Andhra Pragathi Grameena Bank Application for Recruitment of Officer Scale - I, Scale - II , Scale - III & Office Assistant

in Andhra Pragathi Grameena Bank APPLICATION PRINT-OUT NEED NOT BE SENT TO THE BANK Last Modified On : 27/03/2011 No.Of Times Modified : 1 16038 Registration No. : Post : Post Code : Full Name : Category : Person With Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe : 24352 Office Assistant (Multipurpose) 04 KODI TEZO KIRAN OBC No ----

Whether you belong to No Religious Minority Community : Religion to which you belong: Others: Domiciled in Kashmir Division: Ex-Serviceman : Total Period of Service : (in Months) Disabled Ex-Serviceman (DISXS) : Dependent Ex-Serviceman (DXS) : Seeking relaxation under widow/ divorced women/ women judicially Separated from their husbands and who are not re-married. --No No -No No No

Childern / Family members of No those who died in the 1984 riots : Domiclie of Andhra Pradesh : Nationality : Yes INDIAN

Centre of Examination : Centre code :

Ongole 15

Application Fee/ Postal Charges Details : Branch Transacation ID/Scroll No. : 53

Syndicate Bank Branch Name : MAIN BRANCH KAKINADA Branch Code : Deposit Date : Personal Details : Date of Birth : Gender : Husband's Name / Father's Name : Address for Correspondence : 09/07/1984 Male V V S N MURTHY # 4-187 , RAMALAYAM STREET TURANGI KAKINADA District : State : Permanent Address : EASTGODAVARI Andhra Pradesh # 4-187 , RAMALAYAM STREET TURANGI KAKINADA EASTGODAVARI Andhra Pradesh Pin : 533016 Pin : 533016 Mother's Name : JAYA BHARATHI Age completed as on 31.12.2010 : 26 3250 24/03/2011 Amount : 250

District State : Contact Details: Phone No : Email ID :

tezo.kiran@gmail.com

Mobile No :

9966850340

Qualification Details(as on 31.12.2010): Exams Passed Name of the Course / Degree Others Year Of Passing % of Marks Class / Grade

Graduation Post Graduation Professional Qualification Others Knowledge of Computers Skill : Working Knowledge of Computer :

2004

52

Second Class

Yes MS Office

Post Qualification work experience details (Start from present Employer) :

Name of the Employer

Designation

Period of Service From-To -

Nature of duties performed

Reason for Leaving

Length of Service (YY/MM)

Total Period of Work Experience (in months) :

--

Knowledge of the local language of the State / Union Territory for which he / she is applying Languages Known Telugu English Hindi Read Yes Yes Yes Write Yes Yes Yes Speak Yes Yes Yes

Pre-Examination Training : Centre for Pre-Examination Training : DECLARATION:

No No

I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have not suppressed any material fact or factual information in the above statement. I am aware that in case I have given wrong information or suppressed any material fact or factual information or I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected/ service terminated even after permanent employment without giving any notice or reasons thereof. I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of advised criteria in respect of age, caste, educational qualification etc. I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can be instituted by me only at Kadapa and courts/ Tribunal/ forums at Kadapa only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake to abide by all the terms and conditions in the advertisement given by the Bank. Place: Date: 27/03/2011 Signature of Applicant: Name :KODI TEZO KIRAN Note: Please retain your registration No. Password emailed to you and copy of printout carefully for further reference. Please DO NOT SEND application print-out to the Bank. Please retain your Registration No. and Password carefully for future reference.