rams_buddi1982@yahoo.co.

in

Corporation Bank
[A Government of India Enterprise]
Corporate Office : Mangaladevi Temple Road, Pandeshwar, Mangalore - 575 001.
Tel : (0824) 2426416 - 2426420 Fax : (0824) 2426431

BIO-DATA FORM - FOR THE POST OF CREDIT MANAGER - MMGS II

[To be filled in by the candidate in his/her own handwriting]

I. PERSONAL PROFILE:

1. Name in full (in Block letters):

PHOTO

2. Name of the Father/Husband: ...............................................

3. (a) Date of Birth : Date Month Year

(b) Place of Birth : .............…............... ...... (c) Native Place (Village) .............................

(d) Tehsil ....................... .................. ...... (e) District .............................. .......... .....

(f) Contact Phone with STD Code............... (g) Mobile No ...................

4. Nationality............................................. Religion.........................................................

5. (a) Mother Tongue :........................................

To speak To read To write
(b) Language known:

6. (a) Permanent Address (b) Present Address for Communication:

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7. Marital Status (Single/Married/Widowed/Divorced/Legally Separated): ..............................................

8. State the persons, if any, who are fully dependent on you ...........................................................
(Parents, Wife/Husband, Children, Brothers/Sisters, Others)

9. Whether you are:

(a) A member of Scheduled Caste YES/NO : If yes, Sub-caste : ........................................

(b) A member of Scheduled Tribe YES/NO : If yes, Sub-tribe : ........................................
(c) A member of Other Backward Class YES/NO : If yes, Sub-caste : ........................................
Sl. No. in the Central List : ........................................
(d) An Ex-serviceman/Disabled Ex-Serviceman YES/NO : If yes, the No. of years of service put in Defence
Services: ............................... ................. ..............
Reasons for and date of discharge : ........................... ....
(e) Physically Handicapped YES/NO : If yes, nature and % of disability : .......................
............................... ................. ...............
Note: A certificate in original from the Competent Authority should be produced in the case of candidates
belonging to Scheduled Castes, Scheduled Tribes and Other Backward Classes. In the event of
conversion or re-conversion to the Hindu or Sikh religion, adequate evidence, including a copy of
the relevant Gazette Notification and also other documentary evidence should be furnished. In
other cases, sufficient documentary evidence including the medical certificate, wherever
necessary, should be produced.

II. EDUCATIONAL PROFILE:

10. Educational Qualifications (Full particulars from High School onwards, to be given )

Prizes/Awards/
Name of the Class and % of Scholarships
Period
Board/Institution/ Main subjects studied rank marks and other
From - To
University secured secured distinctions if
any, secured
SSLC / X Std. :

Intermediate/PUC/HSC/XII Std

Graduation :

Post Graduation :

Additional Diplomas/ Qualifications:

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11. Do you have computer knowledge? If yes, furnish details

Name of the Course Diploma/Certificate

Name of the Institute Year Subjects learnt
Course duration awarded

III. WORK EXPERIENCE:

12. Details of Previous employments, whether temporary or permanent, including present employment, if
any, are to be given :

Period of
Name and address employment Brief description of Reasons for
Designation Salary drawn
of the employer work handled leaving
From To

13. Any other work experience:

IV. EXTRA CURRICULAR ACTIVITIES / HOBBIES :

14. Particulars of participation in Sports, Athletics, Scouts,

NCC, Debates, Dramas or other extra-curricular activities : ....................................................

..................................................…

..................................................…

15. Hobbies and other interests : .....................................................

.....................................................

.....................................................

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V. MISCELLANEOUS INFORMATION:
Have you ever been arrested, prosecuted, kept under detention or bound
down/fined/ convicted by a Court of Law or any case pending against you for any
offence involving moral turpitude? If yes, give full details.
Have you ever been debarred/disqualified by any Institution from appearing at its
examination/selection or debarred in any manner from any examination, or
rusticated by any University or any other educational authority/Institution? If yes,
give full details.
Is any case pending against you in any University or any other educational
authority/Institution at the time of filling up this attestation form? If yes, give full
details.
In case you are/were an employee of the Government/Public Sector
Organisation/Banks/ Municipal Corporation/Private Sector Organization, please state
whether there is any disciplinary case pending against you or whether any
disciplinary action was taken against you during the last 3 years of your service; If so,
please give full details.
Were you ever removed, discharged/dismissed/made to resign from such service in
the past? If so, please give details.

VI. REFERENCES:

16. Please furnish for reference, the following details of TWO respectable persons, NOT related to you.

1) Name 2) Name
Address Address

Pin Pin
Occupation Occupation
Contact No. Contact No.
with STD code with STD code
Mobile No. Mobile No.

17. Additional information, if any, which you wish to furnish:

DECLARATION

I ....................................................................................., hereby declare that the above

statements are true, complete and correct and that no facts have been suppressed. It is understood that
employment in the Bank, if any, offered to me is based upon the truthfulness of the statements made herein
and in the event of any information being found false or incorrect, my appointment is liable to be terminated.
I further state that, if selected, I am willing to be posted to any of the Branches/Offices, including Rural
Branches, of the Bank.

I undertake to abide by the stipulation of the bank that directly recruited Officers shall furnish to the Bank a
Bank Guarantee for Rs. 50,000/-[Rupees Fifty thousand only] or a fixed Deposit of Corporation Bank for a
period of 2 years for the aforesaid amount by assigning the same to the Bank and that the directly recruited
officers shall execute an agreement to serve the Bank for a minimum period of 2 years after joining, failing
which the officer shall be liable to pay to the Bank a sum of Rs. 50,000/-[ Rupees fifty thousand only] and 3
months pay towards notice period.

Date:
Place: Signature of the Candidate