CUB -NIT,Warangal- JOB APPLICATION FORM 2024

Online mode

Registration - Personal Information

Full name * SAROJ SAROJ

First Last

Register Number *
22MEM6R08
College register number to be filled

Father's Name * BHANWAR LAL

First Last

Father's Occupation *
TEACHER

Mother's Name * SANTOSH DEVI

First Last

Mother's Occupation *
HOMEMAKER

Date of birth * 10-Jun-1997

dd-MMM-yyyy

Email * pooniasaroj97@gmail.com

Mobile * 9626255507

Alternate Mobile * 9982662785

Aadhar No.
209607307200

Having Driving Licence * Yes No

Other Personal Information

CUB -NIT,Warangal- JOB APPLICATION FORM 2024
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Photo *

IMAGE1.jpg

Place of Birth *
SIKAR

Nationality *
INDIAN

Home State * Rajasthan

Home Town *
SIKAR

Place where your family resides

Mother Tongue * Hindi

Gender * Male Female

Permanant Address *
VILL POORANPURA

Street Address

DIST SIKAR
Address Line 2

SIKAR
City

State * Rajasthan
Where you are residing

Postal / Zip Code * 332030

CUB -NIT,Warangal- JOB APPLICATION FORM 2024
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Whether Communication Address Yes No

same as permanant address *

Are you person of Divyang Yes No

(Physically Challenged) *

Marital Status * Married Single

Educational Details

Your qualification

Highest Education * Post Graduate

10th marks in % * 91
Enter marks in percentage only. incase of GPA/CGPA please convert to equivalent %

10th Course type * Regular Part Time Other

Year of 10th Completion * 2011

12th/PUC marks in % * 89

Enter marks in percentage only. incase of GPA/CGPA please convert to equivalent %

12th/PUC Course type * Regular Part Time Other

Year of 12th/PUC Completion * 2013

Under Graduate Degree *

BTECH

UG - College / University /
Institution Name * VIT UNIVERSITY
CUB -NIT,Warangal- JOB APPLICATION FORM 2024
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UG Course type * Regular Part Time Correspondence / Distance Education

Specialization *
MECHANICAL

UG marks in % * 90
Enter marks in percentage only. incase of GPA/CGPA please convert to equivalent %

Year of Completion of UG * 2020

Post Graduate Degree *

MTECH

PG - College / University /
Institution Name * NIT WARANGAL

Specialization *
MECHANICAL

Year of Completion of PG * 2024

PG marks in % * 70

Enter marks in percentage only. incase of GPA/CGPA please convert to equivalent %

Do you have any diploma Yes No

cetification *

Languages Known

Languages
Language 1 Language 2 Language 3 Language 4 Language 5

Speak Hindi English -Select- -Select- -Select-

Read Hindi English -Select- -Select- -Select-

Write Hindi English -Select- -Select- -Select-

CUB -NIT,Warangal- JOB APPLICATION FORM 2024
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Having Past Experience * Yes No

Upload your Resume *

Saroj_22MEM6R08_NITW.pdf

Willing to work anywhere in India * Yes No

Reference #1

Reference should not be the applicant's Father, Mother or family relatives. Reference may be any individual known to the applicant who is in a
respectable position.

Name * DR. VENKATESH G

First Last

Relationship * Academic adviser

Email * venkatesh@nitw.ac.in

Mobile * 7093901757

Reference #2

Name * BHUKYA SHOBHAN

First Last

Relationship * Colleague

Email * bshobhan@student.nitw.ac.in

Mobile * 9177309902

Other Details
CUB -NIT,Warangal- JOB APPLICATION FORM 2024
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Any of your relatives working in Yes No

CUB *

Has any of your family members' Yes No

applied for this recruitment *

Declaration *
I hereby certify that the information furnished above is correct to the best of my knowledge and belief. I have not suppressed any material
fact or factual information in the above statements. I am aware, that, in case, I have given wrong information or suppressed any material
facts or factual information, or I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected/
services terminated even after appointment without giving any notice or reason thereof.
I hereby certify that I am satisfying the eligibility criteria for the position applied in terms of JD criteria in respect of age, educational
qualification and experience, etc. I agree that the Bank has a right to post me to any part of the country.
I undertake to abide by all the terms and condition given by the Bank.

I hereby declare that all the above particulars are True.

Letter of Authorization *
I hereby authorize City Union Bank and its authorized representatives to verify information provided in my resume and application of
employment, and to conduct enquiries as may be necessary, at the company’s discretion.
I authorize all persons who may have information relevant to this enquiry to disclose it to City Union Bank or its representative.
I hereby authorize concerned authorities to dispatch my confidential report to City Union Bank or its authorized representative.

I accept the Terms and Conditions mentioned above.

Had you worked in CUB earlier * Yes No

Signature *

SIGNA.jpg
CUB -NIT,Warangal- JOB APPLICATION FORM 2024
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Address
VILL POORANPURA

Street Address

DIST SIKAR
Address Line 2

SIKAR RAJASTHAN
City State/Region/Province

332030 India

Postal / Zip Code Country