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STATE BANK OF INDIA - RECRUITMENT OF CLERICAL STAFF IN ASSOCIATE BANKS

ONLINE APPLICATION FORM FOR THE POST OF CLERICAL STAFF

Last Modified On: 28/10/10 No Of Times Modified: 1

Please check Print Preview in A4 size Portrait format with 0.25" margin from all sides (Click to Print)

22026
Registration # : 749020 Please paste your recent
passport size photograph
and sign across it. Please
KALAVATI retain atleast 5 copies of
Full Name :
SHESHKER same photograph with you
for subsequent use.

Bank Name: State Bank Of Hyderabad

Category : SC
If Person With Disability : NO
Type of Disability : - Percentage of Disability : -
Do you intend to use the services of a scribe(only for VI & OH
-
candidates whose writing speed is affected by cerebral palsy)? :
Whether domiciled in
Kashmir Division of the State of J&K during the period NO
1-1-1980 to 31-12-1989 :
Whether you belong to Religious Minority Community? NO
Religion to which you belong : -
Are you an Ex-Serviceman ? NO

Are you Disabled Ex-Serviceman (DISXS) ? NO

Are you Dependent of an Ex-Serviceman (DXS) ? NO
Whether -
Expected Date of Discharged from the Armed Forces: - Date of Retirement: -
Period of Service in the
Whether already secured employment on civil side availing benefits as an Ex-Serivemen: - Defence forces (in -
months)
Are you Matriculate? NO
Have you obtained the Indian Army Special Certificate of Education or corresponding
certificate in the Indian Navy or the Air Force, after having completed not less than 15 years -
of service in Armed Forces of the Union:

Are you seeking relaxation under widow /divorced women / women judicially Separated from
NO
their husbands and who are not re-married? :

Nationality : INDIAN

State Applied For: Maharashtra

Centre of Examination : Nagpur Centre code : 52

Application Fee / Postal Charges Details :

Deposit Journal No. : 013908513

Branch Name : BETUL

Branch Code : 0327

Deposit Date : 26/10/10 Amount : 50

Personal Details :
Age completed as on
Date of Birth : 11/02/1984 26
01.10.2010:

Gender : FEMALE
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Father's Name : SUKHDEV SHESHKER

Mother's Name : MEERA SHESHKER

Contact Details:
Email ID : kalavati.sheshker@gmail.com
Address for Correspondence : AT JAMTHI POST BHARAT BHARTI

BETUL
District BETUL

MADHYA
State : Pin : 460001
PRADESH
Permanent Address : AT JAMTHI POST BHARAT BHARTI

BETUL
District BETUL

MADHYA
State : Pin : 460001
PRADESH
Phone No : - Mobile No : 9584561173

Qualification Details (as on 01.10.2010):

Exams Passed Subject / Stream Year Of Passing % of Marks

Class 12 / HSC / Equivalent : VOCETIONAL 2003 61.00

Graduation : BA 2006 49.00

Post Graduation : MA ECONAMICS 2008 49.00

Other Details
Whether desirous of taking Pre-Exam Training
NO
(SC/ST/Ex-Servicemen/Religious Minority Community) :

If yes Centre for Training : -

Languages Known Read Write Speak

HINDI YES YES YES

ENGLISH YES YES YES

MARATHI NO NO YES

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: 26/10/10 Signature of Applicant

Name: KALAVATI SHESHKER

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