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12/8/2014

RecruitmentinClericalCadreinAssociateBanksofStateBankofIndiaApplicationFormPrint

RECRUITMENTOFCLERICALCADREINASSOCIATEBANKSOFSTATEBANK
OFINDIA
RegistrationNumber

: 1381283043

FullName

: ALAMELUMANGAIT

BankAppliedfor

: StateBankof
Travancore[SBT]

State/UTAppliedfor:

: Tamilnadu

CentreofExamination

: Chennai

Category

: OBC

IfPersonwithDisability

: NO

TypeofDisability

Areyousufferingfromcerebralpalsyandyourwriting
speedisaffected?

PercentageofDisability

Doyouintendtousetheservicesofascribe(onlyforVI
andOHcandidateswhosewritingspeedisaffectedby
cerebralpalsy)?

Religiontowhichyoubelong

: Hindu

WhetherdomiciledinKashmirDivisionoftheStateof
J&Kduringtheperiod111980to31121989?

: NO

Areyouseekingrelaxationunderwidow/divorced
: NO
women/womenjudiciallySeparatedfromtheirhusbands
andwhoarenotremarried?
WhetheryoubelongtoReligiousMinorityCommunity?

: NO

AreyouanExServiceman

: NO

AreyouaDisabledExServiceman(DISXS)?

ActualPeriodofservicerenderedindefenceservicesas
anExserviceman(experiencewillbefurnishedin
months)

HaveyoujoinedaGovernmentjobonthecivilsideafter
availingofthebenefitsgivenasanexserviceman?

AreyouaDependentofServicemankilledinAction
(DXS)?

: NO

AreyouamatriculateExServicemencandidate,whohas :
obtainedtheIndianArmySpecialCertificateofEducation
orcorrespondingCertificateintheNavyortheAirForce
afterhavingcompletednotlessthan15yearsofservice
inArmedForcesoftheUnion?
CertificationDate

http://ibps.sifyitest.com/sbiclknov14/registration_print.php?q=MWYyOGQwYzJmYWY0YzYzODZmOTE0YTUzZDY0YzliYjh8MTM4MTI4MzA0Mw==

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12/8/2014

RecruitmentinClericalCadreinAssociateBanksofStateBankofIndiaApplicationFormPrint

Nationality

: Indian

WhetherdesirousoftakingPreExamTraining
(SC/ST/EXS/DISXS/DXS/ReligiousMinorityCommunity)

IfYes,CentreforTraining

ApplicationFee/PostalChargesDetails:
PaymentMode

: ONLINE

Amount

: 600.00

PaymentStatus

: PAID

ReferenceID

: BSMP3584292070

TransactionDate

: 08122014

PersonalDetails
DateofBirth

: 27091986

Agecompletedason01.12.2014

: 28

Gender

: FEMALE

MaritalStatus

: Married

Husband's/Father'sFirstName

: THIAGARAJAN

Husband's/Father'sMiddleName

Husband's/Father'slastName

: S

Mother'sFirstName

: SHANTHI

Mother'sMiddleName

Mother'sLastName

AddressforCorrespondence

: 29VENUFLOTSF1
: PONNIAMMANKOIL
SECONDSTREET
: SHOLINGANALLUR

District

: KANCHIPURAM

State

: TAMILNADU

Pincode

: 600119

PermanentAddress

: 140PERIYARNAGAR
: RAJAGOPALAPURAM
: PUDUKKOTTAI

District

: PUDUKKOTTAI

State

: TAMILNADU

Pincode

: 622003

ContactDetails
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RecruitmentinClericalCadreinAssociateBanksofStateBankofIndiaApplicationFormPrint

PhoneNo

MobileNo

: +919095632408

EmailID

: eceammu@gmail.com

EducationalQualificationDetails(ason01.12.2014)

ExamPassed

Subject/Stream

DateofPassing
%ofMarks
(Datementionedin
marksheetorcertificate
whicheverisearlier)

Matric/SSC

MATHSSCIENCE
SOCIALSCIENCE

20032002

96.00

10+2/HSC

Science

20032004

92.33

Graduation/equivalent

Engineering

20042008

83.00

PostGraduation

Engineering

20042011

83.80

Place:

Date:08122014

SignatureofApplicant

http://ibps.sifyitest.com/sbiclknov14/registration_print.php?q=MWYyOGQwYzJmYWY0YzYzODZmOTE0YTUzZDY0YzliYjh8MTM4MTI4MzA0Mw==

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