Sie sind auf Seite 1von 3

1/3

ON-LINE APPLICATION FOR SINGLE WINDOW OPERATOR(SWO)

23037

Registration #: 3107471

Full Name: Poonam Yadav

Category : OBC

If Person with Disability : NO


Type of Disability : -- Percentage of Disability : --
Do you intend to use the services of a scribe?( only for VH and OH
NO
candidates whose writing speed is affected by cerebral palsy)? :

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 an Ex-Serviceman? : NO

Are you a disabled Ex-Serviceman (DISXS)? : NO


Period of Service in months : --
Are you a dependent of an Ex-Serviceman (DXS)? : NO
Are you seeking relaxation under widow/divorced women/
women judicially Separated from their husbands and who are NO
not re-married :
Nationality : Indian
State / Union Territory for which you are applying : Delhi
State code : 07
Centre of Examination : Delhi

Centre code : 39

Application Fee / Postal Charges Details :


Receipt Number (TSL No.) : 854

Branch Name : Bahadurgarh


Branch Code No : 477

Date of Deposit : 15-04-2011

Amount : 200

Personal Details :
Date of Birth : 20-09-1988

Age as on 31.03.2011: 22
Gender : FEMALE

Father's Name / Husband's Name : Jetinder Yadav

Mother's Name : Krishna Davi


Address for Correspondence : Poonam Yadav W/o Jitender Kumar
2/3
Vill. Balore
Teh.Bahadurgarh

District Jhajjar
State : HARYANA

Pin : 124507
Permanent Address : Poonam Yadav W/o Jitender Kumar

Vill. Balore

Teh.Bahadurgarh
District Jhajjar

State : HARYANA
Pin : 124507

Contact Details:
Phone No : -
Mobile No: 9917173219

Email ID : poonamyadav206@gmail.com

Qualification Details (as on 31.03.2011):

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


Graduation : B com 2009 56.60 Second Class

working knowledge of computers : YES

Details of Computer Knowledge : Ms Office INTERNET

Other Details :

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


--
Servicemen/Minority Community/DISXS/DXS) :

If Yes Centre for Training : --

Languages Known Read Write Speak

English YES YES YES


Hindi YES YES YES

DECLARATION:

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: 22-04-2011 Signature of Applicant

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
3/3