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ON-LINE APPLICATION FOR ANDHRA BANK PROBATIONARY OFFICERS RECRUITMENT PROJECT

34032

Please paste your recent

passport size photograph
and sign across it. Please
retain atleast 5 copies of
same photograph with you
for subsequent use.

Registration # : 252799
Full Name : SANDEEP KUMAR
Category : GENERAL
If Person with Disability : NO

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

Do you intend to use the services of a scribe( only for VI and
--
OC candidates whose writing speed is affected by cerebral palsy) :
Whether domiciled in Kashmir
NO
Division of the State of J&K during the period 1-1-1980 to 31-12-1989?
Whether you belong to Religious Minority Community? : NO
Minority Religion : --
Are you an Ex-Serviceman? NO
Are you Children/family members of those who died in 1984 ? : NO

Are you an employee of Andhra Bank : NO

If yes, Staff Code No:
Nationality : INDIAN
Centre of Examination : Bengaluru
Centre code : 26

Application Fee / Postal Charges Details :

Payment in : Andhra Bank Branch
Transaction ID : 0073452
Branch Name : Andhra Bank Bokaro Steel city CHAS

Branch SOL ID : 1212

Deposit Date : 09-02-2011

Amount : 400

Personal Details :
Age completed as on
Date of Birth : February 1988,22 22
31.12.2010 :
Gender : MALE

Father's Name/ Husband's Name : RAMNATH YADAV

Mother's Name : USHA DEVI

Email ID : meetsandeep11@gmail.com

Address for Correspondence : Lakshmi Nilaya No. 377 / 1

M.E.I Layout Post.- Nagsandra

Bagalgunte Bangalore - 560073

District Bengaluru
 2/2
State : KARNATAKA
Pin : 560073

Permanent Address : Sector - 9 / C Street - 21

Q.No.- 522
BOKARO

District BOKARO STEEL CITY

State : JHARKHAND

Pin : 827009

Contact Details:
Phone No : -

Mobile No: 9019632157

Qualification Details (as on 31.12.2010):

Exams Passed Subject/Stream Year Of Passing % of Marks

Graduation : Bsc March-2009 71.00

Knowledge of Computers : YES

Details of Computer Knowledge : Computer Fundamental , MS word

Other Details :

Whether you like to undergo Pre-Exam Training (SC/ST /Minority

--
Community):

If Yes ,Centre for Training : --

Languages Known Read Write Speak

English YES YES YES

Hindi YES YES YES

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/ service 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 advised criteria in respect of age, caste, 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 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 Hyderabad and courts/ Tribunal/ forums at Hyderabad only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake
to abide by all the terms and conditions in the advertisement given by the Bank.

Place:
Date: 18-02-2011 Signature of Applicant

SANDEEP KUMAR
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