4/5/2011 Neelachal Gramya Bank

Neelachal Gramya Bank

Application for Recruitment of Officer MMGS-III,Officer MMGS-II and Office Assistant
in Neelachal Gramya Bank
Online Application for Recruitment of Officer MMGS-III,Officer MMGS-II and Office Assistant
in Neelachal Gramya Bank - 2011
APPLICATION PRINT-OUT NEED NOT BE SENT TO THE BANK

Last Modified On : -- No.Of Times Modified : 0

17039

Registration No. : 14741

Post : Office Assistant
Post Code : 01
Full Name : sudarshan baske
Category : ST
Person With Disability : No
Type of Disability : --
Percentage of Disability : --
Do you intend to use the services of a scribe : --
Whether you belong to Religious Minority No
Community :
Religion to which you belong: --
Domiciled in Kashmir Division: No
5 years of service in RRBs: No
Ex-Serviceman : No
Total Period of Service : (in Months) --
Disabled Ex-Serviceman (DISXS) : No
Dependent Ex-Serviceman (DXS) : No
Seeking relaxation under widow/ divorced No
women/ women judicially Separated from
their husbands and who are not re-married.
Domiclie of Orissa : Yes
Nationality : indian
Centre of Examination : BHUBANESVAR
Centre code : 11

Application Fee/ Postal Charges Details :

Payment In Neelachal Gramya Bank
Transaction Sequence No./ Batch No.: 353369
Branch Name : ananta vihar
DP Code : 20
Deposit Date : 04/04/2011 Amount : 300

Personal Details :

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4/5/2011 Neelachal Gramya Bank
Date of Birth : 08/07/1986 Age completed as 24
on 01.01.2011 :
Gender : Male
Husband's Name / Father's Name : binod Mother's Name : lilmani baske
bihari
baske
Address for Correspondence : at-rangamatia
po-uperbeda
via-hatbadra
District : mayurbhanj
State : Orissa Pin : 757050
Permanent Address : at-rangamatia
po-uperbeda
via-hatbadra
District mayurbhanj
State : Orissa Pin : 757050

Contact Details:
Phone No : - Mobile No : 9040355159
Email ID : dhirendra.tudu@gmail.com

Qualification Details(as on 01.01.2011):

Exams Passed Name of the Course / Degree Year Of % of
Passing Marks
HSC/Equivalent phy,chem,math,bio/CHSE 2004 42
Graduation Others 2009 38
Post Graduation
Professional Qualification
OthersDegree / Diploma In
Banking

Knowledge of Computers Skill : Yes

Details of computer Knowledge : PGDCA

Post Qualification work experience details (Start from present Employer) :

Name of the Designation and Total Period of Nature of Reason for Length of
Employer & Rank Service duties Leaving Service(YY/MM)
Nature of performed
From To
Employment
- -
- -

- -
- -
- -

Total Period of Work Experience (in months) : --

Knowledge of the local language of the State / Union Territory for which he / she is applying

Languages Known Read Write Speak

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4/5/2011 Neelachal Gramya Bank
Oriya Yes Yes Yes

Pre-Examination Training : Yes Centre for Pre-Examination Training : Bhubanesvar

DECLARATION:

I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have
not suppressed any material fact or factual information in the above statement. I am aware that in case I
have given wrong information or suppressed any material fact or factual information or I do not satisfy the
eligibility criteria according to the advertisement, then my candidature will be rejected/ service terminated
even after permanent employment without giving any notice or reasons thereof.

I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of advised criteria in
respect of age, caste, educational qualification etc.

I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of
application or out of said advertisement can be instituted by me only at Mumbai and courts/ Tribunal/
forums at Mumbai only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake to
abide by all the terms and conditions in the advertisement given by the Bank.

Place :
Date : 05/04/2011
Signature of Applicant :
Name : sudarshan baske

Note: Please retain your registration No. Password emailed to you and copy of printout carefully for further
reference. Please DO NOT SEND application print-out to the Bank.
Please retain your Registration No. and Password carefully for future reference.

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