Yeejleer³e mìsì yeQkeÀ ceW HeefjJeer#eeOeerve DeefOekeÀejer SJeb

HeefjJeer#eeOeerve DeefOekeÀejer (ûeeceerCe J³eJemee³e) keÀer Yeleea

RECRUITMENT OF PROBATIONARY OFFICER AND
PROBATIONARY OFFICER (RURAL BUSINESS) IN STATE BANK OF INDIA

mecetn ®e®ee& SJeb mee#eelkeÀej keÀe efoveebkeÀ ë

DATE OF GROUP DISCUSSION AND INTERVIEW : _______________________________

kesÀvo´/ CENTRE : ____________________________________________________________________

Hewveue veb./ PANEL NO : _______________________________________________________________

jesue veb./ ROLL NO : _________________________________________________________________

veece/ NAME : _______________________________________________________________________

Jeie&/ CATEGORY : __________________________________________________________________

keÀe³ee&ue³e kesÀ GHe³eesie nsleg

FOR OFFICE USE ONLY

1) mee#eelkeÀej cesW meefcceefuele nesves keÀe efoveebkeÀ ë

Date of appearing in interview : _________________________________________________

2) ³eesi³elee / He´ceeCeHe$eesW keÀe mel³eeHeve keÀjves Jeeues DeefOekeÀejer keÀe veece ë Þeer./Þeerceleer/ kegÀ. ë
Eligibility/ Certificates verified by : Shri/Smt/ Kum. : ________________________________

3) keÀefce³eeb leLee He´eHle efJemebieefle³eeb ë

Deficiencies and Discrepancies found :___________________________________________

______________________________________________________________________________

______________________________________________________________________________

He´ceeCeHe$eesW keÀe mel³eeHeve keÀjves Jeeues DeefOekeÀejer keÀe Heoveece SJeb nmlee#ej
Signature & Designation of Documents Verifying Official

Heoveece nmlee#ej
Designation ______________ Signature ____________
 Yeejleer³e mìsì yeQkeÀ ³eneB HeemeHeesì& DeekeÀej keÀer Jen
STATE BANK OF INDIA HeÀesìes ef®eHekeÀe³eW efpeme keÀer Òeefle
DeeHeves Hejer#ee kesÀ mece³e keÀeue uewìj
kesÀvêer³e Yeleea SJeb HeoesVeefle efJeYeeie SJeb yee³ees[ìs e Hej ef®eHekeÀe³eer Leer
leLee Gme Hej efoveebkeÀ meefnle HetCe&
CENTRAL RECRUITMENT & PROMOTION DEPARTMENT nmlee#ej keÀjW
Paste a copy of passport
Òel³eeMeer keÀe DeelcekeÀL³e SJeb mel³eeHeve HeÀece& size photograph which
was pasted on call letter
CANDIDATE'S BIO-DATA-CUM-ATTESTATION FORM and Bio-data at the time of
examination and sign
(ke=ÀHe³ee meeJeOeeveerHetJe&keÀ Heæ{ves kesÀ HeM®eele HeÀece& DeHeveer nmleefueefHe ceW Yejs) across it in full with date

(Please fill in the form in your own handwriting after reading carefully)
mecetn ®e®ee& SJeb mee#eelkeÀej kesÀ efueS kesÀvê :
Centre for Group Discussion and Interview : _________________________________________
efoveebkeÀ / Date : ____________________
Deveg¬eÀceebkeÀ / Roll No. : _______________
Heo keÀe veece ë Yeejleer³e mìsì yeQkeÀ ceW HeefjJeer#eeOeerve DeefOekeÀejer SJeb HeefjJeer#eeOeerve DeefOekeÀejer (ûeeceerCe J³eJemee³e)
Name of Post : Probationary Officer and Probationary Officer (Rural Business) in State Bank of India
ÒeLece Hemeboeroe Heo keÀe veece / 1st Preference for the post of _____________________________________________________
met®evee ë ÒeLece Hemeboeroe Heo keÀe veece efueKevee DeefveJee³e& nw / Note : Indicating 1st preference is MANDATORY.
mee#eelkeÀej SJeb mecetn ®e®ee& nslet Yee<ee keÀe efJekeÀuHe ë efnvoer/Debie´speer
Choice of Language for Group Discussion and Interview : Hindi/ English
1. (keÀ) ef[ûeer ÒeceeCeHe$e kesÀ Devegmeej megmHeä De#ejeW ceW Hetje veece ë
(a) Name in full, in block letters as per degree certificate :
Þeer/Þeerceleer /kegÀ. Shri/Smt./Kum. : ______________________________________________________________
(Ke) JewJeeefnkeÀ efmLeefle ë efJeJeeefnle / DeefJeJeeefnle
(b) Marital Status : Married / Unmarried
2. (keÀ) pevce efleefLe
(a) Date of Birth
efoveebkeÀ /Date cenervee / Month Je<e& / Year
omleeJespe GoenjCeeLe& neF&mketÀue He´ceeCeHe$e, HeemeHeesì& Fl³eeoer kesÀ Devegmeej (ke=ÀHe³ee meueive keÀjW)
As per High School Certificate, Passport, Others (please enclose) :
(Ke) pevce keÀe mLeeve : efpeuee : jep³e :
(b) Place of Birth : District : State :
(ie) efpeuee leLee jep³e peneB kesÀ DeeHe efveJeemeer nQ.
(c) District and State to which you belong : ______________________________
3. (keÀ) jeä^er³elee :
(a) Nationality : ___________________________
(keÀ) Oece& :
(b) Religion : _____________________________
4. (keÀ) efHelee /Heefle keÀe veece SJeb J³eJemee³e /Heoveece :
(a) Father's /Husband's name and occupation/profession/designation : __________________________________
_______________________________________________________________________________________
(Ke) ceeB keÀe veece SJeb J³eJemee³e ë
(b) Mother's name and occupation : ______________________________________________________________
_______________________________________________________________________________________
5. (keÀ) je<ì^er³elee efHelee ceelee Heleer/Helveer
(a) Nationality : ___________Father : _______________Mother : _______________Husband/ Wife ___________
(Ke) Heefle/Helveer keÀe pevce mLeeve efpeuee jep³e
(a) Place of Birth of Husband/ Wife : __________ District :_________________ State : ___________________

6. (keÀ) ÞesCeer Jeie& (³eLeesef®ele Dee³ele ceW mener keÀe ef®evn ueieeSW) De.pee. De.pe.pee. meeceev³e Dev³e efHeí[s Jeie&
(a) Category (Tick the appropriate box)

SC ST GEN OBC
(Ke) Devegmetef®ele peeefle / Devegmetef®ele pevepeeefle / Dev³e efHeí[s Jeie& kesÀ GcceeroJeej
peeefle/pevepeeefle /mecegoe³e keÀe veece oW
(b) SC / ST / OBC candidates state the name of
CASTE / TRIBE / COMMUNITY
(ie) ³eefo DeeHe efJekeÀueebie nQ lees ke=ÀHe³ee ³eLeesef®ele Dee³ele ces mener keÀe ef®evn ueieeSB DeeefmLe efJekeÀ. ¢efä efJekeÀ.
pewmes DeeefmLe efJekeÀueebie ³ee ¢efä efJekeÀueebie
(c) If you are Physically Challanged, please tick appropriate box.
i.e. OH or VH OH VH
(Ie) ³eefo DeeHe MeejerefjkeÀ ©He mes efJekeÀueebie nQ lees ke=ÀHe³ee DeHeves efJekeÀueebielee keÀe efJeJejCe oW.
(d) If you are a Physically Challanged person, please give details of your handicap.

(1)
7. (keÀ) ³eefo DeeHe Òel³eeJeefle&le /ÒeJeemeer /efJemLeeefHele J³eeqkeÌle neW lees GmekeÀe efJeJejCe oW.
(a) If you are a repatriate / migrant / displaced person, give particulars : __________________________________
_________________________________________________________________________________________
(Ke) ³eefo DeeHe YetleHetJe& mewefvekeÀ nQ lees ke=ÀHe³ee keÀe³e&cegeqkeÌle /mesJeeefveJe=efÊe keÀer efleefLe keÀe GuuesKe keÀjW.
(b) If Ex-serviceman, please give date of discharge / retirement.
8. (keÀ) ceele= Yee<ee
(a) Mother Tongue :
(Ke) Deie´Wpeer kesÀ DeefleefjkeÌle Dev³e Yee<eeDeeW keÀe %eeve
(b) Knowledge of languages other than English
Yee<ee yeesue mekeÀles nQ Heæ{ mekeÀles nQ efueKe mekeÀles nQ GÊeerCe& Hejer#ee³eW, ³eefo keÀesF& neW lees
Language Speak Read Write Examination passed, if any
1.
2.

3.
9. Mew#eefCekeÀ ³eesi³eleeDeeW keÀe y³eesje Details of Educational Qualifications : kegÀue DebkeÀ SJeb ÒeeHleebkeÀ keÀeuece ceW meYeer efJe<e³eeW pewmes Sseq®íkeÀ, Heeme keÀesme&
³ee Deeveme& keÀesme& kesÀ DebkeÀ peesæ[keÀj oMee&³es) (The agreegate Marks of all subject whether optional, pass course or honours
course will shown in total marks & marks obtained coloum)
(mebye× He´ceeCeHe$eeW leLee DebkeÀ He$eeW keÀer He´efleefueefHe³eeb mebueive keÀerefpeS) (Please enclose copies of relevant certificates & Mark-Sheets).
efJeMJeefJeÐeeue³e/ Heeme nesves keÀe kegÀue DebkeÀ He´eHleebkeÀ Heæ{s ieS efJe<e³e
Mew#eefCekeÀ ³eesi³elee mebmLeeve /yees[& ceefnvee SJeb Je<e&
Educational Qualifications University/ Month & Year Marks Subject
Institute / Board of Passing Total Marks Obtained Studied
12 JeeR keÀ#ee ³ee ef[Hueescee keÀer DebkeÀ met®eer kesÀ Devegmeej
As per Mark Sheet of 12th Std. or Diploma
12 JeeR keÀ#ee ³ee ef[Hueescee keÀe He´ceeCeHe$e
Certificate of 12th Std. or Diploma
ie´spegSMeve DebkeÀ met®eer kesÀ Devegmeej (ke=ÀHe³ee GuuesKe keÀjW)
yeer.S./yeer.Sme.meer./yeer.ìwkeÀ/yeer.keÀe@ce/Dev³e
As per Graduation Mark Sheet (Please specify)
B.A./ B.Sc./ B.Tech. / B.Com. or Others
Henuee me$e
First Semester
ogmeje me$e ³ee Henuee Je<e&
Second Semester or First Year
leermeje me$e
Third Semester
®eewLee me$e ³ee otmeje Je<e&
Fourth Semester or Second Year
HeeB®eJee me$e
Fifth Semester
íþe me$e ³ee leermeje Je<e&
Sixth Semester or Third Year
meeleJee me$e
Seventh Semester
DeeþJee me$e ³ee ®eewLee Je<e&
Eight Semester or Fourth Year
mekeÀue DebkeÀ
Aggregate Marks
ie´spegSMeve ef[ie´er (ke=ÀHe³ee GuuesKe keÀjW)
Graduation Degree (Please specify)
B.A./B.Sc./B.Tech./ B.Com. Others
Heesmì ûespegSMeve /J³eeJemeeef³ekeÀ efMe#ee
ÒeceeCeHe$e (ke=ÀHe³ee GuuesKe keÀjW)
Post Graduation /Professional Qualifications
Certificate
Any other Additional Qualifications
(Please specify)
10. He´eHle HegjmkeÀejeW/HeokeÀeW/íe$eJe=efÊe³eeW keÀe efJeJejCe
Particulars of prizes/ medals/ scholarships obtained : ____________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
11. (keÀ) Kesue leLee Heeþîe¬eÀceslej ef¬eÀ³eekeÀueeHeeW keÀe efJeJejCe, efpemeceW DeeHeves Yeeie efue³ee nes, ÒeeHle ieewjJe leLee efJeefMeä ³eesi³elee
(a) Particulars of sports and other extra-curricular activities in which you have participated, Credits & Distinctions obtained :
(Ke) DeefYeªef®e³eeB SJeb Dev³e ªef®e³eeB
(b) Hobbies & other interests :
(2)
12. yewbefkebÀie ceW efJeMes<e Mew#eefCekeÀ ³eesi³elee/He´efMe#eCe keÀe efJeJejCe
Particulars of any special qualification/training in Banking __________________________________
13. (keÀ) ke=Àef<e/ûeeceerCe yeQefkebÀie kesÀ #es$e ceW DevegYeJe
(a) Experience in the field of Agriculture / Rural Banking
efve³eespekeÀ keÀe veece DeJeefOe/ Period Heo leLee keÀece keÀe efve³egefkeÌle keÀe kegÀue Jesleve íesæ[ves keÀe
SJeb Helee efJeJejCe mLeeve Total Emoluments keÀejCe
Name & Address of mes lekeÀ Position and nature Place of Deble cesb He´eHle/ Reasons for
leaving
Megª cesb/
employer From To of duties Posting Starting Last Drawn

veesì ë efJe%eeHeve mebK³ee meer Deej Heer [er/HeerDees-HeerDees(Deejyeer)/2009-10/07 kesÀ Hewje 4(Ke) kesÀ Devegmeej Devegmetef®ele JeeefCep³ekeÀ yeQkeÀ (yeQkeÀeW) ceW
ke=Àef<e/ûeeceerCe yeQefkebÀie kesÀ #es$e ceW Deefpe&le DevegYeJe kesÀ 2 DebkeÀ Òeefle HetCe& Je<e&, DeefOekeÀlece 10 DebkeÀ kesÀJeue mebK³eeefkeÀle yeQkeÀ Üeje mebueive ÒeeªHe Hej peejer
ÒeceeCeHe$e (He$eeW) kesÀ DeeOeej Hej ner efJe®eejCeer³e nw.
Note: In terms of para 4 (b) of the Advertisement no. CRPD/PO-PO(RB)/2009-10/07, experience in the field of Agriculture
/ Rural Banking in Scheduled Commercial Banks @ 2 marks per completed year of such experience, subject to maximum
10 marks will be considered only if the candidate submits the experience certificate in the enclosed format.
14. Yeejleer³e mìsì yeQkeÀ leLee GmekesÀ men³eesieer yeQkeÀes ceW Yeleea kesÀ efueS 15. efHeíues leerve Je<eex ceW (®eeuet Je<e& meefnle) efve³egefkeÌle kesÀ efueS Dev³e mLeeveeW
efkeÀS ieS HetJe& kesÀ meYeer He´³eemeeW keÀe efJeJejCe Hej efkeÀ³es ieS DeeJesoveeW keÀe efJeJejCe
Particulars of all your previous attempts Particulars of your application for employment
for recruitment in State Bank of India and elsewhere during the last 3 years
its Associate Banks : (including current year)
DeeJesefole Heo Hejer#ee kesÀvê Hejer#ee efleefLe HeefjCeece DeeJesove keÀer efleefLe mebmLee keÀe veece DeeJesefole Heo HeefjCeece
Post Centre of Date of Results Date of Name of the Post Resuls
applied for exam exam application organisation applied for

³eefo DeeJeM³ekeÀlee nes lees DeefleefjkeÌle Hevves keÀe GHe³eesie keÀjW. ke=ÀHe³ee meYeer efJeJejCe yelee³eW. Use extra sheet if required. Please disclose all details.
16. Yeejleer³e mìsì yeQkeÀ kesÀ ceb[ueeW ceW Deeyebìve kesÀ efueS ÒeLece Jejer³elee
DeHeveer Jejer³elee keÀe efJeJejCe oW First preference :__________________________
Particulars of your preference for allotment in efÜleer³e Jejer³elee
Circles of State Bank of India Second preference :_______________________
le=leer³e Jejer³elee
veesì ë meYeer ceb[uees keÀer met®eer SJeb GvekesÀ #es$e Devle ceW ueieer nw. Third preference :__________________________
Note : List of all circle enclosed
17 He$e J³eJenej kesÀ efueS HetCe& Jele&ceeve Helee ë 18. HetCe& mLee³eer Helee ë
Present address in full for correspondence Permanent address in full
___________________________________ ________________________________________
___________________________________ ________________________________________
___________________________________ ________________________________________
efHeve keÀes[ efHeve keÀes[
Pin Code Pin Code
Tel No. With STD Code : Tel No. With STD Code :
Mobile No : Mobile No :
E-mail address : E-mail address :
19. Gve mLeeveeW keÀe efJeJejCe peneB DeeHe efHeíues Heeb®e Je<eex kesÀ oewjeve SkeÀ Je<e& mes DeefOekeÀ mece³e lekeÀ jns nes
Particulars of places where you have resided for more than 1 year during the last 5 years:
mes lekeÀ efveJeeme mLeeve keÀe Hetje Helee 3 vecyej kesÀ keÀeuece ceW efoS ieS mLeeve keÀe efpeuee cegK³eeue³e
From To Residential address in full District Head Quarter of the place
mentioned in the column No. 3
(1) (2) (3) (4)

(3)
20. ³eefo efkeÀmeer v³ee³eeue³e ves DeeHekesÀ efJeª× efkeÀmeer DeHejeOe kesÀ efueS DeefYe³eespeve/efnjemele/oC[/oes<eefmeef× keÀe efveCe&³e efo³ee nes lees GmekeÀe efJeJejCe.
Particulars of any prosecution/detention/fine/conviction/sentence against you awarded by any court of law for any
offence.
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
21. ³eefo efkeÀmeer v³ee³eeue³e ves DeeHekesÀ efJeª× keÀesF& ceeceuee (yeQkeÀ/Dev³e efJeÊeerr³e mebmLeeDeeW keÀer $eÝCe Deoe³eieer vener keÀjves mes mebyebefOele ceeceues meefnle)
efJe®eejeOeerve nes lees GmekeÀe efJeJejCe.
Particulars of cases pending against you in any court of law including case (s) for non-payment of any loan from
Banks/ Financial Institutions.
______________________________________________________________________________________________
______________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
22. ³eefo efkeÀmeer mesJee Dee³eesie, Hejer#eCe mebmLee ves DeHeveer ®egveeJe Hejer#ee ceW De³eesi³e Ieesef<ele efkeÀ³ee nes/jeskeÀ ueiee oer nes, lees GmekeÀe efJeJejCe.
Particulars of disqualification/ debarment by any Service Commission, examining body at their selection/examination:
______________________________________________________________________________________________
______________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
23. DeeHekesÀ Jele&ceeve DeLeJee Henues efve³eespekeÀ (keÀeW) Üeje DeeHekesÀ efJe©× ÒeejbYe efkeÀS ieS / efJe®eejeOeerve DevegMeemeveelcekeÀ keÀe³e&Jeener keÀe efJeJejCe, ³eefo
DeeHekeÀes efkeÀmeer HeoesVeefle Hejer#ee ceW yewþves Hej jeskeÀ ueieeF& ie³eer nes lees GmekeÀe Yeer efJeJejCe oW.
Particulars of any case (s) of disciplinary action instituted/ pending against you by your present or previous employer
(s). Please also state whether you were debarred from appearing in any promotional examination.
______________________________________________________________________________________________
______________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
24. mebueive ®eefj$e He´ceeCeHe$eeW keÀe efJeJejCe 1. Last Educational Institute
Particulars of character certificates 2. Past /Present Employer
enclosed : 3. Gazetted Officer of State/ Central Govt. MLA, MLC, MP, Branch
Head of State Bank of India or a Nationalised Bank
25. oes He´efleef<þle Heefj®ee³ekeÀeW kesÀ veece, J³eJemee³e SJeb Heles ë
Names, occupations and addresses of two respectable referees :
ke´Àce mebK³ee veece Helee ìsueer HeÀesve veb.
Sr. No. Name Address Tel. No.
1.

2.

26. Dev³e efJeJejCe pees yeQkeÀ kesÀ efueS GHe³eesieer nes mekeÀles neW.
Additional particulars, if any, which may be of use to the Bank : ___________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

cewQ He´ceeefCele keÀjlee / keÀjleer nt@B efkeÀ GHe³eg&keÌle efJeJejCe cesjer Hetjer peevekeÀejer leLee efJeMJeeme kesÀ Devegmeej mel³e, mener Je HetCe& nw. cewQ Ssmeer efkeÀmeer Yeer yeele mes
DeJeiele venerR nt@b pees cegPes yewQkeÀ keÀer veewkeÀjer kesÀ efueS Ghe³egkeÌle nesves cesW yeeOekeÀ efme× nes mekeÀleer nw. cewQ Yeejle cesW efkeÀmeer Yeer mLeeve Hej DeLeJee efJeosMe cesW mesJee kesÀ efueS
DeHeveer menceefle oslee/osleer nt@B, cewQ ³en Yeer Iees<eCee keÀjlee /keÀjleer nt@B efkeÀ cegPes onspe He´efle<es<e DeefOeefve³ece 1961 kesÀ Debleie&le DeLeJee efJeefOe kesÀ Devegmeej oC[veer³e
efkeÀmeer DeHejeOe kesÀ ceeceues cesW keÀYeer Yeer oefC[le venerR efkeÀ³ee ie³ee nw.
³eefo cesjs Üeje He´mlegle efkeÀ³ee ie³ee efJeJejCe ieuele ³ee Demel³e Hee³ee peelee nw Deewj / ³ee HeÀece& He´mlegle keÀjles mece³e JeemleefJekeÀ leL³eesW keÀe efíHee³ee peevee yeeo keÀer
efleefLe ceW Helee ®euelee nw lees yeQkeÀ keÀes cesjer efve³egefkeÌle, efve³egefkeÌle kesÀ He´mleeJe meefnle, pewmee Yeer ceeceuee nes, jÎ keÀjves keÀe DeefOekeÀej nesiee. GHejeskeÌle efJeJejCe Yeejleer³e
mìsì yeQkeÀ kesÀ efJe%eeHeve ke´ÀceebkeÀ meerDeejHeer[er /HeerDees-HeerDees(Deejyeer)/2009-10/07 efoveebkeÀ ë 30.01.2010 kesÀ He´l³egÊej ceW cesjs DeeveueeFve DeeJesove kesÀ
mebyebOe ceW He´mlegle efkeÀ³es ie³es nw.
I certify that the particulars furnished above are true, correct and complete to the best of my knowledge and belief. I am not
aware of any circumstance which might impair my fitness for employment in the Bank. I am willing to serve anywhere in
India and in any other country. Further, I declare that I have never been convicted for any dowry offence under the Dowry
Prohibition Act, 1961, or any criminal offence under any other law.
In case the particulars submitted by me are found to be false or not true and / or suppression of material facts by me while
submitting the form is revealed at a latter date, the Bank shall have the right to cancel the appointment including the offer for
appointment, as the case may be. The above details are submitted in reference to State Bank of India advertisement No. CRPD
/ PO-PO(RB)/2009 - 10/07 Dated 30.01.2010 & my online application thereto.

mLeeve Place : DeY³eLeera keÀe nmlee#ej

efoveebkeÀ Date : Signature of candidate :

(4)
 mebueivekeÀesW keÀer met®eer
List of Enclosures

³eLeesef®ele Dee³ele cesW mener keÀe ef®evn ueieeS@B mebueive efkeÀ³ee mebueive venerR efkeÀ³ee
Tick the appropriate box Enclosed Not enclosed

1) Dee³eg keÀe mee#³e He´ceeCeHe$e keÀe veece (neF&mketÀue He´ceeCeHe$e, HeemeHeesì& Fl³eeefo)
1) Proof of Age - Name of Document (High School Certificate, Passport, Others)

2) 12 Jeer /ef[Hueescee DebkeÀ leeefuekeÀe SJeb He´ceeCeHe$e

2) XII Std./Diploma Mark Sheet and Certificate

3) mveelekeÀ DebkeÀ-leeefuekeÀe (ke=ÀHe³ee mHe<ì ªHe mes GuuesKe keÀjs pewmes yeer.S./yeer.Smemeer Fl³eeefo)
3) Graduation Mark-sheet (Please specify B.A./B.Sc.etc.)

ie´spegSMeve DebkeÀ met®eer (ke=ÀHe³ee GuuesKe keÀjW yeer.S./yeer.Sme.meer./yeer.ìwkeÀ/yeer.keÀe@ce/Dev³e)

Graduation Mark Sheet (Please specify B.A./B.Sc./B.Tech/ B.Com. or Others)

Henuee me$e
First Semester

ogmeje me$e ³ee Henuee Je<e&

Second Semester or First Year

leermeje me$e
Third Semester

®eewLee me$e ³ee otmeje Je<e&

Fourth Semester or Second Year

HeeB®eJee me$e
Fifth Semester

íþe me$e ³ee leermeje Je<e&

Sixth Semester or Third Year

meeleJee me$e
Seventh Semester

DeeþJee me$e ³ee ®eewLee Je<e&

Eight Semester or Fourth Year

mekeÀue DebkeÀ
Aggregate Marks

4) mveelekeÀ ef[ie´er (ke=ÀHe³ee GuuesKe keÀjs pewmes yeer.S./yeer.Smemeer/yeer.ìwkeÀ/yeer.keÀe@ce/Dev³e)

4) Graduation Degree (Please specify B.A./B.Sc./B.Tech/ B.Com. or Others)

5) J³eeJemeeef³ekeÀ efMe#ee / Heesmì ûespegSMeve He´ceeCeHe$e

5) Professional Qualification /Post Graduation Certificate

(5)
6) oes/leerve ®eefj$e He´ceeCeHe$e pewmee ueeiet nes
6) Two/Three Character Certificates As applicable

7) keÀcH³etìj o#elee keÀe He´ceeCeHe$e (³eefo keÀesF& nes)

7) Certificate of Computer Proficiency (if any)

8) Jele&ceeve efve³eespekeÀ mes DeveeHeeflle He´ceeCeHe$e

8) No Objection Certificate from Present Employer

9) DevegYeJe He´ceeCeHe$e
9) Experience Certificate
10) efJecegefkeÌle He´ceeCeHe$e
10) Discharge Certificate
11) yeej keÀeGbefmeue / cesef[keÀue keÀeGbefmeue cesW HebpeerkeÀjCe
11) Registration with Bar Council / Medical Council

12) ces[erkeÀue ÞesCeer mes mebyebefOele He´ceeCeHe$e

12) Certificate regarding Medical Category

13) Dev³e ³eesi³eleeS@B (ke=ÀHe³ee mHe<ì ªHe mes GuuesKe keÀjW)

13) Other qualification (Please specify)
14) Heeþ³eke´Àce mebyebOeer Dev³e ieefleefJeOe³eesW mes mebyebefOele He´ceeCe$e (ke=ÀHe³ee mHe<ì ªHe mes GuuesKe keÀjsW)
14) Certificate regarding extra curricular activity (Please specify)
15) peeefle He´ceeCe$e (ueeiet nes lees)
15) Caste Certificate (If applicable)

efoveebkeÀ ë DeY³eLeera keÀe nmlee#ej

Date : Signature of candidate

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 Heefj®e³e He´ceeCe He$e
IDENTITY CERTIFICATE

efkeÀmeer Yeer He´osMe/kesÀvê mejkeÀej kesÀ jepeHeef$ele DeefOekeÀejer, meebmeo, SceSueS, Sce.Sue.meer ³ee Yeejleer³e mìsì yeQkeÀ ³ee efkeÀmeer je<ì^er³e ke=Àle yeQkeÀ kesÀ MeeKee
cegK³e Üeje peejer efkeÀ³ee peevee ®eeefn³eW.
To be issued by a Gazetted officer of state/ Central Govt. MLA, MLC, MP Branch Head of State Bank of India or a
Nationalised Bank

He´ceeefCele efkeÀ³ee peelee nw efkeÀ cewQ Þeer/Þeerceleer/kegÀceejer ______________________________________Deelcepe/Helveer/Deelcepee

Certified that I have known Shri /Smt./Kum. ______________________________________________Son/ Wife/ Daughter of

Þeer ______________________ keÀes efHeíues _________ Je<eesx ________cenerveesW mes peevelee/ peeveleer nt@b leLee cesjer peevekeÀejer leLee
efJeMJeeme kesÀ Devegmeej GvekesÀ Üeje efo³ee ie³ee GHe³eg&keÌle efJeJejCe mener nw.
Shri____________________________________for the past ________ years ________ month/s and that to the best of my
knowledge and belief the particulars furnished above by him/her are correct.

mLeeve Place : nmlee#ej Signature

efoveebkeÀ Date : Heoveece Designation
Helee Address

ceesnj
SEAL

(7)
 (ÒeceeCeHe$e yeQkeÀ kesÀ keÀe³ee&ue³eerve Meer<e&keÀ He$e Hej)
Òeefle
ceneÒeyebOekeÀ
keWÀêer³e Yeleea SJeb HeoesVeefle efJeYeeie
Yeejleer³e mìsì yeQkeÀ
keÀejHeesjsì keWÀê
cegbyeF&

DevegYeJe He´ceeCe He$e

He´ c eeef C ele ef k eÀ³ee peelee nw ef k eÀ cew Q Þeer / Þeer c eleer / ______________________________meg H eg $ e/meg H eg $ eer / Helveer
_______________________________ nceejs yeQkeÀ ceW ________________ MeeKee/keÀe³ee&ue³e ceW
_________ Heo Hej efoveebkeÀ ________mes ________ lekeÀ/Deepe lekeÀ keÀe³e& keÀj jns Les/ keÀj jner Leer /keÀj jns /jner nQ~

GvekesÀ efoveebkeÀ ________ mes ________ lekeÀ kesÀ HeoYeej keÀe keÀe³e& ke=Àef<e/ûeeceerCe yeQefkebÀie kesÀ #es$e mes mebyebefOele Lee~

efJeYeeie ÒecegKe/
keÀe³ee&ue³e
keÀer cegnj MeeKee ÒecegKe

HeefjJeer#eeOeerve DeefOekeÀejer (ûeeceerCe yeQefkebÀie) kesÀ Heo kesÀ mee#eelkeÀej kesÀ efueS GHeefmLele nes jns GcceeroJeejeW kesÀ ceeceues ceW, ke=ÀHe³ee veesì keÀjW efkeÀ
Devegmetef®ele JeeefCeeqp³ekeÀ yeQkeÀ (yeQkeÀeW) ceW keÀe³e& DevegYeJe mes mebyebefOele DebkeÀeW Hej leYeer efJe®eej efkeÀ³ee peeSiee peye GcceeroJeej Gme yeQkeÀ kesÀ uewìj
ns[ Hej Fme HeÀe@cexì ceW MeeKee ÒeyebOekeÀ/ me#ece ÒeeefOekeÀejer Üeje efJeefOeJele nmlee#eefjle DevegYeJe ÒeceeCeHe$e Òemlegle keÀjWies~

(On the office letter head of the Bank)

To

The General Manager

Central Recruitment & Promotion Department,

State Bank of India,

Corporate Centre,

Mumbai

Experience Certificate

This is to certify that Shri/Smt. _________________________________________________________S/o D/o

W/o _______________________________ was /is working in our Bank at ________________ Branch/ Office in
the capacity of (Designation) __________________ from ________to ________ / till date.

The work related to his/her assignment was /is in the field of Agriculture / Rural Banking from ________ to
________ / till date.

Head of the Department /

seal of
the office
Head of the Branch

In case of candidates appearing for interview for the post of Probationary Officer (Rural Banking), please
note that marks on account of work experience in Scheduled Commercial Bank(s) will be considered only
if candidates submit the experience certificate in the enclosed format on the letter head of that Bank, duly
signed by Branch Manager / Appropriate Authority.

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DECLARATION TO BE SUBMITTED BY THE OTHER BACKWARD CLASSES
CANDIDATES SEEKING RESERVATION AS OBC

“I______________ _____________________________________________________
Son/daughter of Shri ____________________________________________________
Resident of village/ town/city ___________________ District ______________________
State _____________________________________________ . Hereby declare that I
belong to the ____________________________________________ Community which
is recognised as a backward class by the Government of India for the purpose of reservation
in services as per orders contained in Department of Personnel and Training Office
Memorandum No. 36012/22/93-Estt.(SCT) dated 08.09.1993. It is also declared that I do
not belong to persons / sections (Creamy Layer) mentioned in column 3 of the Schedule
to the above referred Office Memorandum dated 08.09.1993.”

Place :
Dated (Signature of the candidate)

Dev³e efHeíæ[s Jeie& kesÀ ªHe ceW Deej#eCe keÀer ceebie keÀjvesJeeues Dev³e efHeíæ[s JeieeX kesÀ
GcceeroJeejeW Üeje Òemlegle keÀer peevesJeeueer Iees<eCee

“ceQ ______________ ___________________________________________________

Heg$e/Heg$eer Þeer __________________________________________________________
efveJeemeer _______________________________________________________________
ieebJe/keÀmyee/Menj ____________________________ efpeuee _______________________
jep³e ________________________________________ SleodÜeje Iees<eCee keÀjlee/keÀjleer ntB efkeÀ
ceQ ____________________________________________ peeefle mes mebyebeOf ele ntB efpemes Yeejle mejkeÀej
Üeje keÀeefce&keÀ SJeb ÒeefMe#eCe keÀe³ee&ue³e %eeHeve ¬eÀceebkeÀ 36012/22/93-F&Smeìerìer (Sme meer ìer) efoveebkeÀ 08.09.1993
ceW meceeefJeä DeeosMeeW kesÀ Devegmeej mesJeeDeeW ceW Deej#eCe kesÀ Òe³eespeve nsleg SkeÀ efHeíæ[s Jeie& kesÀ ©He ceW ceev³elee oer ieF& nw. ³en
Yeer Iees<eCee keÀer peeleer nw efkeÀ ceQ GHe³egk& eÌle meboefYe&le keÀe³ee&ue³e %eeHeve efoveebkeÀ 08.09.1993 keÀer Devegmet®eer kesÀ mlebYe 3 ceW
GefuueefKele J³eeqkeÌle³eeW /KeC[esn (ef¬eÀceer ues³ej) mes mebyebeOf ele veneR nt.B

mLeeve ë
efoveebkeÀ ë (GcceeroJeej kesÀ nmlee#ej)
(9)
 GEOGRAPHICAL JURISDICTION OF 14 CIRCLES OF THE BANK
(STATES / UTs COVERED)

NAME OF THE CIRCLE STATES / UTs / DISTRICTS COVERED

1) Ahmedabad : Gujarat, Daman & Dieu, Dadra & Nagar Haveli

2) Bangalore : Karnataka

3) Bhopal : Madhya Pradesh and Chattisgarh

4) Bhubaneswar : Orissa

5) Chandigarh : Himachal Pradesh, Punjab, J & K, UT of Chandigarh,

and Haryana Excluding Gurgaon, Faridabad &
Sonepat Districts

6) Chennai : Tamilnadu & Pondicherry

7) Guwahati : Assam, Arunachal Pradesh, Manipur, Meghalya,

Mijoram, Nagaland & Tripura

8) Hyderabad : Andhara Pradesh

9) Kolkata : West Bengal, Sikkim, Andeman & Nicobar Islands

10) Lucknow : Entire U.P. Excluding 14 Districts

i) Agra ii) Aligarh iii) Baghpat iv) Bulandshahr v) Etah

vi) Firozabad vii) Ghaziabad viii) Gautam Budh Nagar
(Noida) ix) Mathura x) Mainpuri xi) Maha Maya Nagar
(Hathras) xii) Meerut xiii) Muzaffar Nagar xiv)
Saharanpur

11) Mumbai : Maharashtra & Goa

12) Delhi : Entire States of Delhi, Rajasthan, Uttranchal and 14

Districts of U.P. -- i) Agra ii) Aligarh iii) Baghpat
iv) Bulandshahr v) Etah vi) Firozabad vii) Ghaziabad
viii) Gautam Budh Nagar (Noida) ix) Mathura
x) Mainpuri xi) Maha Maya Nagar (Hathras) xii) Meerut
xiii) Muzaffar Nagar xiv) Saharanpur and 3 Districts of
Haryana -- Faridabad, Gurgaon & Sonepat

13) Patna : Bihar and Jharkhand

14) Kerala : Kerala and Lakshadweep Islands

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