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Common Written Examination of Office Assistants (Multipurpose) in Regional Rural Banks (RRBs- CWE-II)

32033
Registration # : 1230444149

Full Name :

ANJALI SHUKLA

Category : If Person with Disability : Type of Disability : Percentage of disability :

GENERAL NO -

Do you intend to use the services of a scribe (only for VI and OC whose writing speed is affected by cerebral palsy) ? : NA Whether are you a Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : Whether you belong to Religious Minority Community ? : Religious Minority Community to which you belong : Are you an Ex-Serviceman? : Are you a Disabled Ex-Serviceman (DISXS)? : Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman ? : Are you Dependents of Servicemen killed in action (DXS) ? : Are you a matriculate Ex-Serviceman who has obtained the Army Special Certificate of Education or corresponding certificate in the Navy or Air Force after having completed not less than 15 years of service in the Armed Forces of the Union ? : Percentage of Marks : Are you seeking Relaxation under Widows, Divorced women & women judicially separated from their husbands & who are not remarried ? : Have you applied for the CWE for RRB held in September 2012 ? : Post Name : Registration Number : Nationality / Citizenship : Do you have any work experience ? : If Yes, Mention the number of years of work Experience: State/ UT which the Centre of Examination Belongs : Centre of Examination : Personal Details : Date of Birth : Age completed as on 01.07.2013 : Gender : Husband's Name / Father's Name : Mother's Name : Address for correspondence : 08-10-1986 26 FEMALE SHASHINDRA NATH SHUKLA B SHUKLA Q. No. 38 Dr. RAM MANOHAR LOHIA HOSPITAL COMPOUND FARRUKHABAD Uttar Pradesh Ghaziabad INDNIA NO NO NO NO NA NO NO NO NO NO

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District : State : Pin code : Permanent Address : FARRUKHABAD UTTAR PRADESH 209625 Q. No. 38 Dr. RAM MANOHAR LOHIA HOSPITAL COMPOUND FARRUKHABAD District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Educational and Professional Qualification Details(as on 01.07.2013) : Exam Passed Graduation : Post Graduation : Professional Qualification : Subject /Stream B Sc M Sc MBA Date of Passing 18-06-2007 10-07-2009 19-07-2011 % of Marks 64.67 61.67 66.94 HINDI YES MS Office internet Class / Grade First Class First Class First Class 9718211139 anjali.shukla16@gmail.com FARRUKHABAD UTTAR PRADESH 209625

Please mention local language (s), you have passed as one of the subjects in Matriculation/ Xth Standard examination: Do you have computer knowledge ? : Details of Computer Knowledge : Other Details : Whether desirous of taking Pre-Exam Training (Only for SC/ST/ Minority Community/Exsm/DISXS/DXS/PWD) : If Yes, Centre for Training : Languages Known ENGLISH HINDI Application Fee / Intimation charges : Payment In : Amount : Reference ID : Transaction Date : ONLINE 600.00 MSPD3050592771 18-07-2013 Read YES YES Write YES YES Speak YES YES

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DECLARATION:
I hereby declare that all statements made in this application are true,complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue or incorrect at any stage or i am not satisfying any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place:

Date : 18-07-2013

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS