ANDHRABANKPO_251244

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    ON-LINE APPLICATION FOR ANDHRA BANK PROBATIONARY OFFICERS RECRUITMENT PROJECT

    18038

    Please paste your recent

    passport size photograph

    and sign across it. Please

    retain atleast 5 copies of

    same photograph with you

    for subsequent use.

    Registration # : 251244

    Full Name : DILIP SHARMA

    Category : GENERAL

    If Person with Disability : NO

    Type of Disability : -- Percentage of Disability : --

    Do you intend to use the services of a scr ibe( only for VI and

    OC candidates whose writing speed is affected by cerebral palsy) :--

    Whether domiciled in KashmirDivision of the State of J&K during the period 1-1-1980 to 31-12-1989?

    NO

    Whether you belong to Religious Minority Community? : NO

    Minority Religion : --

    Are you an Ex-Serviceman? NO

    Are you Children/family members of those who died in 1984 ? : NO

    Are you an employee of Andhra Bank : NO

    If yes, Staff Code No:

    Nationality : INDIAN

    Centre of Examination : Hyderabad

    Centre code : 25

    Application Fee / Postal Charges Details :

    Payment in : Andhra Bank Branch

    Transaction ID : 0083639

    Branch Name : AMBERPET

    Branch SOL ID : 1423

    Deposit Date : 18-02-2011

    Amount : 400

    Personal Details :

    Date of Birth : June 1986,26Age completed as on

    31.12.2010 :24

    Gender : MALE

    Father's Name/ Husband's Name : GHEESALAL SHARMA

    Mother's Name : SAROJ SHARMA

    Email ID : [email protected]

    Address for Correspondence : H.NO.2-3-64/10/1/3 FIRST FLOOR

    ANKIT GRAIN & KIRANA JAISWAL GARDEN

    AMBERPET

    District HYDERABAD

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    State : ANDHRA PRADESH

    Pin : 500013

    Permanent Address : H.NO.2-3-64/10/1/3 FIRST FLOOR

    ANKIT GRAIN & KIRANA JAISWAL GARDEN

    AMBERPET

    District HYDERABAD

    State : ANDHRA PRADESH

    Pin : 500013

    Contact Details:

    Phone No : -

    Mobile No: 9966180396

    Qualification Details (as on 31.12.2010) :

    Exams Passed Subject/Stream Year Of Passing % of Marks

    Graduation : BCOM March-2007 63.20

    Post Graduation / Equivalent : MBA May-2009 66.00

    Others : CA PE I November-2005 57.00

    Knowledge of Computers : YES

    Details of Computer Knowledge : OP SYS WIN XP, MS OFFICE, INTERNET,

    Other Details :

    Whether you like to undergo Pre-Exam Training (SC/ST /Minority

    Community):--

    If Yes ,Centre for Training : --

    Languages Known Read Write Speak

    ENGLISH YES YES YES

    HINDI YES YES YES

    TELUGU YES YES YES

    DECLARATION:

    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 cr iteria 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 cr iteria in respect of age, caste, educational

    qualification and experience etc.

    I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of country and/ or to any job

    position at its sole discretion in terms of applicable staff rules from time to time.

    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 Hyderabad and courts/ Tribunal/ forums at Hyderabad 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: 18-02-2011 Signature of Applicant

    DILIP SHARMA

    Please retain your Registration No. and Password emailed to you carefully for further reference

    NOTE: Please DO NOT SEND application print-out to the Bank

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