THE KARUR VYSYA BANK LIMITED IBPS Roll

No.
HUMAN RESOURCES DEPARTMENT
CENTRAL OFFICE, KARUR

PARTICULARS OF APPLICANT
NAME : ___________________________________________ SEX: AGE: FATHER / HUSBAND:
1) NAME:
ADDRESS (PERMANENT) :
DATE OF
BIRTH: 2) OCCUPATION:

PLACE OF DOMICILE:
3) MONTHLY INCOME:
Rs.
CORRESPONDENCE ADDRESS: TECHNICAL:

EMAIL: ___________________

MOBILE: ___________________

EDUCATIONAL QUALIFICATION: U.G P.G. COMPUTER QUALIFICATION

Qualification
Name of the Institution:
Major
Duration:
Medium of Education
whether belong to FC/BC/SC/ST- Specify
Class & Percentage
RELIGION: CASTE*:
Year of Passing
Whether Physically Challenged:
Institution / College Name
Mention nature of Challenge:
Regular / Correspondence

MARITAL STATUS: MARRIED UNMARRIED D Whether You have attended any Interview (in KVB) earlier:
If married, Son/s: Daughter/s: Yes No
For Female Candidate Only: If yes:
Are You in Family Way? (if married) Yes No Post attended for: Year: Month:
o
LANGUAGES KNOWN HOBBIES:-

LANGUAGE Speak Read Write

PREVIOUS EMPLOYMENT

FROM: __________ TO: _____________

MOTHER TONGUE:
SALARY DRAWN (P.M.): Rs.
RELATIVE EMPLOYED IN KVB, if any

NAME & RELATIONSHIP: PRESENT EMPLOYMENT IF ANY:

BRANCH / OFFICE WHERE WORKING:

NAME AND ADDRESS OF TWO RESPECTABLE PERSONS, NOT RELATED TO THE FROM:
APPLICANT TO WHOM A REFERENCE CAN BE MADE
1) 2) SALARY DRAWN (P.M.): Rs.

Contact No : PASSPORT SIZE

PHOTO
PLEASE SPECIFY YOUR PREFERRED CHOICE OF PLACE OF POSTING
(MENTION STATE NAME ONLY):
1) 2)

3) 4)
*For Statistical Purpose P.T.O. for Instructions.
Instructions to candidate:
1. To be filled in by the applicant in his/her own hand writing.

2. Those who have passed P.G. Graduation Particulars should also be furnished in the Educational qualification column.

3. All information furnished in this Application will be held in confidence.

4. Should any of the particulars furnished by an applicant be found to be incorrect at a latter date, his/her candidature is liable to be
rejected and/or his/her services are liable to be terminated.

5. The decision of the management in all matters regarding eligibility of a candidate, conduct of test/s, Interview, Selection and
allotment of candidates etc., would be final and binding on the candidates. No correspondence would be entertained by the Bank
in this regard.

6. Any attempt to canvass or influence the Banks management in this regard will be to the detriment of candidates own interest.

FAMILY BACKGROUND
[To be filled in by the applicant]

NAME AGE D.O.B EDUCATIONAL OCCUPATION MONTHLY

QUALIFICATION INCOME

I. Father

II. Mother

III. Brother/s

IV. Sister/s

V. If married
Wife/Husband

VI. Son/s

VII. Daughter/s

DECLARATION
I hereby declare that the above particulars are true. For my Parent/Dependent income, I will produce income
certificate from the employer/s of my parent and or from competent Revenue Authority at the time of joining

DATE: SIGNATURE
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FOR OFFICE PURPOSE ONLY:

VERIFICATION OFFICER : NAME AND CODE NO.___________________________________

VERIFICATION OFFICERS SIGNATURE: __________________________