1/2

RECRUITMENT OF ASSISTANTS AS PER TO ADVERTISEMENT NO. 1 /ASST./2012-13

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

28024
Registration # : 1210643344

Full Name :

DIVYA SINGH

Category : If Person with Disability : Type of Disability : Percentage of disability :

GENERAL NO -

Do you intend to use the services of a scribe (only for VH and OH candidates NA whose writing speed is affected by cerebral palsy)? : Are you an Ex-Serviceman? : Are you a Disabled Ex-Serviceman (DISXS)? : Are you a dependent of an Ex-Serviceman (DXS)? : Are you currently employee of Central Government/PSU/PSB in Group C or D? : Have you passed the matriculation or its equivalent examination of the Armed Forces and rendered at least 15 years of defense service? : Whether you belong to Minority Community ? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989? : Are you seeking relaxation under widow/divorced women/women judicially Separated from their husbands and who are not re-married? : Are you staff of RBI? : If Yes, please specify the PF Index No : Nationality / Citizenship : Select the Office you are applying for : State / UT from which the candidate intends to appear : Centre of Examination : Centre Code : Are you proficient in the language of the state for which you are applying for recruitment ? : Personal Details : Date of Birth : Age completed as on 01.05.2013 : Gender : Husband's Name / Father's Name : 31-10-1990 22 FEMALE MAHENDRA SINGH Indian Chandigarh Chandigarh Chandigarh 141 YES NO NO NO NA NA NO NO NO NO

2/2
Mother's Name : Address for correspondence : BIRMA GAUDHER HOUSE NO. 3626 B SECTOR 31 D CHANDIGARH State : Pin code : Permanent Address : CHANDIGARH 160030 PRATAP SINGH VILLAGE GONGA RAYA District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Qualification Details (as on 01.05.2013) : Exam Passed Subject /Stream Date of Passing % of Marks Name of University / Institute University of Mysore Class / Grade 0172-2637626 9356807752 mahendra.divyasingh@gmail.com MATHURA UTTAR PRADESH 281204

Graduation :

BScEd in physics chemistry maths

17-07-2012

76.58 YES

First Class

Working Knowledge of Computers : Details of Computer Knowledge : Languages Known English Hindi Punjabi Application Fee Details : Payment In : Amount : Read YES YES YES

Proficient in microsoft office Write YES YES YES Speak YES YES YES

OFFLINE 400.00

DECLARATION:
I certify that the statements made by me in the application are true to the best of my knowledge and belief and understand that any willfully false statement is sufficient cause for rejection of my candidature at any stage of the selection process.

Place:

Date : 17-06-2013

Signature of Applicant

Please retain your Provisional Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application printout to IBPS