9/12/2016

CommonRecruitmentProcessforRecruitmentofClericalcadre(CWEClerksVI)ApplicationFormPrint

InstituteofBankingPersonnelSelection
CommonRecruitmentProcessforRecruitmentofClericalcadre(CWEClerksVI)

RegistrationNumber

: 1482429833

FullName

: VANTAGOVARDHAN

Category

: GENERAL

AreyouaPersonwithDisability

: YES

TypeofDisability

: OC

Percentageofdisability

: morethan40%

Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected

: YES

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

: YES

Whetheryourdominant(Writing)handisaffected

: NO

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Doyouintendtousetheservicesofascribe(onlyforVIcandidatesand
thecandidateswhosewritingspeedispermanentlyaffected)?

: YES

Areyouachild/familymemberofthosewhodiedin1984riots?

: NO

AreyouapersondomiciledintheStateofJammu&Kashmirduringthe
period111980to31121989?

: NO

Religiontowhichyoubelong

: Hindu

DoyoubelongtoReligiousMinorityCommunity?

: NO

AreyouanExServiceman:?

AreyouaDisabledExServiceman(DISXS)?

: NO

Actualservicerenderedindefenceserviceswhichmaybecountedfor
qualifyingasanExserviceman(InMonths)

Dateofrelieffromdefenceservices

HaveyoujoinedaGovernmentjobonthecivilsideafteravailingofthe
benefitsgivenasanexserviceman?

AreyouaDependentofServicemankilledinAction(DXS)?

: NO

AreyouamatriculateExServicemencandidate,whohasobtainedthe
:
IndianArmySpecialCertificateofEducationorcorrespondingCertificate
intheNavyortheAirForceafterhavingcompletednotlessthan15
yearsofserviceinArmedForcesoftheUnionason12.09.2016?
PercentageofMarks

Areyouseekingrelaxationunderwidow/divorcedwomen/women
judiciallySeparatedfromtheirhusbandsandwhoarenotremarried?

: NO

WhetherRegularEmployeesoftheUnionCarbideFactory,Bhopal,
retrenchedfromservice(applicabletoMadhyaPradeshstateonly)?

: NO

HaveyouappliedfortheCWEforClericalCadreheldinNovember/
December2011?

: NO

RegistrationNo.

HaveyouappliedfortheCWEforClericalCadreheldinDecember

: NO

http://ibps.sifyitest.com/crpclkcviaug16/registration_print.php?q=YzcxNmFhYmQ2YjIyMGZlYjU2ZGM3ODVkNGRmODNlNzV8MTQ4MjQyOTgzMw==

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CommonRecruitmentProcessforRecruitmentofClericalcadre(CWEClerksVI)ApplicationFormPrint

2012?
RegistrationNo.

HaveyouappliedfortheCWEforClericalCadreheldinDecember
2013?

: NO

RegistrationNo.

HaveyouappliedfortheCWEforClericalCadreheldinDecember
2014?

: NO

RegistrationNo.

HaveyouappliedfortheCWEforClericalCadreheldinDecember
2015?

: YES

RegistrationNo.

Nationality/Citizenship

: Indian

DoyouholdAadharCard?

: YES

AadharCardNo.

: 475539610417

VacanciesofState/UTyouareapplyingfor

: AndhraPradesh

Statecode

: 12

CentreofExamination

: Tirupati

ApplicationFee/Intimationcharges
Amount

: 100.00

PaymentStatus

: PAID

ReferenceID

: GHMP4748458956

TransactionDate

: 12092016

PersonalDetails
DateofBirth

: 26041993

Agecompletedason01.08.2016

: 23

Gender

: MALE

MaritalStatus

: Unmarried

Father'sName

: VANTANARASIMHULU

Mother'sName

: VANTASUBBAMMA

Spouse'sName

AddressforCorrespondence

: 7138

Address2

: VELAGACHERLAVILLAGE

Address3

: PENAGALURMANDAL

District

: KADAPA

State

: ANDHRAPRADESH

Pincode

: 516127

Permanentaddress

: 7138

Address2

: VELAGACHERLAVILLAGE

Address3

: PENAGALURMANDAL

District

: KADAPA

State

: ANDHRAPRADESH

Pincode

: 516127

http://ibps.sifyitest.com/crpclkcviaug16/registration_print.php?q=YzcxNmFhYmQ2YjIyMGZlYjU2ZGM3ODVkNGRmODNlNzV8MTQ4MjQyOTgzMw==

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CommonRecruitmentProcessforRecruitmentofClericalcadre(CWEClerksVI)ApplicationFormPrint

ContactDetails
MobileNo

: +919676342417

AlternativeNumber
(MobileNo/LandlineNo)

EmailID

: vantagovardhan@gmail.com

EducationalQualification(ason12.09.2016)
ExamPassed

Degree

Subject/Stream

Dateof
Passing

%ofMarks

Class/Grade

Graduation/Equivalent

B.Sc

Science

13052014

73.00

FirstClass

PostGraduation

M.Sc

Science

17062016

73.00

FirstClass

DoyouhaveOperatingandworking
knowledgeincomputersystems:?

: YES

DetailsofComputerKnowledge:

: Certificatein

: ComputerOperations

OtherDetails
WhetherdesirousoftakingPreExamTraining(Only
forSC/ST/ReligiousMinorityCommunities/Ex
Servicemen/DISXS/DXS/PWD)

: NO

IfYes,CentreforTraining

OrganisationPreference

OrganisationinorderofPreferences

1AndhraBank
2BankofIndia
3CanaraBank
4IndianOverseasBank
5CentralBankofIndia
6VijayaBank
7UCOBank
8SyndicateBank
9OrientalBankofCommerce
10CorporationBank
11BankofBaroda
12UnitedBankofIndia
13UnionBankofIndia
14Punjab&SindBank
15PunjabNationalBank
16IndianBank
17DenaBank
18BankofMaharashtra
19AllahabadBank

Whetheranyprosecution/detention/
fine/conviction/sentenceagainstyouhasbeen
awardedbyanycourtoflawforanyoffence?

Ifyes,particularsofthesame

NO

OtherDetails:
http://ibps.sifyitest.com/crpclkcviaug16/registration_print.php?q=YzcxNmFhYmQ2YjIyMGZlYjU2ZGM3ODVkNGRmODNlNzV8MTQ4MjQyOTgzMw==

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CommonRecruitmentProcessforRecruitmentofClericalcadre(CWEClerksVI)ApplicationFormPrint

LanguagesKnown

Read

Write

Speak

TELUGU

YES

YES

YES

ENGLISH

YES

YES

YES

HINDI

YES

NO

YES

Declaration:
IVANTAGOVARDHANhavefilledintheonlineapplicationformdetailsonbehalfofthecandidate[VANTAGOVARDHAN].Thecandidate
herebydeclaresthat"allthestatementsmadeinthisapplicationaretrue,completeandcorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfounduntrueorincorrectatanystage/intheeventanycircumstanceswhichmay
impairmyfitnessforemploymentinBankdonotsatisfyanyoftheeligibilitycriteriastipulated,andalsodeclarethatincaseofcreating
influence/unduepressureonmybehalfregardingrecruitmentshalltantamounttocancellationofmycandidature".

Date:12092016

SignatureofApplicant

http://ibps.sifyitest.com/crpclkcviaug16/registration_print.php?q=YzcxNmFhYmQ2YjIyMGZlYjU2ZGM3ODVkNGRmODNlNzV8MTQ4MjQyOTgzMw==

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