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ON-LINE APPLICATION FOR COMMON WRITTEN EXAMINATION(CWE) FOR RECRUITMENT OF POS/MTS IN 19 PSBS- CWE PO/MT-II

Last Modified On: 14-03-2012 No Of Times Modified: 3

1403

Registration # : 5000113301

Full Name : Aniruddha Das

Category : GENERAL

If Person with Disability : NO

Type of Disability : -

Percentage of Disability : -

Do you intend to use the services of a scribe (only 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 Division of the State of J & K during the period 1-1-1980 to 31-12-1989? : NO

Are you an Employee who has completed 5 years of service in RRBs : NO

Are you a Clerical employee of a Participating Public Sector Bank ? : NO

If yes, please specify the Name of the Public Sector Bank : -

Are you an Ex-Serviceman ? : NO

Whether you belong to Minority Community ? : NO

Religion to which you belong : -

Have you appeared for CWE PO/MT exam held on 18/09/2011 and 13/11/2011 ? : NO

Nationality / Citizenship : Indian

State/ UT which the Centre of Examination Belongs : West Bengal

State Code : 35Centre of Examination : Kolkata

Centre Code : 118

Application Fee / Intimation Charges details:

Payment Mode: ONLINE

Amount : 450.00

Reference ID :

Transaction Date :

Personal Details :

Date of Birth : 14-10-1987

Age completed as on 01.01.2012 : 24

Gender : MALEHusband's Name/Father's Name : Ashit Kumar Das

Mother's Name : Falguni Das

Address for Correspondence : 11/2A Kalicharan Ghosh Road

District Kolkata

State : WEST BENGAL

Pin : 700050

Permanent Address : 11/2A Kalicharan Ghosh Road

District Kolkata

State : WEST BENGAL

Pin : 700050

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Contact Details :

Email ID : access.aniruddha@gmail.com

Phone No : 033-25584131

Mobile No : 9831413520

Qualification Details (as on 01.01.2012):

Exam Passed Subject /Stream Date of Passing % of Marks

Graduation/Equivalent : B Tech in CSE 27-07-2010 85.90

Post Graduation/Equivalent : PGDM Fifth Trimester 01-01-2012 74.25

Other Details :Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : --

If Yes, Centre for Training : --

DECLARATION:

I hereby dec lare 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 incorrec t at any stage or my not satisfying any of the eligibility cr iteria stipulated, my candidature is liable to be cancelled.

Place:

Date: 14-03-2012 Signature of Applican

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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