10/31/21, 11:34 PM RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2021-22/18

STATE BANK OF INDIA 330147

RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2021-
22/18

Registration Number : 2080972496

Full Name : MRINAL RATNAM SHAHI

Category : GEN
SUB CASTE : -

I confirm that I am in possession / will produce EWS certificate : -

issued based on annual income for Financial Year 2020-21

Are you a person with benchmark disability of 40% and above ? : NO

Type of Disability : -
Sub-Type of Disability for 'd' & 'e' : -

Sub-Type of Disability : -

Sub-Type of Multiple Disabilities : -

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 ? : -

I accept the Guidelines for Scribe : -

Religion to which you belong : Hindu

Whether you belong to Religious Minority Community ? : NO

Are you an Ex-Serviceman (including ECOs/SSCOs) : NO

Period of Service (in months) : -
Please mention the number of occasions on which you have : 0
applied for the examination for recruitment of Probationary
Officers in SBI (chances will be counted from the examination
held on 18.04.2010. Appearing in Preliminary Examination will
not be counted as a chance. Appearing in Main Examination
will be counted as a chance. In the years in which only one
written examination has been held (i.e. no Preliminary
Examination has been held), appearing in this examination will
be counted as a chance.
Do you have record of default in repayment of loans/credit card : NO
dues and/or against whose name adverse report of CIBIL or
other external agencies are available ?

Do you have adverse report regarding character & antecedents, : NO

moral turpitude ?
Are you an Employee of State Bank of India in the Clerical : NO
Cadre ?

Are you an Employee of State Bank of India in the Officer : NO

Cadre ?

https://ibpsonline.ibps.in/sbiposasep21/registration_print.php?q=OTRlODU0NDk5NzgxYmIwNjllNzk5NjA1MDk5ZmI3NWZ8MjA4MDk3MjQ5Ng== 1/4
10/31/21, 11:34 PM RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2021-22/18

Are you an Ex-Employee of State Bank of India and resigned : NO

from the Bank while in the Clerical Cadre ?
Are you an Ex-Employee of State Bank of India and resigned : NO
from the Bank while in the Officer Cadre ?
Please ensure that you are eligible to apply ? : -
PAN No. : geeps2440a

Nationality : Indian
Examination Centre for Preliminary Examination
State/UT (to which centre of exam belongs) : Delhi-NCR

State Code: : 34
Centre of Examination : Delhi & New Delhi

Examination Centre for Main Examination

State/UT (to which centre of exam belongs) : Delhi-NCR
State Code: : 34

Centre of Examination : Delhi & New Delhi

I intend to bring the following ID when appearing for the : YES
examination (I confirm my name on this ID and this
application exactly match)
ID Proof : PAN Card
ID Proof No. : XXXXXX440a

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 635.60
Tax : 114.40 (IGST)
Amount : 750.00
Payment Status : PAID
Reference ID : WHD40365899089

Transaction Date : 24-10-2021

Personal Details

Date of Birth : 05-12-1996

Age completed as on 01.04.2021 : 24
Gender : MALE
Do you have twin brother / sister ? : NO
Gender of the twin : -

Name of the twin : -

Marital Status : Unmarried
Father's First Name : Murari
Father's Middle Name : Prasad
Father's Last Name : Shahi

Mother's First Name : Kiran

Mother's Middle Name : -
Mother's Last Name : Kumari
Spouse's First Name : -
Spouse's Middle Name : -
Spouse's Last Name : -

Address for Correspondence

Address 1 : 190 H DDA FLATS
POCKET4

https://ibpsonline.ibps.in/sbiposasep21/registration_print.php?q=OTRlODU0NDk5NzgxYmIwNjllNzk5NjA1MDk5ZmI3NWZ8MjA4MDk3MjQ5Ng== 2/4
10/31/21, 11:34 PM RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2021-22/18

Address 2 : MAYUR VIHAR PHASE1

District : East Delhi
State : DELHI
Pincode : 110091
Permanent address

Address 1 : 190 H DDA FLATS

POCKET4
Address 2 : MAYUR VIHAR PHASE1
District : East Delhi

State : DELHI
Pincode : 110091
State for GST invoicing : Permanent Address (DELHI)

Contact Details

Mobile No : +91 9971255595

Alternative Number : +91 9910153210
(Mobile No/Landline No)
Email ID : mrinalratnam777@gmail.com

Educational Qualification (as on 31.12.2021)

Exam Passed Degree/ Subject / Name of Institution Place of Institution Date of % of Marks Class / Grade
Stream / College / College Passing

Graduation 1/ Commerce Jamia Milia Islamia NEW DELHI 30-08-2018 65.07 First Class
Equivalent
Passed

Other Details :

Whether desirous of taking Pre-Exam : -

Training (SC/ST/Religious Minority
Community)

State/UT (to which centre of Pre-Exam : -

Training belongs) :

State Code : : -
Centre for Pre-Exam Training (If : -
conducted through physical classes
OR by way of Online tools) :

Languages Known Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

Uploaded Document Details :

1. Left Thumb impression

2. Hand Written Declaration

Declaration:

https://ibpsonline.ibps.in/sbiposasep21/registration_print.php?q=OTRlODU0NDk5NzgxYmIwNjllNzk5NjA1MDk5ZmI3NWZ8MjA4MDk3MjQ5Ng== 3/4
10/31/21, 11:34 PM RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2021-22/18
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 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

Date: 24-10-2021 Signature of Applicant

Left Thumb impression

Hand Written Declaration

https://ibpsonline.ibps.in/sbiposasep21/registration_print.php?q=OTRlODU0NDk5NzgxYmIwNjllNzk5NjA1MDk5ZmI3NWZ8MjA4MDk3MjQ5Ng== 4/4