THE KARUR VYSYA BANK LIMITED

No. HUMAN RESOURCES DEPARTMENT CENTRAL OFFICE, KARUR

IBPS Roll

PARTICULARS OF APPLICANT
NAME : ___________________________________________ ADDRESS (PERMANENT) : DATE OF BIRTH: PLACE OF DOMICILE: 3) MONTHLY INCOME: Rs. CORRESPONDENCE ADDRESS: TECHNICAL: 2) OCCUPATION: SEX: AGE: FATHER / HUSBAND: 1) NAME:

EMAIL: ___________________ MOBILE: ___________________ EDUCATIONAL QUALIFICATION: U.G Qualification Name of the Institution: Major Duration: Medium of Education whether belong to FC/BC/SC/ST- Specify Class & Percentage RELIGION: Year of Passing Whether Physically Challenged: Institution / College Name Mention nature of Challenge: Regular / Correspondence MARITAL STATUS: MARRIED UNMARRIED If married, Son/s: Daughter/s: For Female Candidate Only: Are You in Family Way? (if married) Yes No o LANGUAGES KNOWN LANGUAGE Speak D Whether You have attended any Interview (in KVB) earlier: Yes No If yes: Post attended for: Year: Month: HOBBIES:Read Write PREVIOUS EMPLOYMENT FROM: __________ TO: _____________ MOTHER TONGUE: SALARY DRAWN (P.M.): Rs. RELATIVE EMPLOYED IN KVB, if any NAME & RELATIONSHIP: PRESENT EMPLOYMENT IF ANY: CASTE*: P.G. COMPUTER QUALIFICATION

BRANCH / OFFICE WHERE WORKING: NAME AND ADDRESS OF TWO RESPECTABLE PERSONS , NOT RELATED TO THE FROM: APPLICANT TO WHOM A REFERENCE CAN BE MADE 1) 2) SALARY DRAWN (P.M.): Rs.

Contact No : PLEASE SPECIFY YOUR PREFERRED CHOICE OF PLACE OF POSTING (MENTION STATE NAME ONLY): 1) 2) 3) *For Statistical Purpose 4)

PASSPORT SIZE PHOTO

P.T.O. for Instructions.

Instructions to candidate: 1. To be filled in by the applicant in his/her own hand writing. 2. 3. 4. 5. Those who have passed P.G. Graduation Particulars should also be furnished in the Educational qualification column. All information furnished in this Application will be held in confidence. Should any of the particulars furnished by an applicant be found to be incorrect at a latter date, his/her candidature is liable to be rejected and/or his/her services are liable to be terminated. The decision of the management in all matters regarding eligibility of a candidate, conduct of test/s, Interview, Selection and allotment of candidates etc., would be final and binding on the candidates. No correspondence would be entertained by the Bank in this regard. Any attempt to canvass or influence the Banks management in this regard will be to the detriment of candidates own interest.

6.

FAMILY BACKGROUND
[To be filled in by the applicant] NAME I. Father II. Mother III. Brother/s AGE D.O.B EDUCATIONAL QUALIFICATION OCCUPATION MONTHLY INCOME

IV. Sister/s

V. If married Wife/Husband VI. Son/s VII. Daughter/s

DECLARATION
I hereby declare that the above particulars are true. For my Parent/Dependent income, I will produce income certificate from the employer/s of my parent and or from competent Revenue Authority at the time of joining
DATE: SIGNATURE ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------FOR OFFICE PURPOSE ONLY: VERIFICATION OFFICER : NAME AND CODE NO.___________________________________ VERIFICATION OFFICER SIGNATURE: __________________________