APPLICATION FOR THE POSITION OF BRANCH MANAGERS / DEPUTY MANAGERS / FACULTY MEMBERS

Recent
Name : Passport
size Colour
Photo
Father’s /Husband’s Name :
Mother’s Name :
Whether spouse is employed
(if so, details) :

Address - Present :

Permanent :

Phone No/Mobile No. :

E-mail id :

Age & Date of Birth as per

School records :

Whether belongs to SC/ST

(if so, mention)

Highest Educational Qualifications

as on this date :

Particulars Name of the Name of the Whether studied % of

School/College University under regular/ Marks
Correspondence /Class
/distance educn.
Xth std
XII th std
UG (specify)
PG (specify)
Others,if any

Professional Qualifications (if any) :

Technical Qualifications (if any) :

Academic Excellence (if any) :
Participation in Extra Curricular
Activities (if any) :

Languages Known : To Speak Read Write

Experience (if any)

(Mention the name of the employer :

Current Emoluments p.m.

(if employed) :

Joining Time required (if Selected) :

References 1.
With Address & Mobile No.

2.

Any of your relatives employed in

CUB (including retired employee)
(if so, Please mention) :

Whether willing to work anywhere

in India :

Nativity & Mother Tongue :

Declaration:

1. # I have attended previous interview(s) in the year(s) …………………/ not

attended any interview conducted by CUB.

2. I hereby declare that all the above particulars are true. I am willing to pursue
my career with the Bank anywhere in India. I hereby understand that if any of
the particulars furnished are found to be false or not true, that would disqualify
me at any stage.

Station :
Date : Signature

# Strike out whichever is not applicable.