Common Written Examination for Recruitment of Probationary Officers/ Management Trainees in 19 Public Sector Banks Please check Print

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Registration #:

1001267162

Full Name:

RISHI RANJAN

Category : If Person with Disability : Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe(only for VI and OC candidates

GENERAL NO --NA

whose writing speed has been affected by cerebral palsy) : Whether Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : NO NO NO

Religious Minority Community to which you belong : Are you an Employee who has completed 5 years of service in RRBs ? : Are you an Ex-Serviceman : Nationality / Citizenship : State/ UT which the Centre of Examination Belongs: State code : Centre of Examination Centre code : Application Fee / Intimation Charges : Payment Mode : NEFT UTR No : Sending Bank Name : City : Deposit Date : Amount : Personal Details : Date of Birth : Age as on on 01.07.2011. : Gender : Husband's Name / Father's Name : Mother's Name : Address for Correspondence :

-NO NO INDIAN New Delhi 35 New Delhi 80

NEFT 270711C147111 BANK OF INDIA NEW DELHI 27-07-2011 450

District State : Pin : Permanent Address : District State : Pin :

10-11-1986 24 MALE RABINDRA PRASAD DURGA DEVI 44/4 WEST GURU ANGAD NAGAR NEAR MOHAN PARK LAXMI NAGAR DELHI DELHI 110092 BAM KALI JOGSAR BUDHANATH BHAGALPUR BIHAR 812001

Contact Details: Phone No : Mobile No: 9313753252 Email ID : ranjanrishi86@gmail.com Educational and Professional Qualification Details:(as on 01.07.2011) : Exam Passed Subject/Stream Year of Passing % of Marks Graduation : BBA 2006 65.50 Post Graduation : MBA 2010 65.50 Other Details : Whether desirous of taking Pre-Exam Training -(SC/ST/ Minority Community) : If Yes Centre for Training : -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 stipulated, my candidature is liable to be cancelled.

Place: Date: 31-07-2011

Signature of Applicant

RISHI RANJAN Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please do not send the application printout to IBPS