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Central Bank of India 320127
RECRUITMENT OF SAFAI KARMACHARI CUM SUB-STAFF AND/ OR SUB-STAFF 2024-25
Registration Number : 420302943
Full Name : Saroj Kumar Das
Zone : Patna
Region : : Patna
State you want to apply for : Bihar
Proficiency in the official language of the : Hindi

State/Union territory (i.e. Candidate should be
able to read, write and speak in the official
language of the State/Union Territory) :
Are you a local resident of the State/Union : YES

Territory you want to apply ?
Had you applied In the Recruitment Process of : NO

Safai Karmachari Cum Sub-Staff and/ or Sub-
Staff Fy 2012-13 in 38 Regions Where
Recruitment Process Not Completed ?
Category : SC
Are you a person with benchmark disability of : NO

40% and above ?
Type of Disability : -
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?

Do you intend to use the services of a 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?

Are you a person with specified disability : -

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 wish to avail the services of
Scribe?
I certify that, I will produce 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) circular no F. No. 29-6/2019-DD-III
dated 10.08.2022.
Are you an Ex-Serviceman ? : NO
Are you Disabled Ex-Servicemen ? : NO
Period of Service (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 ?
Have You already secured employment under : -
the Central Government in Group ‘C’ & ‘D’ will be
permitted the benefit of age relaxation as
prescribed for Ex-Servicemen for securing
another employment in a higher grade or cadre
in Group ‘C’/ ‘D’ under the Central Government?
Are you a Dependent of Serviceman killed in : NO

Action (DXS) ?
Are you employee of Central Bank of India ? : NO
If Yes, PF No : -
Are you seeking relaxation under widow / : NO

divorced women / women legally separated
from their husband ?
Religion to which you belong : Hindu
Do you belong to Religious Minority Community : NO

?
Nationality / Citizenship : Indian
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 : Aadhar Card
ID Proof No. : XXXXXXXX0581
Centre of Examination : Patna
Kindly indicate Medium of Paper in : English and Hindi

examination - how you would like the paper to
be presented to you ?
Application Fee / Intimation charges
Payment In : ONLINE
Fees : 148.30
Tax : 26.70 (IGST)
Amount : 175.00
Payment Status : PAID
Reference ID : YHD42198683930
Transaction Date : 09-01-2024
Personal Details
Date of Birth : 01-05-1997
Age completed as on 31.03.2023 : 25
Gender : MALE
Do you have twin brother / sister ? : NO
Name of the twin : -
Gender of the twin : -
Marital Status : Married
Father's Name : Rajeshwar das
Mother's Name : Khekhari devi
Spouse's Name : Gunja kumari
Address for Correspondence

Address 1 : Vill madupur
Address 2 : Po bodha chapra
Address 3 : ps awatarnagar
District : Saran
State : BIHAR
Pincode : 841225
Permanent address
Address 1 : vill madupur
Address 2 : po bodha chapra
Address 3 : ps awatarnagar
District : Saran
State : BIHAR
Pincode : 841225
State for GST invoicing : Permanent Address (BIHAR)
Contact Details
Mobile No : +91 9504269953
Alternative Number : +91 6205062283

(Mobile No/Landline No)
Email ID : [email protected]
Educational Qualification (as on 31.03.2023)
Exam Passed Degree/ Subject / Stream Date of % of Marks Class / Grade

Passing
SSC / Equivalent -- 11-12-2017 61.00 First Class
Other Details :
Whether desirous of taking Pre-Exam Training : YES

(SC/ST/OBC/Religious Minority Community):
Languages Known Read Write Speak
Hindi YES YES YES
English YES YES NO
Uploaded Document Details :
1. Left Thumb Impression
2. Hand Written Declaration
Declaration:
I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my
knowledge and belief. I understand 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 confirm that my name as filled by me in the application form exactly matches with the name in my ID proof
• UPLOAD THE SIGNATURE
WITH WHITE BACKGROUND
WITH BLUE/BLACK INK.
YOUR SIGNATURE IS
ACCEPTED BEYOND VALID
CONDITIONS. IN CASE OF
IDENTITY CHECK FAILURE
AT ANY LATER STAGE OF

THE PROCESS, IT COULD
LEAD TO
DISQUALIFICATION
Date: 09-01-2024
Left Thumb Impression
Hand Written Declaration

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Central Bank of India 320127

RECRUITMENT OF SAFAI KARMACHARI CUM SUB-STAFF AND/ OR SUB-STAFF 2024-25

Registration Number : 420302943

Full Name : Saroj Kumar Das

State you want to apply for : Bihar

Proficiency in the official language of the : Hindi

Are you a local resident of the State/Union : YES

Had you applied In the Recruitment Process of : NO

Are you a person with benchmark disability of : NO

Sub-Type of Multiple Disability : -

Are you as per PWBD guidelines eligible to use : -

Are you suffering from cerebral palsy and your : -

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

Whether your dominant (Writing) hand is : -

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

Do you intend to use the services of a scribe ? : -

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

Are you a person with specified disability : -

I certify that, I will produce the certificate from : -

Are you an Ex-Serviceman ? : NO

Are you Disabled Ex-Servicemen ? : NO

Period of Service (in months) : -

Date of relief from defence services: : -

Have you joined a Government job on the civil : -

Are you a Dependent of Serviceman killed in : NO

Are you employee of Central Bank of India ? : NO

Are you seeking relaxation under widow / : NO

Do you belong to Religious Minority Community : NO

Nationality / Citizenship : Indian

I intend to bring the following ID when : YES

ID Proof No. : XXXXXXXX0581

Centre of Examination : Patna

Kindly indicate Medium of Paper in : English and Hindi

Tax : 26.70 (IGST)

Payment Status : PAID

Transaction Date : 09-01-2024

Date of Birth : 01-05-1997

Age completed as on 31.03.2023 : 25

Do you have twin brother / sister ? : NO

Name of the twin : -

Gender of the twin : -

Marital Status : Married

Father's Name : Rajeshwar das

Mother's Name : Khekhari devi

Spouse's Name : Gunja kumari

Address for Correspondence

Address 2 : Po bodha chapra

Address 1 : vill madupur

Address 2 : po bodha chapra

State for GST invoicing : Permanent Address (BIHAR)

Mobile No : +91 9504269953

Alternative Number : +91 6205062283

Educational Qualification (as on 31.03.2023)

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

SSC / Equivalent -- 11-12-2017 61.00 First Class

Whether desirous of taking Pre-Exam Training : YES

Languages Known Read Write Speak

Hindi YES YES YES

English YES YES NO