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ON-LINE APPLICATION FOR THE POST OF OFFICER IN GRADE 'B' ( GENERAL)-DR as per Advt. No.4A/2012-2013
32029Registration # : 558167
Full Name : KARAN DEEPAK MEHTA
Category : GENERAL If Person with Disability : NO Type of Disability : -Whether requires Services of Scribe (Only for those candidates who have physical limitation to write including that of speed.) : NA Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : NO Do you possess of M.Phil. Qualification ? : NO Do you possess of Doctorate Degree/ Ph.D. Qualification ? : NO Do you fall under the category of Ex-serviceman / Retrenched from Government Office / Banking Institution ? : NO If Yes, Select the Category : - Do you have experience as an Ex-Servicemen for more than 5 years ? : Are you Reserve Bank of India Employee (RBI Staff) ? : NO If Yes, PF Index No : Have you appeared four times for 'WE' for Officers in Grade 'B' in RBI in the past ?( applicable in case of Unreserved/General Candidates only) : NO
Do you have experience as an officer in Commercial Bank/Financial Institution in Public Sector? : NO Years of Experience (in Years) : State/ UT which the Centre of Examination Belongs : MaharashtraCentre of Examination for Objective Type Test (Phase I): MumbaiCentre code : 61Centre of Examination for Descriptive Type Test (Phase II): MumbaiCentre code : 25Application Fee Details : Payment In : ONLINEAmount : 400.00Reference ID : MCTR3044689862Transaction Date : 11-07-2013Personal Details : Date of Birth : 11-07-1991Age completed as on 01.06.2013 : 21Gender : MALEFather's Name : DEEPAK BHARATKUMAR NARIELWALAMother's Name : RUPAL DEEPAK NARIELWALAAddress for Correspondence : BLDG L-3 FLAT NO 5 KASHISH PARK
L.B.S MARG THANE WESTDistrict THANEState : MAHARASHTRAPin code : 400604Contact Details : Phone No : -Mobile No : 9870856594Email ID : [email protected] Details (as on 01.06.2013) :
Exam Passed Subject /Stream Date of Passing % of Marks Name of University/
Class / Grade
1/2
/ Institute
Graduation /Bachelor's Degree : MANAGEMENT 18-06-2012 60.76
MUMBAIUNIVERSITY First Class
Details of Work Experience (Start from Present Employer) :Name of the Employer Designation and
Rank if anyFrom (DD/MM/YYYY) To (DD/MM/YYYY) Duration of
Service (YY/MM/DD)Nature of
Duties PerformedMAERSK GLOBAL SERV
ICESASSOCIATE 15/04/2013 01/06/2013 0/1/18 ISSUANCE BL
TCS eServe ASSOCIATE 24/07/2012 08/02/2013 0/6/15 CORPORATE BANKING
DECLARATION: I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledgeand belief. I understand that if at any stage, it is found that any information given in this application is false/incorrect or that I do not satisfythe eligibility criteria according to the Board, my candidature /appointment is liable to be cancelled/terminated. I have read and understoodthe stipulations given in the advertisement and hereby undertake to abide by them.
Place:
Date: 11-07-2013 Signature of Applicant
Please retain your Registration No. and Password emailed to you carefully for further referenceNOTE: Please DO NOT SEND application printout to IBPS
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