itute of Banking
ersonnel Selection
41172017 Common Recrukmment Process (CRP) for Recruitment of Probationry Officer Management Trainees in Paricipating Organizations: (CWE POMT-VI)
Institute of Banking Personnel Selection
Common Recruitment Process (CRP) for Recruitment of Probationary Officer/ Management
Trainees in Participating Organizations- (CWE PO/MT-VI)
Registration Number
Full Name
Category
‘Ave you a Person with Disability
‘Type of Disability
Percentage of disability
‘Are you suffering rom cerebral palsy and your writing speed is afected +
IFYes, Do you need compensatory time atthe time of examination?
Whether your dominant (Writing) hand is affected
IFYes, Do you need compensatory time atthe time of examination?
Do you intend to use the services ofa scribe ?
‘Are you 8 child family member of those who died in 1984 riots?
‘Are you @ person domiciled inthe State of Jammu & Kashmir during
the period 1-1-1980 to 31-12-1988?
‘Aco you an Ex-Servicoman :?
‘Actual service rendered in defence services which may be counted for
{qualifying as an Ex-sarviceman (In Months)
Date of relief from defence services
Have you joined a Government ob on the civil side after availing ofthe
benefits given as an ex-serviceman?
Religion to which you belong
o you belong to Religious Minority Community ?
Whether serving in Govt’ quasi Govt/ Public Sector Undertakings
{including Nationalised Banks & Financial Institutions)?
Have you appeared for the CWE POIMTheld in year 2011 7
Registration No.
Have you apps
36 for the CWE POIMT held in year 2012 ?
Registration No.
Have you apps
34 for the CWE POMT held in year 2013 ?
Registaton No.
Have you appeared for the CWE POIMTheld in year 2014 7
Registaton No.
Have you appeared for he CWE POIMTheld in yoar 2015 ?
Registration No.
piops sits comlerppolouij18redistraon print. pop? OGY TMOZjexMWIOMWNKNm QSYZRIZjASNmRraNzGxY)REMTGIM Thwht2YON)
1 1471203646
1 SNEHAL DADARAO
KAMBLE
sc
: NO
: NO
: NO
: NO
Hindu
: NO
: YES
: YES
: YES
us41720°7 Commen Recrukment Process (CRP) for Recruitment of Probationsy OFicer Management Trainees in Paricipating Organization (CWE POMT-VI)
Do you hold Aadhar Card ?
‘Aadhar Card No.
Nationality /itzenship
‘State/UTINCR to which centre of exam belongs
State code
Cente of Examination
Application Fee / Intimation charges
Amount
Payment Status
Reference ID
‘Transaction Date
Personal Details
Date of Birth
‘Age completed as on 01.07.2016
Gender
Marital Stats
Father's Name
Mothers Name
‘Spouse's Name
‘Address for Correspondence
Address 2
Distret
‘State
Pincode
Permanent adaress
Address 2
Distret
State
Pincode
Contact Details
Mobile No
‘Alternative Number
(Mobile NofLandline No)
Email iO
Qualification Details(as on 13.08.2016)
ptitps sits comlerppotoij18redistraon print. pop? OGYxYTMOZjexMWIOMWNKNm QSY2RIZjASNmRraNzGxY)RSMTGIM TRwM2YON)
2 YES
+ 876716333125
+ Indian
+ Maharashtra
at
+ Nagpur
100.00
: PAD
1 GsBi4650993972
+: 07-08.2016
5 02-10-1990
125
2 MALE
+ Unmarried
+ Dadarao kamble
+ lalta
1093 Ashirwad nagar Near
dadasahed|
+ thakre school Opp Gold gym
Nagpur
Nagpur
: MAHARASHTRA
2 440024
1093 Ashirwad nagar Near
" dadasaheb
+ thakre school Opp Gold gym
Nagpur
+ Nagpur
1 MAHARASHTRA
1 44002
491 g890646513
+ sumiti23567@gmallcom
841720°7 Commen Recrukment Process (CRP) for Recruitment of Probationsy OFicer Management Trainees in Paricipating Organization (CWE POMT-VI)
Exam Passed Dogr
Graduation /Equivalont BE.
Subject /Stroam Date of of Marks
Passing
Engineering 04-2012 64.00
Do you have Operating and working
knowledge in computer systems 7
Details of Computer Knowledge:
Other Details
Whether desirous oftaking Pre-Exam —: NO
Training (Applicable only for SCIST/
Minority Community)
Yes Cente for Training
Organisation Preference
Yes
‘Studied in High Schoot/Collog
Computer as.a Subject
Organisation in order of Preferences
4 Punjab National Bank
2 Canara Bank
3 Bank of Baroda
4 Bank of Maharashtra
5 Bankof India
6 Central Bank of India
7 Union Bank of India
8 IDBIBank
9.Dena Bank
10 Unites Bank of India
11 Corporation Bank
42 Oriental Bank of Commerce
13 Indian Overseas Bank
14UCO Bank
46 Punjab & Sind Bank
16 Andhra Bank
17 Allahabad Bank
18 Vijaya Bank
419 Syndicate Bank
20 Indian Biank
Whether any prosecuton/ detention!
finelconvictonl sentence against you has been
‘awarded by any cour of law for any ofence?
Iryes, particulars ofthe same
Other Details :
No
Marathi
Hindi
English
Yes ves ves
ves ves ves
Yes ves ves
Declaration:
I hereby declare thatall the statements made inthis application are True, Complete and Correct to the best of my knowledge and belie.
psitps sits comierppoloij18redistraon print. pope OGY TMOZjcxMWIOMWNKNm QSY2RIZjASNmRraNzGx¥)REMTGSM TWh 2YON)
a441720°7 Commen Recrukment Process (CRP) for Recruitment of Probationsy OFicer Management Trainees in Paricipating Organization (CWE POMT-VI)
Understand thatin the eventof any information being found untrue or incorrect at any stage or | am not salisying any of the eligiblliy
criteria stipulated, and also in case of creating influencelundue pressure ragarding recruitment shal tantamount to cancellation of ry
candidature,
a]
Date: 07-08-2016 Signature of Applicant
psitps sits comierppoloij18redistraon print. pope OGY TMOZjcxMWIOMWNKNm QSY2RIZjASNmRraNzGx¥)REMTGSM TWh 2YON) 48