ALLAHABAD BANK APPLICATION CUM BIO DATA FOR SELECTION THROUGH CAMPUS

1. (a) Post Applied for: FINANCIAL ANALYST/MARKETING OFFICER/HR in Specialist Cadre(JMG Scale-I)

2. (a) Date of Campus Interview: (b) Place of Interview: (c) Name of the Institution: 3. Full Name (in Block Letters leaving one box blank between the parts of your name):

Affix your recent passport size colour photograph & sign across so that a part of the signature spreads over the application form and photograph

4. Fathers/Husbands Name:

5. Fathers Occupation: Full Address of the work place with PIN code & Phone/Mobile No.
.. If service, give details: Post: retirement: 8. (a) Date of Birth : (Date) (b) Age as on 01.01.2012 :

Annual Income:

Date
M F SINGLE

of

(Month) _____ Years

(Year) ______ Months

6. Sex ______ Days. 7.

MARRIED

Marital status

(i) Relaxation of Age (if claimed) : _________ No of Years; _____________________________ (SC/ST/OBC/PC/Domiciled in Kashmir Division/Children of those died in1984 riots) (Please attach attested Photostat copy of relevant certificate/s) 9. Category [PLEASE MENTION YES/ NO]: SC ST
Caste OBC Creamy Layer Non-Creamy Layer Genera l

Under Category

Whether MC (Sikh/Muslim/Christian/Neo-Buddhist/ Zoroastrian etc.) (please write community & attach copy of certificate)

If SC/ ST/ OBC, please mention name of sub caste : _____________________________________________

(Please attach attested Photostat copy of Caste Certificate on prescribed proforma as applicable, issued by Competent Authority)

(b) If OBC, Date of issuance of relevant certificate: .

(c) If physically challenged (PC), [PLEASE MENTION YES/NO] : Orthopaedically Challenged (OC) Hearing Impaired (HI) Deaf/Dumb Hearing impairment

(OBC Certificate on prescribed proforma issued by appropriate authority as per Govt. directives should not be more than one year old as on the date of application i.e. issued on or after 01.04.2010.)

Visually Impaired (VI) Blindness Low vision

Percentage of Disability: .
candidates )

( for OC candidates ), (ii) Hearing Impairment : .

decibels

( for HI

(iii) Visual acuity: -------- --Snellen (for VI candidates)

and Limitation of the Field of vision subtending an angle of: Degree

(Please enclose attested copy of medical certificate on prescribed proforma issued by competent authority/Medical Board as per Govt. of India)

10. Educational Qualifications: (As on 01.01.2012) Examination/ Degree

Name of Exam/ Degree passed

% of Marks *
Subjects Studied
Date, Month & Year of Passing Name of Board/ obtained in University aggregate* * ( Whether in Govt./Autonomous) Years/ Semesters Whether recognise d by Govt. ( Yes/No)

12th
Graduation

Post Graduation Any Other Qualifications

* Show CGPA/OGPA into Percentage % Marks. Signature of the candidate . * * N.B.:The percentage of marks shall be arrived at by dividing the aggregate/ total marks obtained by the candidate in all the
subjects irrespective of optional/additional subjects studied with the aggregate/ total maximum marks of the examination passed for all the years/semesters of the examination.

(2) 11. Computer Knowledge:

Name of the Course/Read as a subject in Exam.

Subject/Area covered/Exposed

Duration From To

Date of completio n

Name & address of the Institution

Whether recognise d (Yes/No)

12. Languages Known: Language Read Write Speak

13. Particulars of relative, if any, serving with Allahabad Bank : Sl. No Name Designation Place of posting Relationship

14. Extra curricular Activities (Games/Membership/Association etc.): 15. Hobbies: 16. Achievements, if any : 17. Permanent Address: ..
(Please mention H No, Lane/street/Road/Town, Village, Post, Via, Thana, District, State, PIN Code etc)
.

18. Address for Correspondence: .

.. (Please mention H No, Lane/street/Road/Town, Village, Post, Via, Thana, District, State, PIN Code etc)

19. Name of the State/UT to which you belong: District .. State/UT:

20. Mobile No. .. Tel. No... E-mail ID: 21.

Nationality: .

22. Religion: ..

23. Have you already been called for Interview/ selected in any other Bank/Organization, give details:

.. or a case against you is pending in respect of any criminal offence/charge/is under investigation, inquiry or trial. Whether a case against you is pending in respect of any criminal offence/charge/ is under investigation, inquiry or trial or otherwise.

24. Have you ever been arrested, or kept under detention or bound down/fined/convicted by a court of Law for any offence

[PLEASE MENTION

YES/NO

If Yes full particulars of the case should be given:

Section/Act

Case/Suit No. .. . Thana/Court. ..

Summary of case:.. I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand and agree that misrepresentation, falsification or omission of material facts if found at any stage or not satisfying the eligibility criteria (as on 01.01.2012) according to the requirements of the Bank for the post, my

Declaration

candidature/ appointment is liable to be cancelled/ terminated. I am wiling to serve anywhere in India. I agree that the Bank has the right to transfer me to anywhere in India at its discretion. I undertake to abide by all the terms & conditions mentioned in the Service Regulations of the Bank. I am agreeable to furnish a financial Bond of Rs.1,00,000/- with surety acceptable to the Bank for rendering service for a minimum period of three years. I hereby agree that any legal proceedings in respect of any matter(s) or claims or disputes arising out of this application can be instituted by me only in Kolkata and Courts/Tribunals/Forums at Kolkata only shall have sole and exclusive jurisdiction to try any cause/dispute.

Date: Place:

_______________________________________ (Signature of the Candidate) Name: