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Central Bank of India Clerical Recruitment Project 2010

3003

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 # : 607368

Full Name : SHRISTI MAHESHWARI

Category : GENERAL

Whether person with disability : NO

Type of Disability : - Percentage of Disability : --

Do you intend to use the services

of a scr ibe (only for VH & OH

candidates whose writing speed is

affected by cerebral palsy)? :

--

Are you a candidate who had ordinarily

been domiciled in Kashmir Division

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

Religion to which you belong :

Are you an Ex-Serviceman ? NO

If Ex-Serviceman, have you

passed in Service (Departmental)

Examination which is recognized

as equivalent to Civil Examination b

not below the level of Matriculation?:

NO

Are you a Disabled Ex-Serviceman (DISXS)? : NO

Period of Service in the Defence force (in months) :

Are you a Dependent of an Ex-Serviceman (DXS)? : NO

Whether children / family members of those

who died in 1984 riots ? :NO

Are you seeking relaxation under

window / divorced women / women judicially

Separated from their husbands and

who are not re-married? :

NO

Nationality : INDIAN

State / Union Territory for which you are applying : Uttar Pradesh

State / UT code : 27

Centre of Examination : Lucknow

Centre code : 45

Application Fee / Postal Charges Details :

Transaction ID : 1988524

Branch Name : NAVYUG MARKET GHAZIABAD

Branch Code : 2180

Deposit Date : 04-12-2010 Amount : 250

Personal Details :

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Date of Birth : March 06,1986Age completed as on

01.11.2010. :24

Gender : FEMALE

Father's Name/ Husband's Name : BRIJESH MAHESHWARI

Mother's Name : RITA MAHESHWARI

Address for Correspondence : SHRISTI MAHESHWARI

D/O BRIJESH MAHESHWARI

MOH. AHIRAN PALIA KALAN

District LAKHIMPUR KHERIState : UTTAR PRADESH Pin : 262902

Permanent Address : SHRISTI MAHESHWARI

D/O BRIJESH MAHESHWARI

MOH. AHIRAN PALIA KALAN

District LAKHIMPUR KHERI

State : UTTAR PRADESH Pin : 262902

Contact Details:

Phone No : 05871-233371 Mobile No : 9452361331

Email ID : seekshristi@gmail.com

Qualification Details (as on 01.11.2010)::

Exams Passed Subject/Stream Year Of Passing % of Marks Class / Grade

SSC / Equivalent : EG,HIN,MATHS,SCI,SST 2002 44.00 Pass Class

HSC / Equivalent : PHY,CHE,MATHS 2005 57.40 Second Class

Graduation / Equivalent

:

PHY,CHE,MATHS2009 43.30 Pass Class

Knowledge of Computer : YES

Diploma in Banking : NO

Languages Known Read Write Speak

English YES YES YES

HINDI YES YES YES

Other Details :

Would You like to undergo Pre-Exam Training (SC/ST/Religious Minority

Community/PC/Ex-Serviceman) :NO

If Yes Centre for Training :

DECLARATION:

I hereby certify that the information furnished above is correc t 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/services 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 the advised criteria in respect of age, 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 the 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(s) or claims or disputes arising out of this application or out of said advertisement

can be instituted by me only at Mumbai and Courts/Tribunal/ Forums at Mumbai only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake

to abide by all the terms and conditions mentioned in the advertisement given by the Bank.

Place:

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Date: 08-12-2010 Signature of Applican

SHRISTI MAHESHWAR

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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