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ON-LINE APPLICATION FOR RECRUITMENT OF SPECIALIST OFFICERS

23028
Registration # : 35636

Full name:

HUSAIN JAFRI

Post : Post Code : Category : If physically challenged : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe (only for VI and OC both hands affected by cerebral palsy)? : 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 ? : Religion to which you belong : Are you an Ex - Serviceman ? : Date of Discharge : Period of Service (In Months) : Officers Serving in Regional Rural Banks and who have minimum 5 years of service ? : Are you a Clerical Employee of Central Bank of India ? : Nationality : Centre of Examination (if Exam is held) : Centre code : Application Fee / Postal Charges Details : Journal No : Branch Name : Branch Code No. : Deposit Date : Amount :

IT Officer JMG Scale I 01 GENERAL NO NA NO YES Muslim NO --NO NO INDIAN Delhi 17

J511191522 CENTRAL BANK OF INDIA BIJNOR 3318 17-11-2011 500

Personal Details :

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Date of Birth : Age completed as on 31.08.2011 : Birth Place : Birth District : Birth State : Gender : Marital Status : Father's Name / Husband's Name : Mother's name : Address for Correspondence : 01-04-1985 26 BIJNOR BIJNOR UTTAR PRADESH MALE Unmarried ZAHEER ALAM RAHAT JAHAN JAFRI HUSAIN JAFRI S/0 LATE ZAHEER ALAM MAHOLLA NAI BASTI B-14 GALI CHHAJJU GANJ H.N. 859 BIJNOR District : State : Pin : Permanent Address : BIJNOR UTTAR PRADESH 246701 HUSAIN JAFRI S/0 LATE ZAHEER ALAM MAHOLLA NAI BASTI B-14 GALI CHHAJJU GANJ H.N. 859 BIJNOR District : State : Pin : Contact Details: Phone No : Mobile No: Email ID : Qualification Details (as on 31.08.2011): Exam Passed Graduation : Post Graduation : Subject /Stream Others-BSc MCA Year of Passing 2006 2010 NO % of Marks 51.85 64.48 Class / Grade Second Class First Class 9808661072 husainjafri786@gmail.com BIJNOR UTTAR PRADESH 246701

Are you Certified Associate of the Indian Institute of Bankers (CAIIB) :

Post Qualification work experience details if any as on 31.08.2011 (Start from present Employer) : Name of the Employer Designation and From(mm/yyyy) To(mm/yyyy) & Rank if any Nature of Employment Total Relevant Experience (in months) : Nature of Duties Performed Reason for Leaving Years of Service (YY/MM)

Do you have 2 years experience of translation in a full time post in any organization : Do you have 5 Years experience of practice at Bar OR Judicial Service and /or Law officer in Legal Dept. of a reputed Bank or Central/State Govt. or of a Public Sector Undertaking with practice at Bar for a minimum period of three years : Other Details :

NO

Languages Known HINDI

Read YES

Write YES

Speak YES

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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/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 Mumbai and Courts/Tribunal/ Forums at Mumbai 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:

Date: 19-11-2011

Signature of Applicant

HUSAIN JAFRI

Please retain your Registration No. and Password emailed to you carefully for further reference