12/9/2015 COMMONRECRUITMENTPROCESSFORRECRUITMENTOFSPECIALISTOFFICERSINPARTICIPATINGORGANISATIONS(CRPSP

InstituteofBankingPersonnelSelection
COMMONRECRUITMENTPROCESSFORRECRUITMENTOFSPECIALISTOFFICERSIN
PARTICIPATINGORGANISATIONS(CRPSPLV)

RegistrationNumber

: 1460047282

FullName

: UtsavSinha

Post:

: I.T.Officer(ScaleI)

PostCode:

: 01

Category

: GENERAL

AreyouaPersonwithDisability

: NO

TypeofDisability

PercentageofDisability

Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected :
:?
IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Whetheryourdominant(Writing)handisaffected?

IfYes,Doyouneedcompensatorytimeatthetimeofexamination?

Doyouintendtousetheservicesofascribe(onlyforVIcandidates
andthecandidateswhosewritingspeedispermanentlyaffected)?:

WhetherareyouChildren/familymembersofthosewhodiedin1984
riots?

: NO

AreyouapersondomiciledintheStateofJammu&Kashmirduring
theperiod111980to31121989?

: NO

WhetheryoubelongtoReligiousMinorityCommunity?:

: NO

Religiontowhichyoubelong

: Hindu

AreyouanExServiceman

: NO

PeriodofServiceasanExServiceman(inmonths)

AreyoustillservinginDefenceandapplyingasanExServiceman?

Ifyes,DateofRelease/RetirementfromService

HaveyoujoinedaGovernmentjobonthecivilsideafteravailingofthe
benefitsgivenasanexserviceman?

WhetherservinginGovt./quasiGovt./PublicSectorUndertakings
(includingNationalisedBanks&FinancialInstitutions)?

: NO

HaveyouappearedfortheCWESPLheldinyearMarch2012?

: NO

HaveyouappearedfortheCWESPLheldinyearMarch2013?

: NO

HaveyouappearedfortheCWESPLheldinyearFEB2014?

: NO

HaveyouappearedfortheCWESPLheldinyearFEB2015?

: YES

Nationality/Citizenship:

: Indian

DoyouholdAadharCard?

: NO

AadharCardNo.

State/UTtowhichcentreofexambelongs

: Bihar

StateCode

: 15

CentreofExamination

: Patna

http://ibps.sifyitest.com/cwesplnov15/registration_print.php?q=OTY3ZTAzZWJlNzFhMDQ3Njc2NTM0YjY5ZTUyNTdiOTB8MTQ2MDA0NzI4Mg==

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ApplicationFee/Intimationcharges:
Amount

: 600.00

PaymentStatus

: PAID

ReferenceID

: ESBI4133862419

TransactionDate

: 24112015

PersonalDetails
DateofBirth

: 23071992

Agecompletedason01.11.2015

: 23

Gender

: MALE

MaritalStatus

: Unmarried

Spouse'sName

Father'sName

: Chandeshwarprasadsinha

Mother'sName

: ranjusinha

AddressforCorrespondence

: OppositeItiCollege

Address2

: Bagmusa

Address3

: Hajipur

District

: Vaishali

State

: BIHAR

Pincode

: 844101

PermanentAddress

: OppositeItiCollege

Address2

: Bagmusa

Address3

: Hajipur

District

: Vaishali

State

: BIHAR

Pincode

: 844101

ContactDetails
MobileNo

: +917258060198

AlternativeNumber
(MobileNo/LandlineNo)

EmailID

: utsav7023@gmail.com

QualificationDetails(ason10.12.2015)
AreyouaGraduate?

: YES

ExamPassed

Subject/Stream

DurationOf
Course(inYears)

Dateof
Passing

%ofMarks

Class/Grade

Graduation

InformationTechnology

22072014

65.00

FirstClass

HaveyoupassedDOEACC'B'level
Examination?

: NO

DoyouhaveOperatingandworking
knowledgeincomputersystemsi.e
Certificate/Degree/DiplomainComputer
Operations/Language?

: YES

DoyouhavestudiedComputer/Information
TechnologyasoneofthesubjectsintheHigh

: YES

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School/College/Institute?
DetailsofComputerKnowledge

: Degreein
: Computerlanguage

RegistrationNumberAllotedbyBarCouncil

DateofEnrolmentwithBarCouncil

BanksinorderofPreference

1CentralBankofIndia
2BankofBaroda
3CanaraBank
4PunjabNationalBank
5AllahabadBank
6BankofIndia
7UnionBankofIndia
8UCOBank
9SyndicateBank
10IndianOverseasBank
11OrientalBankofCommerce
12UnitedBankofIndia
13Punjab&SindBank
14AndhraBank
15VijayaBank
16IndianBank
17CorporationBank
18DenaBank
19BankofMaharashtra
20ECGC

Whetheranyprosecution/detention/
fine/conviction/sentenceagainstyouhas
beenawardedbyanycourtoflawforany
offence?

: NO

Ifyes,particularsofthesame

OtherDetails:

LanguagesKnown

Read

Write

Speak

English

YES

YES

YES

Hindi

YES

YES

YES

Odia

NO

NO

YES

Declaration:
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestofmyknowledgeandbelief.I
understandthatintheeventofanyinformationbeingfounduntrueorincorrectatanystageorIamnotsatisfyinganyoftheeligibility
criteriastipulated,andalsoincaseofcreatinginfluence/unduepressureregardingrecruitmentshalltantamounttocancellationofmy
candidature.

Date:24112015

SignatureofApplicant

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