ON-LINE APPLICATION FOR RECRUITMENT OF PROBATIONARY OFFICERS Please check Print Preview in A4 size Portrait format with 0.

25" margin from all sides (Click to Print) Basic Details (As printed on the Score Card for Common Written Exam) : Registration No : Roll No : Full Name : Date of Birth: Father's / Husbands Name: Centre of Examination : Date of Examination : Session of Examination : Details of Application Fee Paid : Transaction No : Branch Name : Branch Code : City : Deposit Date : (30.12.2011 - 14.01.2012) Amount : AA30574 athani 37450 athani 03/01/2012 Rs. 200.00 1000447325 1130980102 Kuruva Veeresh 06/06/1987 NARAYANA HYDERABAD 18/09/2011 EVENING

IBPS Scores obtained (in the Common Written Examination) : Reasoning : Quantitative Aptitude : General Awareness : Computer Knowledge : English : Descriptive Paper : Total : Date of Issuance of Score Card : IBPS Code Number : Qualification Details : Exam Passed Subject /Stream % of Marks Date of Passing Clas s 32 34 31 28 22 35 154 12/12/2011 113210750

Graduation : (as on 01.07.2011) BA MATHS : Post Graduation : MCA

66.00 68.00

12/04/2007 06/06/2011

First Class First Class

Have you completed a Course in Computer Awareness & Office Automation for duration of minimum 60 hours from a reputed Computer Training Institute/ Studied Computer as a subject in Graduation / Post Graduation Declaration : I hereby declare that all 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 untrue or incorrect at any stage or my not satisfying any of the eligibility criteria according to the Bank, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas. Place: Date:

: Yes