RBI - Application Form Print.pdf

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    ome to RBI - Application Form Print http://ibpsreg.sifyitest.com/rbimay13/registration_print.php?reg

    6/19/2013

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    RECRUITMENT OF ASSISTANTS AS PER TO ADVERTISEMENT NO. 1 /ASST./2012-13

    This online application is provisional subject to payment of application fees/ intimation charges

    Last Modified On: 19-06-2013 No Of Times Modified: 1

    Please check Print Preview in A4 size Portrait format with 0.25" margin from all sides (Click to Print)

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    Registration # : 1210715121

    Full Name : ANITHA

    Category : OBC

    If Person with Disability : NO

    Type of Disability : -

    Percentage of disability : -

    Do you intend to use the services of a scribe (only for VH and OH candidateswhose writing speed is affected by cerebral palsy)? :

    NA

    Are you an Ex-Serviceman? : NO

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

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

    Are you currently employee of Central Government/PSU/PSB in Group C orD? :

    NA

    Have you passed the matriculation or its equivalent examinationof the Armed Forces and rendered at least 15 years of defense service? :

    NA

    Whether you belong to Minority Community ? : NO

    Whether domiciled in Kashmir Division of the State of J&Kduring the period 1-1-1980 to 31-12-1989? :

    NO

    Are you seeking relaxation under widow/divorced women/womenjudicially Separated from their husbands and who are not re-married? :

    NO

    Are you staff of RBI? : NO

    If Yes, please specify the PF Index No :

    Nationality / Citizenship : Indian

    Select the Office you are applying for : New Delhi

    State / UT from which the candidate intends to appear : New Delhi

    Centre of Examination : New Delhi

    Centre Code : 238

    Are you proficient in the language of the state for whichyou are applying for recruitment ? :

    YES

    Personal Details :

    Date of Birth : 11-05-1991

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    Age completed as on 01.05.2013 : 21

    Gender : FEMALE

    Husband's Name / Father's Name : RAJENDRAN

    Mother's Name : SELVA RANI

    Address for correspondence : B6 STAFF QUARTERS

    TAMIL NADU HOUSE CHANAKYAPURI

    State : DELHI

    Pin code : 110021Permanent Address : B6 STAFF QUARTERS

    TAMIL NADU HOUSE CHANAKYAPURI

    State : DELHI

    Pin code : 110021

    Contact Details :

    Phone No. : 011-23045144

    Mobile No. : 9968219302

    Email ID : [email protected]

    Qualification Details (as on 01.05.2013):

    Exam Passed Subject /Stream Date of Passing % of Marks Name of

    University /Institute

    Class / Grade

    Graduation : BSc 25-08-2011 71.00 periyar university First Class

    Working Knowledge of Computers : YES

    Details of Computer Knowledge : Ms office C HTML VB

    LanguagesKnown

    Read Write Speak

    English YES YES YES

    HINDI YES YES YES

    TAMIL YES YES YES

    Application Fee Details :Payment In : OFFLINE

    Amount : 400.00

    DECLARATION:

    I certify that the statements made by me in the application are true to the best of my knowledge and belief and understand that any willfully false

    statement is sufficient cause for rejection of my candidature at any stage of the selection process.

    Place:

    Date: 19-06-2013 Signature of Applicant

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

    NOTE: Please DO NOT SEND application printout to IBPS