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TRANSCRIPT
ON-LINE APPLICATION FOR BANK OF BARODA CLERKS RECRUITMENT PROJECT
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Please paste your recent passport size photograph and sign across it. Please retain atleast 5 copies of same photograph with you for subsequent use.
Registration # : 3285610
Full Name : Mr DAS NEMAI CHANDRA
Category : SC
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 candidates whose writing speed is 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? NO
Are you Children/family members of those who died in 1984 riots NO
Whether you belong to Religious Minority Community NO
Minority Religion : --
Are you an Ex-Serviceman (Including ECO/SSCO)? NO
Are you a disabled Ex-Serviceman (DISXS) NO
Are you a dependent of an Ex-Serviceman (DXS) NO
Have you passed in Service (Departmental) Examination which is equivalent to Civil Examination not below the rank of HSC? NO
Are you seeking relaxation under widow/divorced women/women judicially/ Separated from their husbands and who are not re-married? NO
District Preference for Posting :
District Preference 1 : BURDWAN
District Preference 2 : HOOGHLY
District Preference 3 : KOLKATA
Are you an employee of Bank of Baroda : NO
If yes,E. C. No :
Nationality : INDIAN
State / Union Territory for which you are applying : West Bengal
State / UT code : 38
Centre of Examination : KOLKATA
Centre code : 47
Application Fee / Postal Charges Details :
Transaction ID : M577271
Branch Name : BURDWAN
Branch Code No : 0906
Deposit Date : 31-01-2011
Amount : 50
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Personal Details :
Date of Birth : December 11,1978 Age as on on 01.01.2011. : 32
Gender : MALE
Father's Name/ Husband's Name : RABINDRA NATH DAS
Mother's Name : CHHAYA RANI DAS
Email ID : [email protected]
Address for Correspondence : VILL- KHANDAGHOSH (LALU BATI)
POST + PS - KHANDAGHOSH
District BURDWAN
State : WEST BENGAL
Pin : 713142
Permanent Address : VILL- KHANDAGHOSH (LALU BATI)
POST + PS - KHANDAGHOSH
District BURDWAN
State : WEST BENGAL
Pin : 713142
Contact Details:
Phone No : -
Mobile No: 9062695073
Qualification Details (as on 01.01.2011):
Exams Passed Subject/Stream University / Board Year Of Passing % of Marks
HSC / Equivalent : ARTS W B C H S E 01-07-2000 39.99
Graduation : ARTS VISHVA BHARATI UNI 01-07-2003 50.13
Diploma in Banking : NO
Possess certificate in computer literacy : YES
Post qualification work experience details as on 01.01.2011 (Start from Present Employer) :
No Experience
Other Details :
Whether desirous of taking Pre-Exam Training (SC/ST/PWD/Minority Community) : NO
If Yes Centre for Training : --
Languages Known Read Write Speak
English YES YES YES
BENGALI YES YES YES
HINDI NO NO YES
ORIYA NO YES YES
DECLARATION: I hereby certify that the information furnished above 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/services 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 the advised criteria in respect of age, educational qualification and experience, etc.
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I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of the country and/or to any job position at its sole discretion in terms of applicable staff rules from time to time. I hereby agree that any legal proceeding in respect of any matter(s) or claims or disputes arising out of this application or out of said advertisement can be instituted by me only at Mumbai and Courts/Tribunal/ Forums at Mumbai only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms and conditions mentioned in the advertisement given by the Bank. Place:
Date: 31-01-2011 Signature of Applicant
DAS NEMAI CHANDRA Please retain your Registration No. and Password emailed to you carefully for further referenceNOTE: Please DO NOT SEND application print-out to the Bank
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