This Online Application Is Provisional Subject To Payment of Application Fees/ Intimation Charges

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Common Written Examination for Recruitment of Clerks - (CWE - Clerks-III)

This online application is provisional subject to payment of application fees/ intimation charges

27030
Registration # : 1250604333

Full Name :

Ashish Sharma

Category : If Person with Disability : Type of Disability : Percentage of disability : Do you intend to use the services of a scribe (only for VI and OC whose writing speed is affected by cerebral palsy) ? : Whether are you a Children/Family Members of those who died in 1984 Riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : Do you belong to a Religious Minority Community? : Religion : Are you an Ex-Serviceman? : Are you a Disabled Ex-Serviceman (DISXS)? : Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?: Are you a Dependent of Serviceman killed in Action (DXS) ? : Are you seeking relaxation under widow / divorced women / women judicially Separated from their husbands and who are not re-married?: Whether Regular Employees of the Union Carbide Factory, Bhopal, retrenched from service (applicable to Madhya Pradesh state only)? : Have you applied for the CWE for Clerical Cadre held in November/ December 2011? : Have you applied for the CWE for Clerical Cadre held in December 2012? : Nationality / Citizenship : State/ UT applied for: State code : Centre of Examination : Personal Details : First Name : Middle Name : Last Name :

GENERAL NO NA NO NO NO Hindu NO NO

NO NO NO NO NO Indian Punjab 38 Phagwara

Ashish Sharma

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Date of Birth : Age completed as on 01.08.2013 : Gender : Husband's Name : Father's Name : Mother's Name : Address for correspondence : 03-08-1990 22 MALE Hari Om Harinder Kumari LV 331 St No 6 Shaheed Bhagat Singh Nagar Khothran Road Phagwara District : State : Pin code : Permanent Address : Kapurthala PUNJAB 144401 LV 331 St No 6 Shaheed Bhagat Singh Nagar Khothran Road Phagwara District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Educational Qualification (as on 01.08.2013) : Exam Passed Graduation / Equivalent : Degree B.Tech Subject /Stream Engineering YES Studied Computer/IT as a Subject in High School/College/Institute Computers as a subject NO Date of Passing 30-06-2012 % of Marks 67.95 Class / Grade First Class 01824-225039 9041569464 [email protected] Kapurthala PUNJAB 144401

Do you have Operating and working knowledge in computer systems : Details of Computer Knowledge : Do you have work experience? : Other Details : Whether desirous of taking Pre-Exam Training (Only for SC/ST/Religious Minority Communities/Ex-Servicemen/PWD): If Yes, Centre for Training : Details of Preference :

NA

1.Punjab National Bank 2.Punjab & Sind Bank 3.Oriental Bank of Commerce 4.Allahabad Bank

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5.Bank of Baroda 6.Bank of Maharashtra 7.Canara Bank 8.Central Bank of India 9.Corporation Bank 10.Dena Bank 11.Indian Overseas Bank 12.Indian Bank 13.Syndicate Bank 14.UCO Bank 15.Bank of India 16.Andhra Bank 17.Union Bank of India 18.United Bank of India 19.Vijaya Bank
Whether any prosecution/ detention/ fine/conviction/ sentence against you has been awarded by any court of law for any offence? : If yes, particulars of the same : Languages Known : Languages Known English Punjabi Hindi Read YES YES YES Write YES YES YES Speak YES YES YES NO

Application Fee / Intimation charges : Payment In : Amount : CBS 600.00

DECLARATION :
I understand that in the event of any information being found untrue or incorrect at any stage/in the event any circumstances which may impair my fitness for employment in Banks/ organisation/ I do not satisfy any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place:

Date: 30-08-2013

Signature of Applicant

Please retain your Provisional Registration No. and Password emailed to you carefully for further reference

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NOTE: Please DO NOT SEND application printout to IBPS

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