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ON-LINE APPLICATION FOR ALLAHABAD BANK CLERICAL (SWO "A") RECRUITMENT PROJECT - 2011-12

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Please paste your recentpassport size photograph

and sign across it. Please

retain atleast 5 copies of

same photograph with you

for subsequent use.

Registration # : 3371594

Full Name : Arvind Kumar

Category : GENERAL

If Physically Challenged / Person with Disability : NO

Type of Disability : --

Percentage of Disability : --

Do you intend to use the services of a scr ibe( 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?NO

Whether you belong to Religious Minority Community ? NO

Religion to which you belong : --

Are you an Ex-Serviceman (EXSM)? NO

Are you a disabled Ex-Serviceman (DisXS) NO

Date of Discharge --

Period of Service ( in months) --

Are you a dependent of Serviceman Killed in Action (DXS)? NO

The Children/Family Members of those

who died in 1984 Riots?:NO

Are you seeking relaxation under widow /divorced women /

women judicially Separated from their husbands

and who are not re-married:

NO

Nationality : INDIA

State / Union Territory for which you are applying : Haryana

State / UT code : 09

Centre of Examination : Chandigarh

Centre code : 38

Application Fee / Postal Charges Details :

Journal No. Cash Deposit : 2901833

Branch Name of Allahabad Bank : chandigarh

Branch Code No: 0211989

Date of Cash Deposit : 15-03-2011

Amount in Rupees : 300

Personal Details :

Date of Birth : 05-11-1987

Age as on 01.01.2011. : 23

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Exams Passed Subject/Stream Date of Passing % of Marks

HSC/12th/Equivalent : commerce 05-06-2002 66.00

Graduation/Equivalent : B sc IT 03-07-2008 68.00

Languages Known Read Write Speak

English YES YES YES

Hindi YES YES YES

English YES YES YES

Gender : MALE

Father's Name/ Husband's Name : shri Balwan Singh Malik

Mother's Name : Shrimati Santosh Malik

Email ID : endlessmalik@gmail.com

Address for Correspondence : A 67 Bel Coloney Sector 14

Panchkula Haryana

District Panchkula

State : HARYANA

Pin : 134113

Permanent Address : A 67 Bel Coloney Sector 14

Panchkula Haryana

District Panchkula

State : HARYANA

Pin : 134113

Contact Details:

Phone No : -

Mobile No: 9888865463

Qualification Details (as on 01.01.2011) :

Knowledge of Computers : YES

Details of Computer Knowledge : word, excel, window

Would You like to undergo Pre-Exam Training (SC/ST/Minority

Community/ Ex-Servicemen):--

If Yes Centre for Training : --

Other Details :

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 cr iteria 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 cr iteria 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: 15-03-2011 Signature of Applicant

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Arvind Kumar

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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