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ON-LINE APPLICATION FOR PROBATIONARY OFFICER

Last Modified On: 13-04-2011 No Of Times Modified: 1

15034

Registration #: 220731

Full Name: Misha Sewaramani

Category : GENERAL
If Person with Disability : NO
Type of Disability : -- Percentage of Disability : --
Do you intend to use the services of a scribe? NO
Are you candidate who had ordinarily been 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
Religion to which you belong : --
Are you Employee of Corporation Bank? NO
Employee Number : -
Are you an Ex-Serviceman (Including ECO/SSCO)? NO
Nationality : Indian

Centre of Examination : Mumbai

Centre code : 21

Application Fee / Postal Charges Details :

Receipt Number (TSL No.) : 017394
Branch Name : VIman Nagar

Branch Code No : 0739

Date of Deposit : 19-03-2011

Amount : 300

Personal Details :
Date of Birth : 07-01-1988 Age as on on 31.01.2011. : 23
Gender : FEMALE

Marital Status : Single

Father's Name / Husband's Name : Om Prakash

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Mother's Name : Mamta

Address for Correspondence : G 704 Cosmos

Magarpatta City

Hadapsar
District Pune

State : MAHARASHTRA
Pin : 411028

Permanent Address : G 704 Cosmos

Magarpatta City
Hadapsar

District Pune
State : MAHARASHTRA

Pin : 411028

Contact Details:
Phone No : 020-32908052

Mobile No: 9923336229

Email ID : misha.sewaramani@gmail.com

Qualification Details (as on 31.01.2011):

Exams Passed Subject/Stream Year of Passing % of Marks Class / Grade

Graduation : Commerce 2010 56.50 Second Class

working knowledge of computers : YES

Post Qualification work experience details (Start from present Employer):

Name of the Employer Designation From(mm/yyyy) To(mm/yyyy) Nature of Reason for Leaving Years of
Duties Performed Service
(YY-MM)

Other Details :

Whether desirous of taking Pre-Exam Training (SC/ST/Ex-

--
Servicemen/Religious 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 etc.

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 MANGALORE and courts/ Tribunal/ forums at MANGALORE 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: 02-04-2011 Signature of Applicant

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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