UCO BANK - RECRUITMENT CLERICAL CADRE 2010 ONLINE APPLICATION FORM

ONLINE APPLICATION FORM FOR THE POST OF CLERKS

32025
Registration # : 245948 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 09-08-2010 14:41:02 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : PRAMOD CHANDRA MEHER use.

Category : General

Physically Challenged : No

Type of Disability : - Percentage of Disability : -

Do you intend to use the services of a scribe : -

Whether domiciled in Kashmir Division of the State of J&K during the No

period 1-1-1980 to 31-12-1989 :

Whether you belong to Religious Minority Community : No

Are you an Ex-Serviceman : No

Are you a disabled Ex-Serviceman (DISXS)? : No

Are you a dependent of an Ex-Serviceman (DXS)? : No

Are you Regular Employee of the Union Carbide Factory, Bhopal No

retrenched from service (Applicable to Madhya Pradesh State only)? :

Are you seeking relaxation under widow / divorced women / women No

judicially Separated from their husbands and who are not re-married? :

Nationality : INDIAN

State / Union Territory for which you are Orissa State / UT code : 18
applying :

Centre of Examination : Sambalpur Centre code : 52

Application Fees / Postal Charges :

Transaction No. : AA154677

UCO Bank Branch Name : SAMBALPUR Branch Code : 0122

Deposit Date : 09-08-2010 Amount : 300

Personal Details :
Date of Birth : April 11,1990 Age as on 01.07.2010: 20

Gender : MALE

Father’s Name / Husband’s Name : MAHENDRA MEHER Mother’s Name : MANJU MEHER

Email ID : loveablepp@gmail.com

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Address for Correspondence : C/O MAHESWARI MEDICAL, AT BADABAZAR KUSTAPARA

PO KHETRAJPUR

District : SAMBALPUR

State/UT : ORISSA Pin : 768003

Permanent Address : C/O MAHESWARI MEDICAL, AT BADABAZAR KUSTAPARA

PO KHETRAJPUR

District : SAMBALPUR

State/UT : ORISSA Pin : 768003

Contact Details:
Phone : - Mobile : 9778149948

Qualification Details(as on 01.07.2010) :

Exams Passed Subject/Stream Year of Passing % of Marks Grade / Class
HSC / Equivalent : COMMERCE 2007 45.00 Pass Class
Graduation : B COM 2010 50.00 Second Class
Working Knowledge in MS Office : Yes

Would You like to undergo Pre-Exam Training : No

Centre for Pre-Examination Training : -

Languages Known Read Write Speak

ENGLISH Yes Yes Yes
HINDI Yes Yes Yes
ORIYA Yes Yes Yes
DECLARATION:
I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I
understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the
requirements of the relative advertisement, my candidature/ appointment is liable to be cancelled/terminated. I am willing to serve anywhere in
the State / UT applied for.

Place : Signature of Applicant

Date : 09-08-2010

PRAMOD CHANDRA MEHER

Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the Bank

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