BANK OF INDIA - RECRUITMENT OF GENERAL BANKING OFFICERS

ONLINE APPLICATION FORM FOR THE POST OF GENERAL BANKING OFFICERS

27042
Registration # : 311679 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 30-08-2010 23:37:44 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : Deekshita S Adiga use.

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 :
Are you an Ex-Serviceman : NO

Whether you belong to Religious Minority NO Minority Religion :

Community :

Nationality : Indian

Place of Birth : Udupi District : Udupi

State : KARNATAKA

Centre of Examination : Bangalooru Centre code : 21

Application Fees Details:

Transaction No. : M284071

Branch Name : Bank Of India Shimoga Branch Code No. : 8540

Deposit Date : August 30,2010 Amount : Rs.400

Personal Details :
Marital Status : Single Remarried: NO

Date of Birth : July 08,1989 Age as on 31.07.2010: 21

Gender : FEMALE

Father’s Name / Husband’s Name : N S Adiga

Contact Details:
Email ID : deekshitaadiga@yahoo.com

Address for Correspondence : D/O N S Adiga, Sri Krishna Darshini

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 Opp Kote Police Police

District : Shimoga

State : KARNATAKA Pin : 577201

Permanent Address : D/O N S Adiga, Sri Krishna Darshini

Opp Kote Police Police

District : Shimoga

State : KARNATAKA Pin : 577201

Phone : 08182-274891 Mobile : 8105736016

Educational and Professional Qualification (as on 31.07.2010) :

Exams Passed Institute Name Subject/Stream Year of Passing % of Marks Class / Grade
Tenth : M.I.G.H.S SSLC Mar-2005 83.84 First
HSC / Equivalent : DVS Composie PCMB May-2007 51.00 Second
Graduation : Kuvempu University BCA Jul-2010 71.20 First
Working Knowledge of Computers : YES

Post Qualification work experience details as on 31.07.2010 (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
-----

Total Experience (in months) 0

Languages Known Read Write Speak

English Yes Yes Yes
Kannada Yes Yes Yes
Hindi Yes Yes Yes

Whether desirous of taking NO Centre for Training :

Pre-Exam Training :

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 Mumbai 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.

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Place : Signature of Applicant
Date : 30-08-2010

Deekshita S Adiga
NOTE: This printout alongwith the Candidate’s copy of the challan duly stamped by the Bank Branch and required copies documents should be
kept secure and ready for submission at the time of interview at venue.
Please DO NOT SEND application print-out to the Bank.
Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.

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