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8/1/2014 Welcome to SIDBI - Application Form Print http://ibps.sifyitest.com/sidbijul14/registration_print.php?prnsrc=prn&q=9b573ced6421c29c4147c8a5e21d1da3 1/2 Recruitment of Officers in Grade 'A' - General Stream 32040 Registration # : 80165507 Full Name : Siddharth Gaur Category : GENERAL If Person with Disability ? NO Type of Disability : - Percentage of Disability : - Do you wish to use the services of a scribe ?(only for LV & OC candidates whose writing speed is affected by cerebral palsy): - Do you have Non-creamy Layer Certificate issued by competent authority (only for OBC Category)? - Whether you belong to Religious Minority Community ?: NO Religion to which you belong : Hindu Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : NO Are you a Child/Family Members of those who died in 1984 Riots? : NO Are you an Ex-Serviceman? : NO Total period of service(In Months) : : - Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?: - Whether the candidate is an employee of SIDBI ?: NO If Yes, Employee Number : - Nationality : Indian Centre of Examination : Jaipur Centre of Interview : New Delhi Application Fee / Intimation charges Details: Payment In: ONLINE Amount : 500.00 Reference ID : MSBJ3435209157 Transaction Date : 01-08-2014 Personal Details : First Name : Siddharth Middle Name : Last Name : Gaur Date of Birth : 25-08-1987 Age completed as on 01.07.2014 : 26 Gender : MALE Father's Name : Purusottam Prasad Sharma Husband's Name : Mother's Name : Anita Sharma Contact Details : Phone No : -

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  • 8/1/2014 Welcome to SIDBI - Application Form Print

    http://ibps.sifyitest.com/sidbijul14/registration_print.php?prnsrc=prn&q=9b573ced6421c29c4147c8a5e21d1da3 1/2

    Recruitment of Officers in Grade 'A' - General Stream

    32040

    Registration # : 80165507

    Full Name : Siddharth Gaur

    Category : GENERAL

    If Person with Disability ? NO

    Type of Disability : -

    Percentage of Disability : -

    Do you wish to use the services of a scribe ?(only for LV & OC candidates whose writing speed is affected by cerebral palsy): -

    Do you have Non-creamy Layer Certificate issued by competent authority (only for OBC Category)? -

    Whether you belong to Religious Minority Community ?: NO

    Religion to which you belong : Hindu

    Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : NO

    Are you a Child/Family Members of those who died in 1984 Riots? : NO

    Are you an Ex-Serviceman? : NO

    Total period of service(In Months) : : -

    Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?: -

    Whether the candidate is an employee of SIDBI ?: NO

    If Yes, Employee Number : -

    Nationality : Indian

    Centre of Examination : Jaipur

    Centre of Interview : New Delhi

    Application Fee / Intimation charges Details:

    Payment In: ONLINE

    Amount : 500.00

    Reference ID : MSBJ3435209157

    Transaction Date : 01-08-2014

    Personal Details :

    First Name : Siddharth

    Middle Name :

    Last Name :Gaur

    Date of Birth : 25-08-1987

    Age completed as on 01.07.2014 : 26

    Gender : MALE

    Father's Name :Purusottam Prasad Sharma

    Husband's Name :

    Mother's Name : Anita Sharma

    Contact Details :

    Phone No : -

  • 8/1/2014 Welcome to SIDBI - Application Form Print

    http://ibps.sifyitest.com/sidbijul14/registration_print.php?prnsrc=prn&q=9b573ced6421c29c4147c8a5e21d1da3 2/2

    Mobile No : 9828566586

    Email ID : [email protected]

    Address for Correspondence : 2-239 .. B-Block

    Gyan Marg

    Panchsheel Colony

    District Ajmer

    State : RAJASTHAN

    Pin code : 305001

    Permanent Address : 2-239 .. B-Block

    Gyan Marg

    Panchsheel Colony

    District Ajmer

    State : RAJASTHAN

    Pin code : 305001

    Qualification Details(as on 20.07.2014) :

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

    Graduation : Commerce 26-08-2007 54.00 Second Class

    Post Graduation : MBA 08-12-2011 65.00 First Class

    Other: Certificate in IT 04-09-2009 90.00 First Class

    Proficiency in computers? : YES

    Details of Computer Knowledge :RSCIT andCertificate in IT

    Other Details :

    Whether desirous of taking Pre-Recruitment Training (Applicable Only for SC/ST/ OBC) : NA

    Languages Known Read Write Speak

    English YES YES YES

    Hindi YES YES YES

    Marwari YES YES YES

    DECLARATION :

    I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event ofany information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements of the relative advertisement, mycandidature/appointment is liable to be cancelled/terminated. I am willing to serve anywhere in India.

    Place:

    Date: 01-08-2014 Signature of Applicant

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