To be filled by the Applicant for the post of General Manager (Information Technology) on contract basis.

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  1. Name (Block letters)
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  1. Father Name
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  1. Date of Birth
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  1. Age as on 31.08.2014.
/ : Years Months
  1. Community & Religion
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  1. Category (SC/ST/OBC/GEN)
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  1. Native Place
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  1. Native District
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  1. Permanent Address with Pin Code
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  1. Present Address with Pin Code
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  1. Communication Address
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  1. Phone Number (Residence)
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  1. Phone Number (Office)
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  1. Mobile Number
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  1. Email Address
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  1. Marital Status
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  1. Occupation of Spouse:
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  1. If employed, details thereof.
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  1. Academic Qualification (From Degree onwards).

S.No / Course/
Degree / Major / Institution/
University
  1. Mother Tongue

  1. Proficiency in other languages
/ Speak / Read / Write
Language / 1.
2.
3.
  1. Details of Present Employment:

  1. Last drawn Salary per Month:
/ Rs.
  1. Time required to join the Bank, if selected:

  1. Previous Employment Experience as Banker. (DGM Cadre and Above)

Name & Place of the Organization / Designation / Nature of work/Job Details handled / Period of
Employment
date / Experience
In months
From / To
  1. Any other experience or Trainings undergone (specify)
/ 1.
2.
  1. Particulars of Two respectable references knowing you.

Name & Address / Qualification / Occupation / Phone Number
  1. Are you related in any way to any Director/ Ex-Director of our Bank? If so, state the name of the Director/ Ex-Director and relationship.
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  1. Have you any relative in the service of this Bank? If so, give details and relationship.
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  1. Furnish the details of Disciplinary Proceeding/Vigilance cases in the previous/present employment.
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  1. Have you got any award from institution appreciating your work? Give particulars.
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  1. Any other information that you have not been able to provide in answer to our above specific questions may be furnished here.
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DECLARATION.

I hereby declare that the above statements are true and correct, and it is understood that if I am employed, the offer of employment will be based upon the truthfulness of the statements made herein, and in the event of any information being found false or incorrect, my appointment is liable to be terminated.

Signature of the Applicant

Date:

Place:

Note: The followings should be enclosed along with this application form.

  1. Age Proof (Self attested Photo Copy of SSLC or Higher Secondary Mark Sheet or TC).
  2. Self attested Photo Copy of Degree Certificate/Post graduation certificate, CAIIB certificate.
  3. Experience Certificate and proof for Post held ( last pay bill copy/Promotion orders etc).

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