300132

Common Recruitment Process (CRP) for Recruitment of Probationary Officers /

Management Trainees in Participating Banks (CRP PO/MT-XIII)

Registration Number : 2280231428

Full Name : DIPAK KUMAR

SHARMA

Category : OBC

Are you a person with benchmark disability of 40% and : NO

above ?

Type of Disability : -

Sub-Type of Disability for 'ID & Others’ : -

Sub-Type of Disability : -

Sub-Type of Multiple Disability : -

Are you as per PWBD guidelines eligible to use : -

compensatory time at the time of examination ?

Are you suffering from cerebral palsy and your writing : -

speed is affected : ?

If Yes, Do you need compensatory time at the time of : -

examination?

Whether your dominant (Writing) hand is affected ? : -

If Yes, Do you need compensatory time at the time of : -

examination?

Are you eligible to use the services of scribe as per : -

Government guidelines & do you wish to use the
services of scribe ?

Are you a person with specified disability covered under : NO

the definition of sec 2(s) of the RPwD Act, 2016 and not
covered under sec 2(r) of the said act and having
difficulty in writing?

If Yes, Do you need compensatory time at the time of : -

examination?

Are you a person with specified disability covered under : -

the definition of sec 2(s) of the RPwD Act, 2016 and
having difficulty in writing and not covered under sec
2(r) of the said act and eligible to use the services of
Scribe and wish to avail the services of Scribe?
I certify that, I will upload (in current application) the : -
certificate from competent medical authority of a
Government healthcare institution as per Ministry of
Social Justice and Empowerment, Department of
Empowerment of Persons with Disabilities (Divyangjan)
OM No. F. No. 29-6/2019-DD-III dated 10.08.2022.

Are you a child/ family member of those who died in : NO

1984 riots ?

Are you an Ex-Serviceman : ? : NO

Actual service rendered in defence services which may : -

be counted for qualifying as an Ex-serviceman (In
Months)

Date of relief from defence services : --

Have you joined a Government job on the civil side after : -

availing of the benefits given as an ex-serviceman ?

Religion to which you belong : Hindu

Do you belong to Religious Minority Community ? : NO

Whether serving in Govt./ quasi Govt./ Public Sector : NO

Undertakings (including Nationalised Banks & Financial
Institutions) ?

Have you appeared for the CWE/CRP-PO/MT earlier ? : YES

How many attempts ? : 4

Select the CWE/CRP-PO/MT attempted earlier : CRP PO/MT-VII,
CRP PO/MT-IX,
CRP PO/MT-X,
CRP PO/MT-XII
Nationality / Citizenship : Indian

State/UT/NCR to which centre of examination belongs : Uttar Pradesh

State code : 44

Centre of Preliminary Examination : Varanasi

Centre of Main Examination : Varanasi

I intend to bring the following ID when appearing for the : YES

examination :
(I confirm my name on this ID and this application
exactly match)
ID Proof : Aadhaar Card

ID Proof No. : XXXXXXXX4238

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 720.34
Tax : 129.66 (IGST)

Amount : 850.00
Payment Status : PAID

Reference ID : YSM22043804971
Transaction Date : 18-08-2023

Personal Details
 Date of Birth : 12-07-1991

Age completed as on 01.08.2023 : 32

Gender : MALE

Aadhaar Card Number : XXXXXXXX4238

PAN Card Number : -

Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -

Marital Status : Married

Father's Name : RAMALAL SHARMA

Mother's Name : SUDHA DEVI

Spouse's Name : POOJA SHARMA

Address for Correspondence

Address 1 : BHORKALA
Address 2 : MANKAIYA

Address 3 : MIRZAMURAD
District : VARANASI

State : UTTAR PRADESH

Pincode : 221307

Permanent address
Address 1 : BHORKALA

Address 2 : MANKAIYA
Address 3 : MIRZAMURAD

District : VARANASI
State : UTTAR PRADESH

Pincode : 221307
State for GST invoicing : Permanent Address
(UTTAR PRADESH)

Contact Details
Mobile No : +91 7977087259

Alternative Number : +91 8318724840

(Mobile No/Landline No)

Email ID : dks120791@gmail.com
     

Educational Qualification (as on 21.08.2023)

Exam Passed Degree Subject / Stream Date of % of Marks Class / Grade

Passing

Graduation / Others - BCA CA 04-02-2012 58.60 Second Class

 Equivalent

Do you have Operating and working : YES

knowledge in computer systems :
Details of Computer Knowledge: : Studied in High School/College/Institute

  : Computer as a Subject,I.T. as a Subject

Banks Preference

1 Punjab National Bank

2 Bank of Baroda
3 Canara Bank
4 Union Bank of India
5 Bank of Maharashtra
banks in order of Preferences 6 Indian Bank
7 Bank of India
8 UCO Bank
9 Punjab & Sind Bank
10 Indian Overseas Bank
11 Central Bank of India

Other Details :

For the safety and well being of candidates, : NO

Pre-Exam Training may not be held. In case it
is possible to hold Pre-Exam Training, are you
desirous of taking Pre-Exam Training ?
(Applicable only for SC/ST/ OBC/Minority
Community):
If Yes ,Centre for Training : -
Whether any prosecution / detention / fine / : NO
conviction / sentence against you has been
awarded by any court of law for any offence?
If yes, particulars of the same : -

  Languages Known Read Write Speak

 HINDI  YES  YES  YES

 ENGLISH  YES  YES  YES

Uploaded Document Details :

1. Left Thumb Impression  

2. Hand Written Declaration  

Declaration:
I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the said post
and all the statements made in the application are True, Complete and Correct to the best of my knowledge and belief. I
understood that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of
the eligibility criteria stipulated, and also in case of creating influence/ undue pressure regarding recruitment shall
tantamount to cancellation of my candidature.
I will follow all the Guidelines regarding Social Distancing Mode of Exam given in advertisement and subsequently. Any
violation may result in cancellation of my candidature

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

              

Date: 17-08-2023

Left Thumb Impression

Hand Written Declaration