Application Form

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Annexure -1 APPLICATION FOR THE POST OF PROBATIONARY OFFICER 1. Name of the applicant (in capitals) 2.

Fathers name
3.Sex 4.Date of Birth and Age as on 01.11.2011 5. Place of Birth 6. Place of Domicile 7. Permanent address Male /Female
Affix recent passport size photograph duly signed

8. Address for communication 9.Phone: Land line (with STD Code) Mobile No. Email ID : 10. Nationality/ Religion 11. Languages Known a) b) c) 12. If selected Place /branch preferred. (refer para 3) TO SPEAK TO READ TO WRITE

Choice

Name of branch

Distance from place of Domicile

First Second

13. Marital Status


14. Educational qualification Sl Examination / No. Course 01. SSLC/SSC 02. Pre University/Intermediate 03. Graduation 04. Any other qualification University/ Board Subject Year of Passing % of marks

15. Previous Experience (if any). Sl No. From To Name of the employer Designation

16. Knowledge of Driving 17.Particulars of application fee

YES / NO DD No: ___________ Date: _________

Name of Bank : __________ Amount : Rs.______ I hereby declare that, all the statements made in this application are true and if any of the particulars furnished by me are found to be incorrect, my candidature is liable to be rejected at any stage of the selection process. PLACE : DATE : SIGNATURE OF THE CANDIDATE

NB: Please note to fill all the columns in the application.

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