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ON-LINE APPLICATION FOR Recruitment of Probationary Officers

25033

Registration #: 3021838

Full Name: Avnish Malhotra

Category : GENERAL
If Person with Disability : NO
Type of Disability : --
Percentage of Disability : --
Do you intend to use the services of a scribe(only
NO
for VH and OH both hands affected by cerebral palsy) :
Category Code : 10
Whether domiciled in Kashmir Division of the
NO
State of J&K during the period 1-1-1980 to 31-12-1989?
Whether you belong to Religious Minority Community? : NO
Religious Minority Community to which you belong : --
Are you an Ex-Serviceman : NO
No of chances appeared in past : 0
Centre of Examination Chandigarh

Centre code : 30

Application Fee / Postal Charges Details :

Deposit Journal No : 019352024

SBI Branch Name : sbi mohali

SBI Branch Code : 1828

Deposit Date : 23-05-2011

Amount : 500

Personal Details :
Date of Birth : 10-07-1987

Age as on on 01.05.2011. : 23
Gender : MALE

Husband's Name / Father's Name : Umesh Malhotra

Mother's Name : Renu Bala

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Address for Correspondence : House No-1449

Sector-61
Chandigarh

District Chandigarh
State : CHANDIGARH

Pin : 160062
Permanent Address : House No-1449

Sector-61

Chandigarh
District Chandigarh

State : CHANDIGARH
Pin : 160062

Contact Details:
Phone No : 0172-2682118
Mobile No: 9888345659

Email ID : m.avnish87@gmail.com

Educational and Professional Qualification(as on 01.05.2011):

12th Std : --
Diploma course after 10th : YES

Exams Passed Subject/Stream Year of Passing % of Marks

12th / Diploma : Medical lab tech 2006 78.40

Graduation : Biotechnology 2009 64.20

Post Graduation : Marketing 2011 64.00

Other Details :
Whether desirous of taking
--
Pre-Exam Training (SC/ ST/Religious Minority Community) :

If Yes Centre for Training : --

DECLARATION:
I hereby declare that all statements made in this application are true. complete and correct to the best of my knowledge and belief. I understand that
in the event of any information being found untrue or incorrect at any stage or my not satisfying any of the eligibility criteria according to the Central Recruitment
& Promotion Department, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas.

Place:
Date: 23-05-2011 Signature of Applicant

Avnish Malhotra
Please retain your Registration No. and Password emailed to you carefully for further reference
NOTE: Please DO NOT SEND application print-out to the Bank