Recruitment of Probatio

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5/1/2015 RecruitmentofProbationaryOfficersinStateBankofIndiaApplicationFormPrint

RECRUITMENTOFPROBATIONARYOFFICERSINSTATEBANKOFINDIA

RegistrationNumber : 1391324541

FullName : GouravBhardwaj

Category : GEN

IfPersonwithDisability : NO
TypeofDisability :
PercentageofDisability :

Whetheryourdominant(writing)handaffectedandyourwritingspeedaffected? :
IfYes,Doyouneedcompensatorytimeatthetimeofexamination? :
Doyouintendtousetheservicesofascribe(ApplicableonlyforVHorOHCandidates) :
?
Categorycode : 10

WhetherdomiciledintheStateofJammu&Kashmirduringtheperiod111980to31 : NO
121989:?

Religiontowhichyoubelong : Hindu
WhetheryoubelongtoReligiousMinorityCommunity?: : NO

AreyouanExServiceman : NO
PeriodofService(inmonths) :

Nationality : Indian
Pleasementionthenumberofoccasionsonwhichyouhaveappearedforthe : 1
examinationforrecruitmentofProbationaryOfficersinSBI(chanceswillbecounted
fromthelastexaminationwhichwasheldon18.04.2010)
http://ibps.sifyitest.com/sbipoapr15/registration_print.php?q=MDZhYTc1MWEzM2M1NzY5YjIwMzU4NWJhY2ZhNmI2NDl8MTM5MTMyNDU0MQ== 1/4
5/1/2015 RecruitmentofProbationaryOfficersinStateBankofIndiaApplicationFormPrint

State/UT(towhichcentreofexambelongs) : Haryana
StateCode : 20
CentreofExamination : Hissar

ApplicationFee/IntimationChargesDetails:
PaymentMode : ONLINE
Amount : 600.00

PaymentStatus : PAID
ReferenceID : BSMP3777403521
TransactionDate : 01052015

PersonalDetails
DateofBirth : 12121991
Agecompletedason01.04.2015 : 23

Gender : MALE
MaritalStatus : Unmarried
Husband's/Father'sFirstName : SomduttSharma
Husband's/Father'sMiddleName :
Husband's/Father'slastName :

Mother'sFirstName : AmanDevi
Mother'sMiddleName :
Mother'sLastName :
AddressforCorrespondence : V.P.OBADHRATEHBADHRA
District : BHIWANI

State : HARYANA
Pincode : 127308
PermanentAddress : V.P.OBADHRATEHBADHRA

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5/1/2015 RecruitmentofProbationaryOfficersinStateBankofIndiaApplicationFormPrint
District : BHIWANI
State : HARYANA
Pincode : 127308

ContactDetails
PhoneNo :
MobileNo : +919467547731
EmailID : gouravbhardwaj92@gmail.com

EducationalQualificationDetails(ason01.09.2015):

ExamPassed Degree/Subject/Stream DateofPassing(Datementionedin %ofMarks


marksheetorcertificatewhicheveris
earlier)

Graduation/Equivalent Science 17062013 51.65


Passed

OtherDetails:
WhetherdesirousoftakingPreExamTraining :
(SC/ST/ReligiousMinorityCommunity)
IfYesCentreforTraining :

LanguageDetails:

NameoftheLanguage Read Write Speak

HINDI YES YES YES

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5/1/2015 RecruitmentofProbationaryOfficersinStateBankofIndiaApplicationFormPrint

ENGLISH YES YES YES

DECLARATION

IherebydeclarethatallstatementsmadeinthisapplicationareTrue.Completeandcorrecttothebestofmyknowledgeandbelief.Iunderstandthatintheevent
ofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibilitycriteriastipulated,mycandidatureisliabletobe
cancelled.Incaseofcreatinginfluencecandidatureofthecandidateshallbecancelled

Date:30042015 SignatureofApplicant

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