Ibps Clerk App Form

7/5/23, 11:55 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)
350122
COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN
PARTICIPATING BANKS (CRP CLERKS-XIII)
Registration Number : 2270104132

Full Name : ABHILASHA SOMU NADAR
Category : GENERAL
Are you a person with : NO
benchmark disability of 40%
and above ?
Type of Disability : -
Sub-Type of Disability for 'ID & : -

Others’
Sub-Type of Disability : -
Sub-Type of Multiple Disability : -
Are you as per PWBD : -

guidelines eligible to use
compensatory time at the time
of examination ?
Are you suffering from cerebral : -
palsy and your writing speed is
affected : ?
If Yes, Do you need : -

of examination?
Whether your dominant : -
(Writing) hand is affected ?

of examination?
Are you eligible to use the : -
services of scribe as per
Government guidelines & do
you wish to use the services of
scribe ?
Are you a person with specified : NO

disability covered under the
definition of sec 2(s) of the
RPwD Act, 2016 and not
covered under sec 2(r) of the
said act and having difficulty in
writing?
https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NDk0NGEzZTNjN2NiZmFjMmQyZDAzYzMzNDAzMTYxMzR8MjI3MDEwNDEzM… 1/6
of examination?
Are you a person with specified : -
disability covered under the
definition of sec 2(s) of the
RPwD Act, 2016 and having
difficulty in writing and not
covered under sec 2(r) of the
said act and eligible to use the
services of Scribe and wish to
avail the services of Scribe?
I certify that, I will upload (in : -

current application) the
certificate from competent
medical authority of a
Government healthcare
institution as per Ministry of
Social Justice and
Empowerment, Department of
Empowerment of Persons with
Disabilities (Divyangjan) OM
No. F. No. 29-6/2019-DD-III
dated 10.08.2022.
Are you a child/ family member : NO
of those who died in 1984 riots
?
Religion to which you belong : Hindu
Do you belong to Religious : NO

Minority Community ?
Are you an Ex-Serviceman ? : NO
Are you a Disabled Ex- : NO

Serviceman (DISXS)?
Actual service rendered in : -

defence services which may be
counted for qualifying as an Ex-
serviceman (In Months)
Date of relief from defence : -

services
Have you joined a Government : -

job on the civil side after
availing of the benefits given as
an ex-serviceman ?
Are you a Dependent of : NO

Serviceman killed in Action
(DXS) ?
Are you a matriculate Ex- : -

Servicemen who have obtained
the Army Special Certificate of
Education or corresponding
certificate in the Navy or Air
Force after having completed
not less than 15 years of
service in the Armed Forces of
the Union as on 21.07.2023 ?
Percentage of Marks : -
Are you seeking relaxation : NO

under widow / divorced women
/ women judicially Separated
from their husbands and who
are not re-married?
Have you appeared for the : NO

CWE/CRP for Clerical Cadre
earlier ?
How many attempts ? : -

Select the CWE/CRP-CLERKS : -
attempted earlier
Nationality / Citizenship : Indian

Vacancies of State/UT you are : Maharashtra
applying for
State code : 31
Centre of Preliminary : Mumbai/ Thane/ Navi Mumbai/MMR

Examination
Centre of Main Examination : Mumbai/ Thane/ Navi Mumbai/MMR
I intend to bring the following ID : YES

when appearing for the
examination : (I confirm my
name on this ID and this
application exactly match)
ID Proof : Aadhar Card
ID Proof No. : XXXXXXXX1573
Kindly indicate Medium of : English and Hindi

Paper - how you would like the
paper to be presented to you ?
Application Fee / Intimation charges
Payment In : ONLINE
Fees : 720.34
Tax : 64.83 (CGST) + 64.83 (SGST)
Amount : 850.00
Payment Status : PAID

Reference ID : 20230705011040000883499362431932646
Transaction Date : 05-07-2023
Personal Details
Date of Birth : 14-11-1999
Age completed as on : 23
01.07.2023
Gender : FEMALE
Aadhaar Card Number : XXXXXXXX1573

PAN Card Number : XXXXXX882G
Do you have twin brother / : NO

sister ?
Gender of the twin : -
Name of the twin : -
Marital Status : Unmarried
Father's Name : SOMU
Mother's Name : MALLIKA
Spouse's Name : -
Address for Correspondence
Address 1 : OPP MITHIBAI COLLEGE ROOM NO 7
Address 2 : RAJ KUMAR CHAWL NEHRU NAGAR

Address 3 : V.M. ROAD VILE PARLE WEST
District : MUMBAI
State : MAHARASHTRA
Pincode : 400056
Permanent address
Address 1 : OPP MITHIBAI COLLEGE ROOM NO 7
Address 2 : RAJ KUMAR CHAWL NEHRU NAGAR
Address 3 : V.M. ROAD VILE PARLE WEST
District : MUMBAI
State : MAHARASHTRA
Pincode : 400056
State for GST invoicing : Permanent Address (MAHARASHTRA)
Contact Details
Mobile No : +91 9820345136
Alternative Number : -
(Mobile No/Landline No)
Email ID : abis59181@gmail.com
Educational Qualification (as on 21.07.2023)
Exam Passed Degree Subject / Stream Date of % of Marks Class / Grade

Passing
Graduation / B.Sc Science 25-05-2021 60.67 Second Class

Equivalent
Do you have Operating and working : YES

knowledge in computer systems :
Details of Computer Knowledge: : Studied in High School/College/Institute

: Computer as a Subject
Banks Preference
1 Bank of Baroda
2 Bank of Maharashtra
3 Bank of India
4 Canara Bank
5 Indian Bank
banks in order of Preferences 6 Indian Overseas Bank
7 Central Bank of India
8 Punjab National Bank
9 Union Bank of India
10 Punjab & Sind Bank
11 UCO Bank
Other Details :
For the safety and wellbeing of candidates, : -

Pre-Exam Training may not be held. In case it
is possible to hold Pre-Exam Training, are
you desirous of taking Pre-Exam Training ?
(Only for SC/ST/OBC/Religious Minority
Communities/Ex-
Servicemen/DISXS/DXS/PWBD):
If Yes ,Centre for Training : -
Whether any prosecution / detention / fine / : NO

conviction / sentence against you has been
awarded by any court of law for any offence?
If yes, particulars of the same: : -
Languages Known Read Write Speak
ENGLISH YES YES YES
HINDI YES YES YES
MARATHI YES YES YES
Uploaded Document Details :
1. Left Thumb Impression
2. Hand Written Declaration
Declaration:
I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the said
post and all the statements made in the application are True, Complete and Correct to the best of my knowledge and
belief. I understood 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 will follow all the Guidelines regarding Social Distancing Mode of Exam given in advertisement and subsequently. Any
violation may result in 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
• UPLOAD THE
SIGNATURE WITH WHITE
BACKGROUND WITH
BLUE/BLACK INK. YOUR
SIGNATURE IS
ACCEPTED BEYOND
VALID CONDITIONS. IN
CASE OF IDENTITY
CHECK FAILURE AT ANY
LATER STAGE OF THE
PROCESS, IT COULD
LEAD TO
DISQUALIFICATION
Date: 05-07-2023
Left Thumb Impression
Hand Written Declaration

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Ibps Clerk App Form

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7/5/23, 11:55 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

Registration Number : 2270104132

Sub-Type of Disability for 'ID & : -

Are you as per PWBD : -

If Yes, Do you need : -

If Yes, Do you need : -

Are you a person with specified : NO

I certify that, I will upload (in : -

Religion to which you belong : Hindu

Do you belong to Religious : NO

Are you an Ex-Serviceman ? : NO

Are you a Disabled Ex- : NO

Actual service rendered in : -

Date of relief from defence : -

Have you joined a Government : -

Are you a Dependent of : NO

Are you a matriculate Ex- : -

Are you seeking relaxation : NO

Have you appeared for the : NO

How many attempts ? : -

Nationality / Citizenship : Indian

Centre of Preliminary : Mumbai/ Thane/ Navi Mumbai/MMR

I intend to bring the following ID : YES

ID Proof : Aadhar Card

ID Proof No. : XXXXXXXX1573

Kindly indicate Medium of : English and Hindi

Application Fee / Intimation charges

Tax : 64.83 (CGST) + 64.83 (SGST)

Payment Status : PAID

Transaction Date : 05-07-2023

Date of Birth : 14-11-1999

Aadhaar Card Number : XXXXXXXX1573

Do you have twin brother / : NO

Name of the twin : -

Marital Status : Unmarried

Father's Name : SOMU

Mother's Name : MALLIKA

Address for Correspondence

Address 1 : OPP MITHIBAI COLLEGE ROOM NO 7

Address 2 : RAJ KUMAR CHAWL NEHRU NAGAR

Address 1 : OPP MITHIBAI COLLEGE ROOM NO 7

Address 2 : RAJ KUMAR CHAWL NEHRU NAGAR

Address 3 : V.M. ROAD VILE PARLE WEST

State for GST invoicing : Permanent Address (MAHARASHTRA)

Mobile No : +91 9820345136

Educational Qualification (as on 21.07.2023)

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

Graduation / B.Sc Science 25-05-2021 60.67 Second Class

Do you have Operating and working : YES

Details of Computer Knowledge: : Studied in High School/College/Institute

For the safety and wellbeing of candidates, : -

If Yes ,Centre for Training : -

Whether any prosecution / detention / fine / : NO

If yes, particulars of the same: : -

Languages Known Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

MARATHI YES YES YES

Uploaded Document Details :

1. Left Thumb Impression

2. Hand Written Declaration

SIGNATURE WITH WHITE

BLUE/BLACK INK. YOUR

CHECK FAILURE AT ANY