BASSEIN CATHOLIC CO-OP. BANK LTD.

(Scheduled Bank)

APPLICATION FORM

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1) Application for the post of : A) Probationary Assistant Managers -

IT (Male only)
B) Probationary Assistant Managers-

Marketing (Male only)
C) Probationary Assistant Managers -

General
D) Junior Clerks – Data Entry

2) Applicant Name (In Block) :
Name Middle Name Surname

3) Applicant’s Residential Address :

4) Applicant’s Telephone / Mobile No. :

5) Date of Birth : Age as on 31.03.2010 Yrs. Months.

6) Religion :

7) Marital Status :

8) Educational Qualification : (Tick () wherever applicable)

Marks Obtained Class Name of

Obtained University
Marks %
BE(IT/COMP/EXTC/ELECTRONICS)

B.Com.

B.Sc.

B.A. (with Economics

Mini.-3 papers)
BMS

9) Professional Qualification :
a) MBA (Marketing)
c) GNIIT

b) MMS (Marketing)
d) Additional
(Specify) ----------------------------------------
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….. 2/-
 - 2 -

10) Banking Exams, if any : J.A.I.I.B.
C.A.I.I.B.

11) Computer Diploma / Course :

12) Language known : Marathi
English
Hindi

13) Experience (if any) :
Name of Institution / Bank Nature of Work Period Designation
a)
b)
c)

14) Present employment (if any) :

15) Present Salary drawn :

16) References :
1) 2)

I hereby declare that the above information given by me is true to the best of my knowledge. I
will be solely liable for disciplinary actions if the above information found untrue/ incorrect.

Date: Signature of the candidate

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