any notice or reasons I am also willing to serve anywhere in India. I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of advised criteria in respect of age. educational qualification and experience etc.56 57. I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can be instituted by me only at Hyderabad and courts/ Tribunal/ forums at Hyderabad only. I am aware that in case I have given wrong information or suppressed any material fact or factual information or I do not satisfy the eligibility criteria according to the advertisement. caste. I have not suppressed any material fact or factual information in the above statement. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application print-out to the Bank 2 of 2 2/19/2011 7:30 PM . shall have sole and exclusive jurisdiction to any cause/ dispute.2010): 040-23773426 9701503425 Exams Passed Graduation : Post Graduation / Equivalent : Knowledge of Computers : Details of Computer Knowledge : Other Details : Subject/Stream BSC COMPUTER SCIENCE MSC COMPUTER SCIENCE YES Year Of Passing April-2006 May-2009 % of Marks 60.Welcome to ANDHRA BANK http://registration. I agree that the Bank has the right to transfer me to any part of country and/ or to any job position at its sole discretion in terms of applicable staff rules from time to time.sifyitest.75 DIPLOMA IN C WITH DS Whether you like to undergo Pre-Exam Training (SC/ST /Minority Community): If Yes . I undertake to abide by all the terms and conditions in the advertisement given by the Bank.php Contact Details: Phone No : Mobile No: Qualification Details (as on 31.Centre for Training : --- Languages Known TELUGU HINDI ENGLISH Read YES YES YES Write YES YES YES Speak YES YES YES DECLARATION: I hereby certify that the above information furnished is correct to the best of my knowledge and belief. Place: Date: 19-02-2011 Signature of Applicant KOKKALA SRAVANTHI Please retain your Registration No.