APPLICATION FORM

APPLICATION NO
AXIS24077341
:
CANDIDATE
MR DILKHUSH YOGI
NAME :
MOBILE NUMBER
+91 9950136044
:
EMAIL ADDRESS : DILKHUSHYOGI426@GMAIL.COM
GENDER : MALE
DATE OF BIRTH : 10-OCT-2002
DO YOU HAVE PAN CARD NUMBER
YES BNOPY7734B
PAN CARD? : :
FAMILY ANNUAL
2-4 LAKHS
INCOME :
COMMUNICATION ADDRESS (FOR ADMISSIONS RELATED COMMUNICATION)
COUNTRY : INDIA STATE : RAJASTHAN
DISTRICT : KARAULI CITY : KARAULI
WARD NO 09 BAGIDA KAROLI
ADDRESS 1 : ADDRESS 2 : BAGIDA
RAJASTHAN 322218
PINCODE : 322218
PERMANENT ADDRESS
COUNTRY : INDIA STATE : RAJASTHAN
DISTRICT : KARAULI CITY : KARAULI
WARD NO 09 BAGIDA KAROLI
ADDRESS 1 : ADDRESS 2 : BAGIDA
RAJASTHAN 322218
PINCODE : 322218
PARENT'S /
GUARDIAN'S FATHER
DETAILS
FATHER'S FULL NAME FATHER'S MOBILE NUMBER FATHER'S EMAIL ID
SORU
EDUCATIONAL QUALIFICATIONS
HAVE YOU COMPLETED YOUR 12+3/ 12+4
GRADUATION (ANY UNDERGRADUATE YES
PROGRAM)? :
UG
UG STATE : RAJASTHAN BOARD/UNIVERSITY UNIVERSITY OF KOTA
:
UG COLLEGE
GOVT COLLEGE GANGAPURCITY
NAME :
YEAR OF RESULT OBTAINED
DEGREE MARKING SCHEME
PASSING STATUS PERCENTAGE/CGPA
PERCENTAGE OUT OF
BA 2022 DECLARED 51
100
HAVE YOU APPEARED FOR PG? : NO
DO YOU WANT TO TAKE LOAN OR SELF FUND
LOAN
FOR THE PROGRAM? :
APPLICANT'S NAME APPLICANT'S PAN CARD NUMBER APPLICANT'S CIBIL SCORE
DILKHUSH YOGI BNOPY7734B -1

DOES THE CO- CO-

CO- RELATIONSHIP CO-
APPLICANT APPLICANT'S
APPLICANT'S WITH CO- APPLICANT'S
HAVE PAN PAN CARD
NAME APPLICANT CIBIL SCORE
CARD NUMBER
SORU FATHER NO
HOW DID YOU
COME TO KNOW DHARMENDRA
OTHER OTHER :
ABOUT ABYBP KUMAR
PROGRAM? :
HAVE YOU
WRITTEN ANY HAVE YOUR
PSU/PVT SECTION NO WRITTEN ABYBP NO
BANKING EXAM? EXAM EARLIER? :
:
ARE ANY OF YOUR SIBLINGS/BLOOD RELATIVE
WORKING IN THE BANK/ STUDYING FOR THIS NO
PROGRAM? :
DOCUMENTS AND PHOTOGRAPH UPLOAD
PHOTOGRAPH UPLOADED
SIGNATURE UPLOADED
AADHAR CARD UPLOADED
PAN CARD UPLOADED
GRADUATION MARKSHEET / PROVISION
DEGREE CERTIFICATE / DEGREE UPLOADED
CERTIFICATE
PAYMENT DETAILS
AMOUNT PAID PAYMENT STATUS TRANSACTION NUMBER TRANSACTION DATE
Rs 100 Success pay_MfmonoRrnSFoSS 23/09/2023 06:33:23 pm
DECLARATION

I do hereby undertake that the information furnished in this online application is true. If in
future, any of the information furnished by me in this application or any
certificate/document produced by me in support of eligibility conditions laid down in this
advertisement is found to be fake or if for any reason I am later found not eligible for the
advertisement applied for, my candidature as well as consequential selection or admission
if any shall be canceled without notice. In that event, the authorities shall not be held
responsible for the cancellation of my candidature/selection/admission. I shall also be
punished as per law for providing false information or producing fake documents. I
authorize Axis Bank or its affiliates or any third-party vendors to call,email,SMS and or
Whatsapp me in relation to the applied program.

I authorize Axis Bank or its affiliates or any third-party vendors to record, store and listen
to my calls for training, quality and call monitoring purpose. I authorize Axis Bank or its
affiliates or any third-party vendors to use my PAN Card Number and my Co-Applicant's
PAN Card Number to check CIBIL score. I also understand that I am not eligible for this
program if:

My age is greater than 35 years at the time of Application

If my marks in Graduation is less than 50%
If any of my sibling/ blood relative is working in Axis Bank or is a part of any ABYBP
If my Graduation Results are awaited and Marks Sheet / Provisional Marks Sheet with
50% or above is not available before joining campus
If my Graduation is from a non-approved UGC.

The allocation of branches / offices of the Bank will be as per the business requirements of
the Bank and vacancies available at the time of posting across India.
I Agree
MR DILKHUSH YOGI