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Personal Details :
Date of Birth : 15/07/1987 Age completed as on 22
01.06.2010 :
Gender : Male
Husband's Name / MALLESWARA RAO Mother's Name : MARIYAMMA
Father's Name :
Email ID : gowthamgidla@gmail.com
Address for GIDLA GOWTHAM S/O
Correspondence : MLLESWARA RAO
JAI BHEEM NAGAR
MUKTESWARAM POST
INVALLI MANDAL
District : EAST GODAVARI
State : Andhra Pradesh Pin : 533211
Permanent Address : GIDLA GOWTHAM S/O
MLLESWARA RAO
JAI BHEEM NAGAR
MUKTESWARAM POST
INVALLI MANDAL
District EAST GODAVARI
State : Andhra Pradesh Pin : 533211
Contact Details:
Phone No : - Mobile No : 9959755842
Professional Qualifcation
Others
DECLARATION:
I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have
not suppressed any material fact or factual information in the above statement. I am aware that in case I
have given wrong information or suppressed any material fact 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 permanent employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of the advised criteria
in respect of age, educational qualification and experience etc.
I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of
the country and/or to any job position at its sole discretion in terms of applicable staff rules from time to time.
I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of
application or out of said advertisement can be instituted by me only at Pune only, shall have sole and
exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms and conditions in the
advertisement given by the Bank.
Place:
Date: 27/09/2010
Signature of Applicant:
Name :GIDLA GOWTHAM
Note: Candidate must retain the copy of printout of application form for future reference.
Please do not send printout of application form to the bank.
Please retain your Registration No. and Password carefully for future reference.