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RECRUITMENT OF ASSISTANTS AS PER TO ADVERTISEMENT NO. 1 /ASST./2012-13

37030
Registration # : 1210487095

Full Name :

RASHMIREKHA MALLICK

Category : If Person with Disability : Type of Disability : Percentage of disability :

SC NO -

Do you intend to use the services of a scribe (only for VH and OH candidates NA whose writing speed is affected by cerebral palsy)? : Are you an Ex-Serviceman? : Are you a Disabled Ex-Serviceman (DISXS)? : Are you a dependent of an Ex-Serviceman (DXS)? : Are you currently employee of Central Government/PSU/PSB in Group C or D? : Have you passed the matriculation or its equivalent examination of the Armed Forces and rendered at least 15 years of defense service? : Whether you belong to Minority Community ? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? : Are you seeking relaxation under widow/divorced women/women judicially Separated from their husbands and who are not re-married? : Are you staff of RBI? : If Yes, please specify the PF Index No : Nationality / Citizenship : Select the Office you are applying for : State / UT from which the candidate intends to appear : Centre of Examination : Centre Code : Are you proficient in the language of the state for which you are applying for recruitment ? : Personal Details : Date of Birth : Age completed as on 01.05.2013 : Gender : Husband's Name / Father's Name : Mother's Name : 14-06-1990 22 FEMALE GOPINATH MALLICK MINATI MALLICK Indian Bhubaneswar Odisha Bhubaneshwar 241 YES NO NO NO NA NA NO NO NO NO

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Address for correspondence : MAKALPUR NEAR NATHPANI TEMPLE NEAR MANSINGH BAZAR P.O-MOTIGANJ District : State : Pin code : Permanent Address : BALASORE ORISSA 756003 MAKALPUR NEAR NATHPANI TEMPLE NEAR MANSINGH BAZAR P.O-MOTIGANJ District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Qualification Details (as on 01.05.2013) : Exam Passed Subject /Stream Date of Passing % of Marks Name of University / Institute Graduation : Working Knowledge of Computers : Details of Computer Knowledge : Languages Known English HINDI ORIYA Application Fee Details : Payment In : Amount : NO FEE 0.00 Read YES YES YES BTECH 09-08-2011 70.30 YES MS WORD MS EXCEL C OOPS RDBMS DBMS Write YES YES YES Speak YES YES YES BPUT First Class Class / Grade 06782-250850 9438489597 rashmirekha16012@gmail.com BALASORE ORISSA 756003

DECLARATION:
I certify that the statements made by me in the application are true to the best of my knowledge and belief and understand that any willfully false statement is sufficient cause for rejection of my candidature at any stage of the selection process.

Place:

Date : 13-06-2013

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS