PUNJAB NATIONAL BANK - RECRUITMENT OF SPECIALIST OFFICERS

ONLINE APPLICATION FORM FOR THE POST OF SPECIALIST OFFICERS

23036

Registration # : 128813 Please paste your

recent passport size
photograph and sign
Full Name : nidhi gupta across it.Please retain
atleast 5 copies with
you for subsequent
Post : Officer (HRD) use.

Specialization : -

Category : General

Person With Disability : NO

Type of Disability : -- Percentage of Disability: --

Do you intend to use the services of a --

scribe :

Whether domiciled in Kashmir Division of NO

the State of J&K during the period
1-1-1980 to 31-12-1989 :
Belongs to Religious Minority Community : NO Minority Religion : --

Whether Children / Family members of NO

those who died in 1984 riots?

Are you an Ex-Serviceman ? NO

Whether an Employee of PNB? NO PF No : -

Whether applied for another post? NO

Name of the additional post applied : -

Nationality : indian

Centre of Examination : Mumbai Centre code : 16

Application Fee Details :

Transaction Id : M149977

Branch Name : chankya puri new delhi Branch Code : 173600

Deposit Date : 07/09/10 Amount : 400

Personal Details :
Date of Birth : 08/06/1984 Age as on 01.07.2010 : 26

Gender : Female

Father’s Name : kunal bansal

Mother’s Name :

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Email ID : ngfriendforever@gmail.com

Address for Correspondence : c3/2 new airport colony

vile parle east

near western express highway

District : mumbai

State : MAHARASHTRA Pin: 400099

Permanent Address: 45/4 C sector II

gole market

District : new delhi

State : NEW DELHI Pin : 110001

Phone : 022-28202961 Mobile : 9172491730

Qualification Details(as on 18.08.2010):

Exams Passed Subject / Stream Specialization Year Of Passing % of Marks Grade
HSC : science -- 2001 81.00 First Class
Graduation : BSc biology 2006 69.00 First Class
Post Graduation : -- -- -- -- --
Professional MBA Personnel Management 2008 69.00 First Class
Qualification :
Diploma : -- -- -- -- --

Working Knowledge of MS Office : YES

Post Qualification work experience details as on 18.08.2010 (Start from present Employer):
Name of the Designation and Total Period of Service Nature of duties Reason for Leaving Years of
Employer & Rank if any performed Service
From To
Nature of (YY/MM)
Employment
sikkim manipal uni managment faculty Mar-2009 Apr-2010 managment faculty marriage 1/1
om metals infra management Aug-2008 Feb-2009 hr and marketing better opportunity 0/6
projects limited trainee
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/services 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 the advised criteria in respect of age, educational
qualification and experience etc.
I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of the country and/or to any job position
at its sole discretion in terms of applicable staff rules from time to time.
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 New Delhi only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the
terms and conditions in the advertisement given by the Bank.

Place : Signature of Applicant

Date : 07/09/10

nidhi gupta
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

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