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    CRP PO Application

    Uploaded by

    jabaharbagh900
    1. The document is a registration form for the Common Recruitment Process (CRP) for recruitment of probationary officers/management trainees in participating banks. 2. It contains the applicant's personal details such as name, category, disability status, religion, education qualifications, contact details, preferred banks, languages known, and uploaded documents. 3. The applicant declares that all information provided is true and correct and agrees to follow exam guidelines regarding social distancing for the safety of all candidates.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CRP PO Application

    Uploaded by

    jabaharbagh900
    14 views5 pages
    1. The document is a registration form for the Common Recruitment Process (CRP) for recruitment of probationary officers/management trainees in participating banks. 2. It contains the applicant's personal details such as name, category, disability status, religion, education qualifications, contact details, preferred banks, languages known, and uploaded documents. 3. The applicant declares that all information provided is true and correct and agrees to follow exam guidelines regarding social distancing for the safety of all candidates.

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    1. The document is a registration form for the Common Recruitment Process (CRP) for recruitment of probationary officers/management trainees in participating banks. 2. It contains the applicant's personal details such as name, category, disability status, religion, education qualifications, contact details, preferred banks, languages known, and uploaded documents. 3. The applicant declares that all information provided is true and correct and agrees to follow exam guidelines regarding social distancing for the safety of all candidates.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views5 pages

    CRP PO Application

    Uploaded by

    jabaharbagh900
    1. The document is a registration form for the Common Recruitment Process (CRP) for recruitment of probationary officers/management trainees in participating banks. 2. It contains the applicant's personal details such as name, category, disability status, religion, education qualifications, contact details, preferred banks, languages known, and uploaded documents. 3. The applicant declares that all information provided is true and correct and agrees to follow exam guidelines regarding social distancing for the safety of all candidates.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 5

    130134

    Common Recruitment Process (CRP) for Recruitment of Probationary Officers /


    Management Trainees in Participating Banks (CRP PO/MT-XIII)

    Registration Number : 2280111775

    Full Name : Jabahar Bagh

    Category : SC

    Are you a person with benchmark disability of : NO


    40% and above ?

    Type of Disability : -

    Sub-Type of Disability for 'ID & Others’ : -

    Sub-Type of Disability : -

    Sub-Type of Multiple Disability : -

    Are you as per PWBD guidelines eligible to : -


    use compensatory time at the time of
    examination ?

    Are you suffering from cerebral palsy and : -


    your writing speed is affected : ?

    If Yes, Do you need compensatory time at the : -


    time of examination?

    Whether your dominant (Writing) hand is : -


    affected ?

    If Yes, Do you need compensatory time at the : -


    time of examination?

    Are you eligible to use the services of scribe : -


    as per Government guidelines & do you wish
    to use the services of scribe ?

    Are you a person with specified disability : NO


    covered under the definition of sec 2(s) of the
    RPwD Act, 2016 and not covered under sec
    2(r) of the said act and having difficulty in
    writing?

    If Yes, Do you need compensatory time at the : -


    time of examination?

    Are you a person with specified disability : -


    covered under the definition of sec 2(s) of the
    RPwD Act, 2016 and having difficulty in
    writing and not covered under sec 2(r) of the
    said act and eligible to use the services of
    Scribe and wish to avail the services of
    Scribe?

    I certify that, I will upload (in current : -


    application) the certificate from competent
    medical authority of a Government healthcare
    institution as per Ministry of Social Justice
    and Empowerment, Department of
    Empowerment of Persons with Disabilities
    (Divyangjan) OM No. F. No. 29-6/2019-DD-III
    dated 10.08.2022.

    Are you a child/ family member of those who : NO


    died in 1984 riots ?

    Are you an Ex-Serviceman : ? : NO

    Actual service rendered in defence services : -


    which may be counted for qualifying as an
    Ex-serviceman (In Months)

    Date of relief from defence services : --

    Have you joined a Government job on the civil : -


    side after availing of the benefits given as an
    ex-serviceman ?

    Religion to which you belong : Hindu

    Do you belong to Religious Minority : NO


    Community ?
    Whether serving in Govt./ quasi Govt./ Public : NO
    Sector Undertakings (including Nationalised
    Banks & Financial Institutions) ?
    Have you appeared for the CWE/CRP-PO/MT : NO
    earlier ?

    How many attempts ? : -


    Select the CWE/CRP-PO/MT attempted : -
    earlier
    Nationality / Citizenship : Indian

    State/UT/NCR to which centre of examination : Odisha


    belongs
    State code : 36

    Centre of Preliminary Examination : Berhampur(Ganjam)


    Centre of Main Examination : Bhubaneswar

    I intend to bring the following ID when : YES


    appearing for the examination :
    (I confirm my name on this ID and this
    application exactly match)

    ID Proof : Aadhaar Card


    ID Proof No. : XXXXXXXX0360

    Application Fee / Intimation charges


    Payment In : ONLINE

    Fees : 148.30
    Tax : 26.70 (IGST)

    Amount : 175.00
    Payment Status : PAID
    Reference ID : YSM22040299562

    Transaction Date : 15-08-2023

    Personal Details
    Date of Birth : 06-04-2001

    Age completed as on 01.08.2023 : 22


    Gender : MALE

    Aadhaar Card Number : -


    PAN Card Number : -

    Do you have twin brother / sister ? : NO


    Gender of the twin : -

    Name of the twin : -


    Marital Status : Unmarried

    Father's Name : Jemes Bagh


    Mother's Name : Sibani Bagh

    Spouse's Name : -
    Address for Correspondence

    Address 1 : Khilapadar
    Address 2 : Ramanaguda

    Address 3 : Rayagada
    District : Rayagada

    State : ODISHA
    Pincode : 765029

    Permanent address
    Address 1 : Khilapadar

    Address 2 : Ramanaguda
    Address 3 : Rayagada

    District : Rayagada
    State : ODISHA

    Pincode : 765029
    State for GST invoicing : Permanent Address
    (ODISHA)

    Contact Details

    Mobile No : +91 8144506168


    Alternative Number : +91 9778440621
    (Mobile No/Landline No)
    Email ID : [email protected]
    Educational Qualification (as on 21.08.2023)

    Exam Passed Degree Subject / Stream Date of % of Marks Class / Grade


    Passing

    Graduation / B.Sc Science 18-04-2021 74.10 First Class


    Equivalent

    Do you have Operating and working : YES


    knowledge in computer systems :

    Details of Computer Knowledge: : Studied in High School/College/Institute


    : I.T. as a Subject

    Banks Preference

    1 Central Bank of India


    2 Canara Bank
    3 Bank of India
    4 Punjab National Bank
    5 Punjab & Sind Bank
    banks in order of Preferences 6 Indian Overseas Bank
    7 Indian Bank
    8 Bank of Baroda
    9 Bank of Maharashtra
    10 UCO Bank
    11 Union Bank of India

    Other Details :

    For the safety and well being of candidates, : YES


    Pre-Exam Training may not be held. In case
    it is possible to hold Pre-Exam Training, are
    you desirous of taking Pre-Exam Training ?
    (Applicable only for SC/ST/ OBC/Minority
    Community):
    If Yes ,Centre for Training : Behrampur (Ganjam)
    Whether any prosecution / detention / fine / : NO
    conviction / sentence against you has been
    awarded by any court of law for any
    offence?
    If yes, particulars of the same : -

    Languages Known Read Write Speak

    Odia YES YES YES

    Hindi YES YES YES

    English YES YES YES


    Uploaded Document Details :

    1. Left Thumb Impression


    2. Hand Written Declaration

    Declaration:
    I hereby declare that, I have read, understood and agreed the terms and conditions of the Advertisement for the
    said post and all the statements made in the application are True, Complete and Correct to the best of my
    knowledge and belief. I understood that in the event of any information being found untrue or incorrect at any stage
    or I am not satisfying any of the eligibility criteria stipulated, and also in case of creating influence/ undue pressure
    regarding recruitment shall tantamount to cancellation of my candidature.
    I will follow all the Guidelines regarding Social Distancing Mode of Exam given in advertisement and subsequently.
    Any violation may result in cancellation of my candidature

    I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof

    Date: 08-08-2023

    Left Thumb Impression

    Hand Written Declaration

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