Application for Recruitment of Sr.

Manager/Manager/Computer Programmer & Banking Assistant

in CCB & RSCB

Last Modified On : -- No.Of Times Modified : 0

25034

Post. : Banking Assistant

Registration No. : 36376
Full Name : Nitin Kumar Goyal
Preference 1 : Rajasthan State Pre1 Code : 01
Cooperative Bank
Preference 2 : The Central Cooperative Pre2 Code : 28
Bank Ltd.,Kota
Preference 3 : The Central Cooperative Pre3 Code : 18
Bank Ltd.,Jaipur
Category : UR
Person With Disability : No
Type of Disability : -- Percentage of Disability : --
Do you intend to use the No
services of a scribe :
Permanent Employees of No
Registered Cooperative
Banks of Rajasthan :
Ex-Serviceman : No
Nationality : indian
Centre of Examination : Kota Centre code : 14

Application Fee/ Postal Charges Details :

Journal No : 964066
Branch Name : sbbj, arodram circle, kota
Branch Code : 10252
Deposit Date : 20/01/2011 Amount : 400

Personal Details :
Date of Birth : 22/03/1989 Age completed as on 21
01.07.2010 :
Gender : Male Marital Status : Single
Husband's Name / Ashok Kumar Goyal Mother's Name : Premlata Goyal
Father's Name :
Address for Goyal Mobile &
Correspondence : Electronics
Behind Old Chungi Naka
Anantpura, Kota-324005
District : Kota
State : Rajasthan Pin : 324005
Permanent Address : Goyal Mobile &
Electronics
Behind Old Chungi Naka
Anantpura, Kota-324005
District Kota
State : Rajasthan Pin : 324005

Contact Details:
Phone No : - Mobile No : 7737116033
Email ID : prem.goyal4@gmail.com

Exams Passed Subject /Stream Specialization Year Of Passing % of Marks Class/Grade

Graduation Others Others 2009 48 Second Class

Post Graduation Others Others 2011 65 First Class

Others

Knowledge of Computer : Yes

Diploma Holder in Computer : No
Name of the Cours : --
Duration (in Months) : --
Name of University / Board / Institute : --

Post Qualification work experience details (Start from present Employer) :

Name of the Designation Period of Service Length of Service Nature of duties Reason for
Employer From-To (YY/MM) performed Leaving
-
-
-
 Languages Known Read Write Speak

hindi Yes Yes Yes

english 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/ service 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 advised criteria
in respect of age, caste, educational qualification etc.
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 Jaipur and courts/ Tribunal/ forums at
Jaipur only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake to abide by all the
terms and conditions in the advertisement given by the RICEM.

Place:
Date: 20/01/2011
Signature of Applicant:
Name :Nitin Kumar Goyal

Note: Please DO NOT SEND application print-out to the RICEM.

Please retain your Registration No. and Password carefully for future reference.