ONLINE APPLICATION FORM FOR THE POST OF

PROBATIONARY OFFICERS

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Registration # : 155798
Full Name : Palla Suman
Category : SC
If person with disability : NO
Percentage of
Type of Disability : - --
Disability :
Do you intend to use the services
of a scribe (only for VI and OC those
candidates whose --
writing speed has been affected by cerebral
palsy):
Whether you belong to Religious Minority
NO
Community?
Religion to which you belong :
Are you an Ex-Serviceman ? NO

Nationality : Indian
Region Preference : Southern
Centre for Examination : : Hyderabad
Centre code : 51
Personal Details :
Age completed
May
Date of Birth : as on 23
1987,03
31.10.2010 :
Gender : MALE
Marital Status : Single
 Father's Name/ Husband's Name : Prabhudas
Mother's Name : Kamala
Address for Correspondence : HNo : 5-1-207
Church Compound
Khammam
District Khammam
ANDHR
A
State : Pin : 507001
PRADE
SH
Permanent Address : HNo : 5-1-207
Church Compound
Khammam
District Khammam
ANDHR
A
State : Pin : 507001
PRADE
SH
Contact Details:
9248172
Phone No : - Mobile No :
704
Email ID : suman.pallas@gmail.com
Qualification Details (as on 31.10.2010):
Exams Passed Subject/Stream Year Of Passing % of Marks
Graduation : BSC 2007 60.00
Post Graduation : MCA 2010 76.00
Diploma in Banking & Finance (DBF)
from the Indian Institute of Banking & NO
Finance (IIBF) :
Knowledge of Computer : YES
Details of Computer Knowledge
MCA
Qualification :
Post Qualification work experience details as on 31.10.2010. (Start from
present Employer):
Name of Designation From(mm/yyyy) To(mm/yyyy) Nature of Reason Years of
the and rank, if Duties of Service
Employer any Performed leaving (YY-
MM)
Other Details :
Whether undergone Pre-Exam Training for
NO
Officers before :
Would You like to undergo Pre-Exam NO
Training (SC/ST/Ex-Servicemen/Religious
Minority Community) :
If Yes Centre for Training :
Languages
Read Write Speak
Known
English YES YES YES
Telugu YES YES YES
Hindi YES YES YES
DECLARATION:
I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I
have not suppressed any material fact or factual information in the above statement. I am aware that in case I have
given wrong information or suppressed any material fact or factual information or I do not satisfy the eligibility
criteria according to the advertisement, then my candidature will be rejected/services terminated even after permanent
employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of the advised
criteria in respect of age, educational qualification and experience etc.
I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to
any part of the country and/or to any job position at its sole discretion in terms of applicable staff rules from
time to time.
I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of
application or out of said advertisement can be instituted by me only at NCT, Delhi only, shall have sole and
exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms and conditions in the
advertisement given by the Bank.

Place:
Signature of
Date: 16-11-2010
Applicant

Palla Suman

Please retain your Registration No. and Password emailed to you carefully for
further reference
Note : Please do not send the application print out to the Bank.