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ON-LINE APPLICATION FOR ALLAHABAD BANK PROBATIONARY OFFICERS RECRUITMENT PROJECT

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Please paste your recent passport size photograph and sign across it. Please retain atleast 5 copies of same photograph with you for subsequent use.

Registration # : Full Name : Category : If Person with Disability : Type of Disability : Do you intend to use the services of a scribe( only for VI and OC candidates whose writing speed is affected by cerebral palsy)? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community ? Religion to which you belong :

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Shashank Shekhar OBC NO --NO NO -Percentage of Disability : --

Are you an Employees who have completed 5 years of service in RRBs ? NO The Children/Family Members of those who died in 1984 Riots?: Are you an Ex-Serviceman (Including ECOs/SSCOs)? Nationality : Centre of Examination : Centre code : Application Fee / Postal Charges Details : Journal No. : Branch Name : Branch Code No: Deposit Date : Amount : 2675524 BTM LAYOUT 0212029 01-03-2011 400 NO NO Indian Bengaluru 12

Personal Details :
Date of Birth : Gender : Father's Name/ Husband's Name : Mother's Name : Email ID : Address for Correspondence : November 1987,08 MALE Arun Kumar Anju Kumari shashank18415@gmail.com #37(ground Floor) 18th Cross 7th Main BTM 2nd Stage District State : Pin : Bangalore KARNATAKA 560076 Age as on on 01.01.2011. : 23

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Permanent Address : #37(ground Floor) 18th Cross 7th Main BTM 2nd Stage District State : Pin : Bangalore KARNATAKA 560076

Contact Details:
Phone No : Mobile No: Qualification Details (as on 31.12.2010): 9008539305

Exams Passed
Graduation : Working Knowledge of Computers : Details of Computer Knowledge : Other Details :

Subject/Stream
Mechanical Engg YES

Date of Passing
23-08-2010

% of Marks
60.02

MS office, Internet,

Would You like to undergo Pre-Exam Training (SC/ST/Minority Community) : If Yes Centre for Training :

---

Languages Known Read


Hindi English YES YES

Write
YES YES

Speak
YES YES

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/ service 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 advised criteria in respect of age, caste, 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 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 Kolkata and courts/ Tribunal/ forums at Kolkata only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake to abide by all the terms and conditions in the advertisement given by the Bank.

Place: Date: 01-03-2011 Signature of Applicant

Shashank Shekhar

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application print-out to the Bank

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