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CWE for Recruitment of Clerks - (CWE - Clerks-IV)

Registration Number : 1350380848

Full Name : RAM KUMAR BASAK

Category : OBC

If Person with Disability : NO

Type of Disability : -

Are you suffering from cerebral palsy and your writing

speed is affected?

: -

Percentage of Disability : -

Do you intend to use the services of a scribe

(only for VI and OC whose writing speed is affected by

cerebral palsy)

: -

Are you a child/ family member of those who died in 1984

riots? :

: NO

Whether domiciled in Kashmir Division of the

State of J&K during the period 1-1-1980 to 31-12-1989?

: NO

Do you belong to a Relig ious Minority Community? : NO

Religion: : Hindu

Are you an Ex-Serviceman : NO

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

Actual service rendered in defence services which may

be counted for qualifying as an Ex-serviceman (In

Months)

: -

Have you joined a Government job on the civil side after

availing of the benefits given as an ex-serviceman

:

Are you a Dependent of Serviceman killed in Action

(DXS) ?

: NO

Are you a matriculate Ex-Servicemen candidate, who has

obtained the Indian Army Special Certificate of Education

or corresponding Certificate in the Navy or the Air Force

after having completed not less than 15 years of service

in Armed Forces of the Union as on 01.08.2014?

:

Percentage of Marks :

Are you seeking relaxation under widow / divorced

women / women judicially Separated from their husbandsand who are not re-married?:

: NO

Whether Regular Employees of the Union Carbide

Factory, Bhopal, retrenched from service (applicable to

Madhya Pradesh state only)? :

: NO

Have you applied for the CWE for Clerical Cadre held in

November/ December 2011?

: NO


December 2012?

: NO


December 2013?

: NO

ome to IBPS - (CWE - Clerks-IV) - Application Form Print http://ibps.sifyitest.com/cweclkaug14/registration_print.php?q

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Nationality / Citizenship : Indian

State/UT to which centre of exam belongs : Assam

State Code : 14

Centre of Examination : Guwahati

Application Fee / Intimation charges

Payment Mode : OFFLINE

Amount : 600.00

Payment Status : PAID

Journal No : 518391888

Transaction Date : 01-09-2014

Transaction Branch : 03204028

Personal Details

First Name : RAM

Middle Name : KUMAR

Last Name : BASAK

Date of Birth : 18-08-1984

Age completed as on 01.08.2014 : 29

Gender : MALE

Husband's Name :

Father's Name : TARUN KUMAR BASAK

Mother's Name : JHARNA BASAK

Address for Correspondence : HOUSE NO - 81

: MALIGAON GATE NO 3

: GUWAHATI

District : KAMRUP

State : ASSAM

Pin code : 781011

Permanent Address : HOUSE NO - 81

: MALIGAON GATE NO 3

: GUWAHATI

District : KAMRUP

State : ASSAM

Pin code : 781011

Contact Details

Phone No : -

Mobile No : +91 9435405689

Email ID : [email protected]


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Educational Qualification (as on 01.09.2014) :

Exam Passed Degree Subject

/Stream

Date of Passing % of Marks Class/Grade

Graduation Others -

DOEACC B

LEVEL

Others - IT 19-11-2013 59.00 Second Class

Do you have Operating and working

knowledge in computer systems

: YES

Details of Computer Knowledge : Diploma in

: Computer language

Do you have work experience? : YES

Total Experience in months : 3

Details of Preference : 1 : UCO Bank

2 : Allahabad Bank

3 : Andhra Bank

4 : Bank of Baroda

5 : Bank of India6 : Bank of Maharashtra

7 : Canara Bank

8 : Central Bank of India

9 : Corporation Bank

10 : Dena Bank

11 : Indian Bank

12 : Indian Overseas Bank

13 : Oriental Bank of Commerce

14 : Punjab National Bank

15 : Punjab & Sind Bank

16 : Syndicate Bank

17 : Union Bank of India

18 : United Bank of India

19 : Vijaya Bank

Whether any prosecution/ detention/

fine/conviction/ sentence against you has

been awarded by any court of law for any

offence?

: NO

If yes, particulars of the same :

Other Details

Whether desirous of taking Pre-Exam Training

(Only for SC/ST/Religious Minority

Communities/Ex-Servicemen/PWD)

: -

If Yes ,Centre for Training : -

Languages Known Read Write Speak

BENGALI YES YES YES

ASSAMESE YES YES YES

HINDI YES NO YES

ENGLISH YES YES YES


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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 I am not satisfying any

of the eligibility criteria stipulated, my candidature is liable to be cancelled

Place:

Date: 19-08-2014 Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please do not send the

application printout to IBPS

Copyright @ 2014, IBPSAll Rights Reserved.


9/2/2014

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