STATE/UT APPLIED: ____________________________ INTERVIEW CENTRE: ____________________________

IBPS ROLL No. _______________________________

BIO-DATA (TO BE SUBMITTED IN FOUR SETS)

NAME : AGE (AS OF 01.08.2011) : YRS ADDRESS FOR COMMUNICATION : MONTH DAYS DATE OF BIRTH (DD/MM/YYYY): GENDER: MALE / FEMALE LANDLINE No. (STD CODE) ____ No. ________________ MOBILE No.: ______________________ E-MAIL ID: ________________________ EXSM: Yes HI No
Space for Recent Passport size photograph

PINCODE: CASTE CATEGORY: SC ST OBC PHYSICALLY CHALLENGED CATEGORY: VI FATHERS NAME & OCCUPATION: OTHER FAMILY MEMBERS: NAME GEN OC

RELATIONSHIP

OCCUPATION DETAILS

PLACE OF DOMICILE (NATIVE): CITY

LANGUAGES KNOWN: MOTHER TONGUE TO READ

STATE
TO WRITE TO SPEAK

EDUCATIONAL QUALIFICATIONS 10 th Standard onwards:

QUALIFICATION NAME OF SCHOOL/ INSTITUTE/UNIVERSITY DATE OF RESULT DECLARATION (DD/MM/YYYY) PERCENTAGE OF MARKS/CLASS*

* Where only CGPA is provided by the Institute/University, the same should be converted into percentage and entered
accordingly GRADES TO PERCENTAGE CONVERSION FORMULA FOR GRADUATION: ___________________________________________

EXPERIENCE/ SERVICE DETAILS:

NAME OF THE EMPLOYER & DESIGNATION PERIOD OF EXPERIENCE FROM TO LENGTH OF SERVICE YEARS MONTHS NATURE OF DUTIES PERFORMED

EXTRA-CURRICULAR ACTIVITIES ANY SPECIAL ACHIEVEMENTS

: :

REFERENCE WITH ADDRESS & CONTACT NUMBERS (OF TWO PEOPLE NOT RELATED TO YOU)

ANY OTHER IMPORTANT INFORMATION : Date: Signature of the Candidate