To,Date:

Chief General Manager,

NKGSB Co-operative Bank Ltd.

Laxmi Sadan, 361, V. P. Road

Girguam, Mumbai – 400 004

Sub: Application for the post of Branch Manager

Respected Sir,

With reference to your advertisement in ______(newspaper) , I would like take the opportunity for taking up challenging career in this organization.

The personal and professional details are as under:

Name :______

(Surname) (Name) ( Father's/Husband's name)

Current Address/ Contact Details:

______

______

City:______State:______Pincode______

Phone No.:______Mobile No: ______

e-mail Id:______

Date of Birth:______(DD/MM/YYYY) Age: ______(as on 31.12.2010)

Sex: Male / Female Married/Unmarried

Languages Known: Read ______

Write ______

Speak ______

Qualification :

1)Academic Qualification :

Degree / Name of Institution / Name of university / Percentage/Grade
& Year of passing

2)Professional Qualifications :

Degree/ Diploma/ Certificate course / Name of College/ Institution / Name of university / Part time/Full Time /Correspondence course / Percentage/Grade
& Year of completion / Details of Specialisation/Special Subject/s

3) Employment History:

Employer Name & Address / Designation / Brief about Departments/responsibilities handled / Period of Working

4) Present Job Profile :

Employer Name :______

Designation Held:______

Location:______

Joining Date:______

Job Profile:______

______

______

5)Major Achievements ______

______

6)References 1)______

2)______

Present emoluments ( Total CTC ) : (Amount in Rupees)

Gross Monthly emolument (Please give break-up and attach latest salary slip)

PERTICULARS / Amount
BASIC
DA
CA
HRA
Any other allowances
Total
Annual Earnings/Perquisites
LTC / P.A.
MEDICAL / P.A.
BONUS/EX-GRATIA / P.A.
Any other allowances / P.M. X 12
Total Annual Emoluments
Expected Emoluments (P.A.)

Please indicate you order of preference for posting, if selected from the centers indicated on the website.1,2,3 ------Etc

Have you appeared for any interview in NKGSB Co-op. Bank Earlier?

a)If yes, whether selected or not? Yes /No

b)If selected, reason for not joining?

In the event of being selected approx. time required to take up the assignment?

______months i.e on or before ______.

I hereby declare that all the information given by me is true to be the best of my knowledge and any misrepresentation of facts by me in this application will enable NKGSB Co-op. Bank to take suitable action, as it may deem fit, including termination from service."

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(Name)