7/18/23, 11:26 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

150140
COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN
PARTICIPATING BANKS (CRP CLERKS-XIII)

Registration Number : 2270299324

Full Name : KAJAL GIRI

Category : OBC (NCL)

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

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NWM3YjUzZmEyNDMwM2YxODZkNWE5MmRhYjFhZjg0NmF8MjI3MDI5OTMyN… 1/5
7/18/23, 11:26 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)
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 : NO
died in 1984 riots ?
Religion to which you belong : Hindu

Do you belong to Religious Minority Community : NO

?
Are you an Ex-Serviceman ? : NO

Are you a Disabled Ex-Serviceman (DISXS)? : 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 ?

Are you a Dependent of Serviceman killed in : NO

Action (DXS) ?

Are you a matriculate Ex-Servicemen who have : -

obtained the Army Special Certificate of
Education or corresponding certificate in the
Navy or Air Force after having completed not
less than 15 years of service in the Armed
Forces of the Union as on 21.07.2023 ?

Percentage of Marks : -

Are you seeking relaxation under widow / : NO

divorced women / women judicially Separated
from their husbands and who are not re-
married?
Have you appeared for the CWE/CRP for : NO
Clerical Cadre earlier ?
How many attempts ? : -

Select the CWE/CRP-CLERKS attempted : -

earlier
Nationality / Citizenship : Indian

Vacancies of State/UT you are applying for : Uttar Pradesh

State code : 44

Centre of Preliminary Examination : Lucknow

Centre of Main Examination : Lucknow

I intend to bring the following ID when : YES

appearing for the examination : (I confirm my
name on this ID and this application exactly
match)

ID Proof : Aadhar Card

ID Proof No. : XXXXXXXX2248

Kindly indicate Medium of Paper - how you : English and Hindi

would like the paper to be presented to you ?

Application Fee / Intimation charges

Payment In : ONLINE

Fees : 720.34

Tax : 129.66 (IGST)

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NWM3YjUzZmEyNDMwM2YxODZkNWE5MmRhYjFhZjg0NmF8MjI3MDI5OTMyN… 2/5
7/18/23, 11:26 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

Amount : 850.00
Payment Status : PAID

Reference ID : YHMP1999944038

Transaction Date : 18-07-2023

Personal Details

Date of Birth : 28-03-2000

Age completed as on 01.07.2023 : 23

Gender : FEMALE

Aadhaar Card Number : -

PAN Card Number : -

Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -

Marital Status : Unmarried

Father's Name : DIGVIJAY KUMAR

GIRI

Mother's Name : POONAM DEVI

Spouse's Name : -

Address for Correspondence

Address 1 : NEAR SHEETLA MATA
MANDIR
Address 2 : BIJNOUR

District : LUCKNOW

State : UTTAR PRADESH

Pincode : 226002

Permanent address

Address 1 : NEAR SHEETLA MATA

MANDIR

Address 2 : BIJNOUR

District : LUCKNOW

State : UTTAR PRADESH

Pincode : 226002

State for GST invoicing : Correspondence

Address (UTTAR
PRADESH)

Contact Details

Mobile No : +91 6306229957

Alternative Number : -
(Mobile No/Landline No)

Email ID : kajalgiri052@gmail.com

Educational Qualification (as on 21.07.2023)

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NWM3YjUzZmEyNDMwM2YxODZkNWE5MmRhYjFhZjg0NmF8MjI3MDI5OTMyN… 3/5
7/18/23, 11:26 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)

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

Passing

Graduation / B.Com Commerce 26-11-2021 55.50 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

Banks Preference

1 Punjab National Bank

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

Other Details :

For the safety and wellbeing 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 ?
(Only for SC/ST/OBC/Religious Minority
Communities/Ex-
Servicemen/DISXS/DXS/PWBD):

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

ENGLISH YES YES YES

HINDI 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
https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NWM3YjUzZmEyNDMwM2YxODZkNWE5MmRhYjFhZjg0NmF8MjI3MDI5OTMyN… 4/5
7/18/23, 11:26 PM COMMON RECRUITMENT PROCESS FOR RECRUITMENT OF CLERKS IN PARTICIPATING BANKS (CRP CLERKS-XIII)
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: 18-07-2023

Left Thumb Impression

Hand Written Declaration

https://ibpsonline.ibps.in/crpcl13jun23/registration_print.php?q=NWM3YjUzZmEyNDMwM2YxODZkNWE5MmRhYjFhZjg0NmF8MjI3MDI5OTMyN… 5/5