BANK OF INDIA - RECRUITMENT OF GENERAL BANKING OFFICERS ONLINE APPLICATION FORM FOR THE POST OF GENERAL BANKING OFFICERS 17029 Registration # : 110582 Registration Date and Time: 12-08-2010 14:29:23 Full Name : KRISHAN KUMAR Category : SC Person With Disability : NO Type of Disability : - Do you intend to use the services of a scribe : - Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 : Are you an Ex-Serviceman : NO Whether you belong to Religious Minority Community : NO Nationality : INDIAN Place of Birth : RAMPURA State : HARYANA Centre of Examination : Jaipur Please paste your recent passport size photograph and sign across it.Please retain atleast 5 copies with you for subsequent use. Percentage of Disability : - NO Minority Religion : District : MOHIMDERGARH Centre code : 31 Application Fees Details: Transaction No. : Branch Name : Branch Code No. : Deposit Date : Amount : Personal Details : Marital Status : Single Remarried: NO Date of Birth : December 30,1985 Age as on 31.07.2010: 24 Gender : MALE Father’s Name / Husband’s Name : RAMA NAND Contact Details: Email ID : kkdayama6@gmail.com Address for Correspondence : VILL-RAMPURA, P.O-HUDINA page 1 / 3 TEH-NARNAUL District : MOHINDERGARH State : HARYANA Permanent Address : VILL-RAMPURA, P.O-HUDINA Pin : 123001 TEH-NARNAUL District : MOHINDERGARH State : HARYANA Pin : 123001 Phone : - Mobile : 9034560716 Educational and Professional Qualification (as on 31.07.2010) : Exams Passed Institute Name Subject/Stream Year of Passing % of Marks Class / Grade Tenth : BSEH BHIWANI ART Nov-2002 53.33 Second HSC / Equivalent : BSEH BHIWANI ART Sep-2004 59.80 Second Graduation : MDU ROHTAK ART Jun-2007 58.66 Second Working Knowledge of Computers : YES Post Qualification work experience details as on 31.07.2010 (Start from present Employer) : Name of the Employer & Nature of Employment ----- Designation and Rank if any Total Period of Service From Total Experience (in months) To Nature of duties performed Reason for Leaving Years of Service (YY/MM) 0 Languages Known Read Write Speak HINDI Yes Yes Yes ENGLISH Yes Yes No Whether desirous of taking Pre-Exam Training : YES Centre for Training : Noida 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 Mumbai 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. page 2 / 3 Place : Signature of Applicant Date : 12-08-2010 KRISHAN KUMAR NOTE: This printout alongwith the Candidate’s copy of the challan duly stamped by the Bank Branch and required copies documents should be kept secure and ready for submission at the time of interview at venue. Please DO NOT SEND application print-out to the Bank. Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference. page 3 / 3