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Recruitment of Clerks

Recruitment of Clerks
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Basic Details (As printed on the Score Card for Common Written Exam) : Roll No : Registration No : Date on which the candidate took the Common Written Examination : Session of Written Examination : State/UT Applied for : Centre of Examination : Disabled Ex- Servicemen : Dependent of Ex-Servicemen : Date of Birth: Category : Full Name : Father's/Husband's Name: Details of Application Fee Paid : Payment In: Deposit Journal Number : Branch Code : Branch Name : City : Date of Remittance : (29.06.2012 - 13.07.2012) Amount(in Rupees) : Indian Bank 2289146 0527 HAZARAT GANJ LUCKNOW 11-07-2012 20.00 2110176584 2003912454 04-12-2011 EVENING UTTAR PRADESH LUCKNOW No No 01-03-1981 SC ANAND KUMAR HARI LAL

IBPS Scores obtained (in the Common Written Examination) : Reasoning : General Awareness (with Special Reference to Banking Industry): English : Total Weighted Standard Score(TWSS) : Date of Issuance of Score Card : IBPS Code Number printed on the score card : Qualification Details (as on 01.08.2011) : Exam Passed Std X or equivalent: Std HSC / 10+2 / equivalent : Subject /Stream SCIENCE SCIENCE % of Marks 62.50 57.60 Date of Passing 20-06-1997 20-06-1999 Class First Class Second Class

35 36 26 164

Numerical ability : Computer Knowledge :

34 33

01-03-2012 211462585


Std HSC / 10+2 / equivalent : Graduation/Equivalent:


57.60 53.33

20-06-1999 20-10-2004

Second Class Second Class No

Have you passed IAF Education Test for promotion to the rank of Corporal?: Percentage of Marks: Have you passed Indian Neavy Examination conducted by Boys Training Establishment, Visakhapatnam?: Percentage of Marks: Are you matriculate Ex-Servicemen candidate, who have obtained the Indian Army Special Certificate of Education or corresponding Certificate in the Navy or the Air Force after having completed not less than 15 years of service in Armed Forces of the Union? : Percentage of Marks: Do you have computer knowledge: Languages Known ENGLISH HINDI Declaration : Read Yes Yes Write Yes Yes Speak Yes Yes




I hereby declare that all the information furnished in this application and the information registered with IBPS, Chennai are true and correct to the best of my knowledge and belief. I am aware that in case I have given wrong information or suppressed material fact or factual information or I do not satisfy the eligibility criteria for IBPS Common Written Examination for Clerical Staff conducted 27.11.2011/ 04.12.2011/ 11.12.2011/ 18.12.2011 or I do not satisfy the eligibility criteria as per the Bank Advertisement dated , then my candidature will be rejected / services will be terminated even after permanent employment without given any notice or reasons thereof. I am willing to serve anywhere in India and abide by the service rules applicable to officers from time to time. I undertake to abide by all the terms & conditions of this advertisement. I agree that any legal proceedings in respect of any matter or claims arising out of this application or out of the said advertisement can be instituted by me only at Chennai only and the courts situated in Chennai only shall have sole and exclusive jurisdiction to try any cause / dispute. Place : Date : 11/07/2012