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ON-LINE APPLICATION FOR ALLAHABAD BANK CLERICAL (SWO "A") RECRUITMENT PROJECT - 2011-12

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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 # : 3177419
Full Name : Pratibha Jaknore
Category : SC
If Physically Challenged / 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

Religion to which you belong : --
Are you an Ex-Serviceman (EXSM)? NO
Are you a disabled Ex-Serviceman (DisXS) NO
Date of Discharge --
Period of Service ( in months) --
Are you a dependent of Serviceman Killed in Action (DXS)? NO
The Children/Family Members of those
NO
who died in 1984 Riots?:
Are you seeking relaxation under widow /divorced women /
women judicially Separated from their husbands NO
and who are not re-married:

Nationality : INDIA

State / Union Territory for which you are applying : Madhya Pradesh
State / UT code : 16

Centre of Examination : Bhopal

Centre code : 49

Application Fee / Postal Charges Details :

Journal No. Cash Deposit : 3546984

Branch Name of Allahabad Bank : habibganj

Branch Code No: 211263

Date of Cash Deposit : 05-03-2011

Amount in Rupees : 50

Personal Details :
Date of Birth : 25-09-1991

Age as on 01.01.2011. : 19
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Gender : FEMALE

Father's Name/ Husband's Name : rajkumar jaknore

Mother's Name : --
Email ID : pratibha.jaknore@yahoo.com

Address for Correspondence : 194

Kalpana Nagar

Piplani
District Bhopal

State : MADHYA PRADESH

Pin : 462021

Permanent Address : H-02

Near Bus Stand

Seoni Malwa

District Hoshangabad
State : MADHYA PRADESH

Pin : 461223

Contact Details:
Phone No : -

Mobile No: 9691763380

Qualification Details (as on 01.01.2011):

Exams Passed Subject/Stream Date of Passing % of Marks

HSC/12th/Equivalent : pcm 15-04-2008 61.33

Knowledge of Computers : YES

Details of Computer Knowledge : B.E. in E.C.

Would You like to undergo Pre-Exam Training (SC/ST/Minority

NO
Community/ Ex-Servicemen):

If Yes Centre for Training : --

Other Details :

Languages Known Read Write Speak

Hindi YES YES YES

English 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 Kolkata and courts/ Tribunal/ forums at Kolkata 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: 08-03-2011 Signature of Applicant
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Pratibha Jaknore
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