Application Cum Personal Data Form

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APPLICATION CUM PERSONAL DATA FORM FOR ADMISSION TO FEDERAL MANIPAL SCHOOL OF BANKING

FMSB ID: Date of Interview Venue of Interview Federal bank Employee? Yes No If yes PF No: d d m m y y y y

(For Office use only)

PERSONAL DATA (To be filled up completely by the candidate in his/her own handwriting) 1 2 3 4 Name of the Candidate (in Block Letters, as appearing in the matriculation or equivalent certificate) Sex ( the appropriate box) d Male d Female

Date of Birth in DD/MM/YYYY (as per matriculation / equivalent certificate) Age (as on 01.01.2013) Phone with STD Code:

years

months

Please affix your recent passport size colour photograph (without dark glasses) and sign across

Mobile: E-mail ID registered with us: Alternate Email ID: Address for Correspondence (in Block letters) with PIN code Permanent Address (in Block letters) with PIN code

If yes, name of the Caste/ Tribe 8 (Attach self attested copy of the certificate) Academic Qualifications: - Attach self attested copies of mark lists / certificates etc. Percentages of marks are not allowed to be rounded off to arrive at the minimum percentage of marks stipulated. ( For example : A candidate who 9 secured only 59.99% of marks will not be permitted to appear for the interview in case the minimum stipulated percentage is 60) Date, Month & Year Name of the School / Name of the Course of passing (as per Main Subjects / % of Particulars College & University / (eg: BA, B Sc, LLB, copy of the mark Streams marks Board MA, MBA, etc) sheet / certificate attached) Do you belong to Scheduled Caste/ Tribe (furnish Yes or No) Standard X

Standard XII

Graduation

Post Graduation

Other Qualifications

FMSB ID:

Signature of the candidate

10

Particulars of Post Qualification work experience (if any) Designation Period of service From To (dd/mm/yy) (dd/mm/yy) Length of service in months Last drawn monthly salary Reason for leaving service

Name of employer & nature of duties performed

11

Details of Computer courses, if any, undergone (attach self attested copies of the certificates) Details of other relevant exposures (like student apprenticeship, project work, seminars, public speaking etc) Details of period during which candidate was neither employed nor studying Languages known (underline mother tongue)

12

13

Read

Write

Speak

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15

Place of Domicile with district & state. Have you had any major illness, operation or accident? If yes, give details. Do you have any physical disability? If yes, details? Your blood group What are your extracurricular activities? (attach self attested copies of the certificates, if any) Have you received any prize/ distinction or scholarship? If yes, give details. Have you ever been convicted of an offence? If yes, state details Fathers / Guardians name Occupation of your Father / Guardian Annual Income of Guardian your Father / Employment details Number of children

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17 18

19

20

21

22 23

24

Name of spouse 25 If married , furnish details

Annual Income

FMSB ID:

Signature of the candidate

26

How many brothers and sisters do you have? Are your brothers or sisters employed? If yes, state their age and present employment? Whether any of your family members are suffering from any major illness? If yes, give details Do you have any relative in the service of Federal Bank? If yes, 1. Name of the Employee

Brothers

Sisters

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28

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2. Designation 3. Branch / Office now working 4. Period of service 5. Relationship Are you related to any Directors of Federal Bank? If yes,

30 1. 2. 31 Name of the Director Relationship

Have you applied earlier for any post in Federal Bank? If yes, give details. Why do you consider yourself suitable for Banking Job? Please emphasize on your notable achievements in the past and also a brief description of your career since leaving college.

32

Name and full address of three reputed persons (referees) who are not your relatives and who know you well Sl No (i) Name Full communication address Contact no and e-mail ID

33

(ii)

(iii)

FMSB ID:

Signature of the candidate

34

35 36 Sl. No

If you are absorbed in Federal Bank; a) Indicate any specific functions in the Bank where you would like to work. b) Are you ready to work in any Branches / Offices of the Bank c) Indicate your place of preference, if any (District / State) d) Whether you have any objection / difficulty in taking up the assignment outside your Home State. If yes, state the reasons. Do you wish to avail an Education Loan from Federal Bank for this program? Date of Loan & Period

Yes / No 1) 2)

Yes / No

Please provide details of all the other loans/ liabilities you have availed till date and the status of the loans. Nature of Loan Institution from which loan is availed Amount availed Amount outstanding

Eligibility Criteria for Admission to Federal Manipal School of Banking


Graduation (qualifying examination) in any discipline with minimum 60% marks from any recognized university or other institutions established by an Act of parliament or declared to be deemed as a University under Section 3 of U G C Act, 1956. Students appearing for the qualifying examination in the academic year 2012-13 and who are awaiting the results are also eligible to apply. However the results of the qualifying examination should be announced by the University/ Institution before 31.08.2013 and the candidate should secure minimum 60% marks for the qualifying examination. Non attainment of minimum stipulated marks will disqualify the candidate from final selection. The Final Degree Mark sheet or Provisional Certificate should be submitted on the date of joining the course. Candidates should have qualified in the online examination conducted by the Bank in this regard. Candidates should not exceed 26 years of age as on 01.01.2013 (Candidates should be born on or after 01.01.1987). Note: Graduation course or equivalent examination must entail a minimum of 3 years of education after completing higher secondary schooling (10+2) or equivalent Graduation in Agriculture / Engineering means those who have passed 10+2+4 year course Graduation in Law means those who have passed 10+2+5 year course in law or degree in any subject +3 year course in Law. The percentage of marks obtained by the candidate would be based on the practice followed by the University / Institution from where the candidate has obtained the degree. In case of the candidates being awarded grades / CGPA instead of marks, equivalence would be based on the equivalence certified by the University / Institution from where they have obtained the degree. In case the University / Institution does not have any scheme for converting CGPA into equivalent marks, the equivalence would be established by the Bank by dividing obtained CGPA with the maximum possible CGPA and multiplying the resultant with 100. Year wise / semester wise mark sheet for each year / semester in respect of the qualifying examination from the concerned University should be available. Since the reverse side of the mark sheet contains the instructions, photocopies of both sides of the mark sheets is necessary.

DECLARATION BY CANDIDATE I, ., hereby declare that I have gone through the eligibility criteria and other norms stipulated by the Bank, for admission to PGDBF course of Federal Manipal School of Banking and agree to abide by the said stipulations. I understand that if, at any stage, I am found not eligible for admission to PGDBF course or the declaration given is found to be false / incorrect, my candidature is liable to be cancelled at any stage, without notice and compensation. I also certify that the particulars furnished above are true to the best of my knowledge and belief. Place: Date: Signature of the candidate: Name of the candidate:

Note: If the space provided in any of the columns is not sufficient, please use additional sheets quoting the serial number & FMSB ID.

FMSB ID:

Signature of the candidate

FOR OFFICE USE ONLY (Documents to be verified at the time of interview) (Documents proving academic qualifications, date of birth, valid proof of identity etc are to be verified in original to ascertain the eligibility criteria as reproduced in this application and self attested copies of the same have to be countersigned by the authorized signatory). Sl No 1 Details Particulars Certificate / Document verified

FMSB ID

a 2 b

Date of Birth (dd/mm/yyyy)

Age as on 01.01.2013

........... years . months

Name of the qualifying exam

3 b

% of marks & date in the passing certificate / mark sheet of qualifying examination (dd/mm/yyyy)

Valid proof of identity (PAN card / Passport / Voters ID Card / Driving License or any other valid proof of identification with a photograph)

Reasons for obtaining declaration (if any)

Remarks / Discrepancies observed, if any ( to be filled in by the Official in RED INK)

Place: Date:

Name, Signature and Stamp of authorized signatory of HR Consultant

The Federal Bank Limited, Regd Office, Aluva

FMSB ID:

Signature of the candidate

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