ALLAHABAD BANK Affix your recent

BIO DATA CUM DECLARATION FORM passport size

colour photograph
& sign(similar)
(Please fill up this Bio Data Form and make 4 copies of it. Bring all the 5 copies at the time of across so that a
interview) part of the
signature spreads
1. (a) Post Applied for: (b) Roll No : ……………………………… over the
application form
2. (a) Date of Interview: ……………………… (b) Interview Centre: ……………………….. and photograph
3. Full Name (in Block Letters leaving one box blank between the parts of your name):
Shri/ Smt/ Kum :

4. Father’s/Husband’s Name:

5. Father’s Occupation (Service/Business): If service, give details : Post :

Designation of Father:
MARRIE SINGLE
6. Sex: M F 7. Marital status Full address of the Office with
D
PIN Code/Tel No.
……………………………………………………
8. (a) Date of Birth : ………………………………………………………
(Date) (Month) (Year) ………………………………………………………

(b) Age as on 01.07.2010 : _____ Years ______ Months ______ Days.

(i) Relaxation of Age ( if claimed) : _________ No of Years ; Under Category

_____________________________
( SC/ST/OBC/PC/EXSM/Domiciled in Kashmir Division/officers of RRB/Children of those died in1984 riots )
(Please attach attested Photostat copy of relevant certificate)
9 .Category [PLEASE MENTION YES/ NO ] :

SC ST OBC Genera Whether MC (Sikh/Muslim/Christian/Neo-Buddhist/

Caste Cream Non-Creamy l Zoroastrian etc.)
y Layer Layer (please write community & attach copy of certificate)

) If SC/ ST/ OBC, please mention name of sub caste : _____________________________________________

(Please attach attested Photostat copy of Caste Certificate on prescribed proforma as applicable, issued by Competent
Authority)

(b) If OBC, Date of issuance of relevant certificate : …………………….

(OBC Certificate on prescribed proforma issued by appropriate authority as per Govt. directives should not
be more than one year old as on the date of application i.e. issued on or after 01.04.2010.)
(c) If physically challenged (PC), [ PLEASE MENTION YES/NO ] :

Orthopaedically Challenged Hearing Impaired (HI) Visually Impaired (VI)

(OC) Deaf/Dumb Hearing Blindness Low vision
impairment

Percentage of Disability : _____ ( for OC candidates ), (ii) Hearing Impairment : …………. decibels ( for HI candidates )
(iii) Visual acuity : -------- --Snellen and Limitation of the Field of vision subtending an angle of : ………… Degree
( for VI candidates)
(Please enclose attested copy of medical certificate on prescribed proforma issued by competent authority/Medical Board
as per Govt. of India)

(d) If EX-Serviceman : (i) Date of Discharge : (ii) No objection certificate :

(attach copy of (iii) Whether Fit for Civil Employment [ PLEASE MENTION YES/NO ] :
discharge certificate)(iv) Whether re-employed after discharge [ PLEASE MENTION YES/NO ] :
10. Educational Qualifications: (As on 01.07.2010)
Date, Whether
Examination/ Name of Month & % of recognise
Exam/ Subjects Studied Marks Name of Board/ University d by
Degree Year of
Degree passed
Passing obtained (Whether Govt./Autonomous) Govt.
( Yes/No
)
12th
 Graduation
(3 years or 5
years integrated
course)

Post
Graduation
Any Other
Qualification
s

Signature of the candidate

……………………………………………….
(2)
11. Computer Knowledge:
Name of the Subject/Area Duration Date of Name & address Whether
Course covered/Exposed From To completio of the recognised
n Institution (Yes/No)

12. Particulars of post qualification Experience including present occupation/job (as on 01.07.2010);
Enrolment/Registration in Bar Council : No. : ……………………………………. Date
:……………….
(Please attach copies of relevant certificates and No Objection Certificate from present Employer)
Name & address of Designati Period of Length of Monthl Nature of duties Remarks
the Organisation on Service Service y Performed in detail (reasons
/Post held From To Year Mont Salary for
s hs leaving)
1.

2.

3.

4.

13.Languages Known :
[ PLEASE MENTION YES/NO ] Language Read Write Speak
1.
2.
3.
14. Particulars of relative, if any, serving with Allahabad Bank :

Sl. No Name Designation Place of posting relationship

1.

15. Extra curricular Activities (Games/Membership/Association etc.) :

16. Hobbies:
17. Achievements, if any :
18. Permanent Address: ………………………………………………………………………………………………………………………

(Please mention H No, Lane/street/Road/Town, Village, Post, Via, Thana, District, State, PIN Code etc)
19. Address for Correspondence: ………………………………………………………………………………………………………….
(Please mention H No, Lane/street/Road/Town, Village, Post, Via, Thana, District, State, PIN Code etc)
20. Name of the State/UT to which you belong: District …………………………… State/UT…………………………………………..
21. Mobile No. …………………….………. Tel. No…………………………….. E-mail ID: …………………………………………….
22. Nationality : ……………………. 23. Religion : ………………………..
24. Have you already been called for Interview/ selected in any other Bank/Organization, give details:
……………………………………………………………………………………………………………………………………………….
25. Have you ever been arrested, or kept under detention or bound down/fined/convicted by a court of Law for any offence or
a case against you is pending in respect of any criminal offence/charge/is under investigation, inquiry or trial. Whether a
case against you is pending in respect of any criminal offence/charge/ is under investigation, inquiry or trial or otherwise.

[ PLEASE MENTION YES/NO  If “Yes” full particulars of the case should be given:

Case/Suit No. …………………….. Thana/Court…………………. Section/Act………………………………

Summary of case:………………………………………………………………………………………………………………………..
Declaration
I hereby declare that all the statements made above are true, complete and correct to the best of my knowledge and belief. I understand and
 agree that misrepresentation, falsification or omission of material facts if found at any stage or not satisfying the eligibility criteria (as on
01.07.10) according to the requirements of the advertisement for the post, my candidature/ appointment is liable to be cancelled/
terminated.
I am wiling to serve anywhere in India. I agree that the Bank has the right to transfer me to anywhere in India at its discretion. I am
agreeable to
furnish a financial Bond of Rs.1,00,000.00/Rs.50,000.00 with surety acceptable to the Bank for rendering service for a
minimum period of three years
as per terms of advertisement.
I undertake to abide by all the terms & conditions mentioned in the advertisement/Service Regulation of the Bank for the said post.

Date: _______________________________________
Place: (Signature of the Candidate as in written
test call letter)
Roll No. : Name:
N.B.: Please bring all the Original certificates/testimonials/experience certificates/mark sheets of all the examinations/semesters
passed along with attested photostat copies thereof. Wherever required separate sheet regarding post
qualification experience/previous employments etc. may be attached.