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ON-LINE APPLICATION FOR RECRUITMENT FOR THE POST OF OFFICER SCALE-I,II,III & OFFICE ASSISTANT

32037

Registration # :

68477

Full Name:

VEERABHADRA RAO NELLURI

Post : Post Code : Category : If Person with Disability : Type of Disability : Percentage of Disability :

General Banking Officer Scale-II 11 GENERAL NO -

Do you intend to use the services of a scribe(only for OC NA and VI candidates whose writing speed has been affected by cerebral palsy) ? : Are you 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 ? : Are you an Employees who have completed 5 years of service in RRBs ? : Whether you belong to Religious Minority Community : Minority Religion : Are you an Ex-Serviceman ? : Are you a Disabled Ex-Serviceman (DISXS) ? : Actual Period of service rendered in defence services as an Ex-serviceman (in months) : Are you a dependent of an Ex-Serviceman (DXS) ? : Are you seeking relaxation under widow/divorced women/women judicially/Separated from their husbands and who are not re-married ? : Domicile of Andhra Pradesh : Nationality : Centre of Examination : Centre code : Application Fee / Postal Charges Details : Remitted In : Transaction ID: Name of the Branch : Branch Code No : Date of Deposit : State Bank of India 011753247 Balkampet 3607 19-08-2011 NO NO YES INDIA Warangal 14 NO NO NO -NO NO

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Amount : 1000

Personal Details : Date of Birth : Age completed as on 23.08.2011 : Gender : Husband's Name / Father's Name : Mother's name : Address for Correspondence : 29-08-1980 30 MALE VENKATESWARA RAO SAROJINI # 12-5-100 VIJAYAPURI TARNAKA District : State : Pin : Permanent Address : SECUNDERABAD ANDHRA PRADESH 500017 # 12-5-100 VIJAYAPURI TARNAKA District : State : Pin : Contact Details: Phone No : Mobile No: Email ID : Qualification Details (as on 22.08.2011): Exam Passed Graduation/Equivalent : Post Graduation/Equivalent : Professional Qualification : Others : Diploma in Banking : Working Knowledge of Computers : Details of Computer Knowledge : Post Qualification work experience details (Start from present Employer): Name of the Employer RAMPRO SOLUTIONS ICICI PRUDENTIAL L IFE INSURANCE CO Designation and Rank From(mm/yyyy) To(mm/yyyy) if any Business Dev Manag er Area Manager 07/2009 07/2011 Nature of Employment & Duties Performed Business Developme nt Manager Area Manager Ope rations and sales Reason for Leaving still working with this employer for good remunerat ion Period of Service in Months 2/0 Name of the Subject/Stream Economics and Accountancy Marketing MBA in Marketing PGDHRM Year of Passing 2000 2006 2006 2004 NO YES WINDOWS OS MS OFFICE SAP % of Marks 58.00 60.00 60.00 55.00 9642064565 nvbhadram@gmail.com SECUNDERABAD ANDHRA PRADESH 500017

06/2007

06/2009

2/0

Total Experience (in months) : Other Details : Would You like to undergo Pre-Exam Training (SC/ST/ Minority Community/EXS) ? : If Yes ,Centre for Training : -

49

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Languages Known Telugu English Read YES YES Write YES YES Speak YES YES

DECLARATION:
I hereby certify that the above information furnished is correct 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 criteria according to the advertisement, then my candidature will be rejected/ service 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 advised criteria in respect of age, caste, educational qualification etc. I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can be instituted by me only at Hyderabad and courts/ Tribunal/ forums at Hyderabad only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake to abide by all the terms and conditions in the advertisement given by the Bank.

Place: Date: 20-08-2011 Signature of Applicant

VEERABHADRA RAO NELLURI

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