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Common Written Examination of Office Assistants (Multipurpose) in Regional Rural Banks (RRBs- CWE-II)

This online application is provisional subject to payment of application fees/ intimation charges

31031
Registration # : 1230647233

Full Name :

Rahul Puri Goswami

Category : If Person with Disability : Type of Disability : Percentage of disability :

GENERAL YES OC more than 40%

Do you intend to use the services of a scribe (only for VI and OC whose writing speed is affected by cerebral palsy) ? : NO Whether are you a Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : Whether you belong to Religious Minority Community ? : Religious Minority Community to which you belong : Are you an Ex-Serviceman? : Are you a Disabled Ex-Serviceman (DISXS)? : Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman ? : Are you Dependents of Servicemen killed in action (DXS) ? : Are you a matriculate Ex-Serviceman who has obtained the Army Special Certificate of Education or corresponding certificate in the Navy or Air Force after having completed not less than 15 years of service in the Armed Forces of the Union ? : Percentage of Marks : Are you seeking Relaxation under Widows, Divorced women & women judicially separated from their husbands & who are not remarried ? : Have you applied for the CWE for RRB held in September 2012 ? : Post Name : Registration Number : Nationality / Citizenship : Do you have any work experience ? : If Yes, Mention the number of years of work Experience: State/ UT which the Centre of Examination Belongs : Centre of Examination : Personal Details : Date of Birth : Age completed as on 01.07.2013 : Gender : Husband's Name / Father's Name : Mother's Name : Address for correspondence : 20-05-1986 27 MALE D.P.Goswami Pritilata Goswami I-66 Irrigation Colony Shantinagar Raipur District : State : Raipur CHHATTISGARH Chattisgarh Raipur Indian NO NO NO NO NA NO NO NO NO NO

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Pin code : Permanent Address : 492001 I-66 Irrigation Colony Shantinagar Raipur District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Educational and Professional Qualification Details(as on 01.07.2013) : Exam Passed Graduation : Subject /Stream Electronics and Telecommunication Date of Passing 01-06-2008 % of Marks 65.07 Hindi YES MS Office Class / Grade First Class 7771878284 discover_rahul@rediffmail.com Raipur CHHATTISGARH 492001

Please mention local language (s), you have passed as one of the subjects in Matriculation/ Xth Standard examination: Do you have computer knowledge ? : Details of Computer Knowledge : Other Details : Whether desirous of taking Pre-Exam Training (Only for SC/ST/ Minority Community/Exsm/DISXS/DXS/PWD) : If Yes, Centre for Training : Languages Known Hindi English Application Fee / Intimation charges : Payment In : Amount : OFFLINE 100.00 Read YES YES Write YES YES Speak YES YES

NO --

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 i am not satisfying any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place:

Date : 22-07-2013

Signature of Applicant

Please retain your Provisional Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS