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Registration # : 2220544280

Full Name : ANUMOL K A

Post : Technical Officer (Scale I)

Specialization : Civil

Category : SC

If Person with Disability : NO

Type of Disability : -

Percentage of Disability : -

Do you intend to u se the services of a scribe (onl y for VI & OC

candidates whose writing speed is affected by cerebral palsy)? :NA

Whether Children/Family Members of those who died in 1984 Riots? : NO

Whether domiciled in Kashmir Di vision of the State of Jammu & Kashmir

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 Employee of any participating Bank ? : NO

Name of the Participating Bank :

Employee Number :

Are you an Ex-Serviceman? : NO

Have you appli ed for the CWE for Specialist Officers held in March 2012 ?

Note: If Yes, Please enter your Registration NumberNO

Registration Number:

Nationality / Citizenship : Indian

Centre of Examination : Kochi

Application Fee Details :

Payment In : ONLINE

Amount : 50.00

Reference ID : MIOB2904342342

Transaction Date : 26-01-2013

Personal Details :

Date of Birth : 30-04-1989

Age completed as on 01.01.2013 : 23

Gender : FEMALE

Husband's Name / Father's Name : AYYAPPANKUTTY K K

Mother's Name : SOBHANA AYYAPPANKUTTY

Address for Correspondence : KOCHUVEETTIL HOUSE

VALARA POST

14TH MILE

District IRUMPUPALAM

State : KERALA

Pin code : 685561

Permanent Address : KOCHUVEETTIL HOUSE

VALARA POST

14TH MILE

District IRUMPUPALAM

State : KERALA

Pin code : 685561

Contact Details :

Phone No : -

Mobile No : 9048050281

Email ID : anumolka1989@gmail.com

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Educational Qualification (as on 01.01.2013) :

Exam Passed Degree Subject /Stream Date of Passing % of Marks Class / Grade

Graduation : B.Tech Civil 30-05-2011 65.93 First Class

Do you have certificate/degree/Diploma in computer operations/Language/ OR have studied

Computer / Information Technology as one of the subjects in the High School/College/Institute ? :YES

Details of Computer Knowledge :Studied Computer/IT as a Subject in High

School/College/Institute

I.T. as a Subject

Do you have 3 years in the area of Credit Appraisal of industrial projects in Financial

Institutions/Banks ? :NO

Other Details :

Languages Known Read Write Speak

Malayalam YES YES YES

English YES YES YES

Hindi YES YES YES

DECLARATION:

I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue or incorrect at any

stage or my not s atisfying any of the eligibility criteria stipulated, my candidature is liable to be c ancelled.

Place:

Date: 26-01-2013 Signature of Applica

Please retain your Registration No. and Password emailed to you carefully for further reference

NOTE: Please DO NOT SEND application printout to IBPS

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