APPLICATION FOR APPOINTMENT AS PEON IN PUNJAB NATIONAL BANK 1) Name- 2) Date of Birth- 3) Father’s Name- 4) Mother’s Name- 5) Spouse Name (In case married) 6) Permanent Address- 7) Present Address- 8) Address for Correspondence- 9) Pin code of the Correspondence- 10) Mobile No.- i) Email ID- 12) Age as on 01.01.2021 13) Educational Qualification (Xth, XIIth or its equivalent, Graduation) fame ofthe [Board] UniversityYear of Passing Marks Obtained examination passed 14) Category 15) Experience (If any) (SC/ST/OBC, EWS, etc.) — 16) Details of Major ailments 17) Details of past and present ifany) Police/ criminal Case (If any) 18) PAN Card No. (If available) 19) Aadhar Number (If available) I certify that the information mentioned above is correct to best of my knowledge. Any deviation in these may cancel my candidature for the vacancy. Date (Signature of the candidate)