INTERVIEWOPTION :HINDI/ ENGLISH

(Pleasetickwhichever isapplicable )

BIO-DATAFORM

[Tobefilledinbythecandidateinhis/herownhandwritingandsubmittedin4copies(1original+3xeroxcopies).Pleasereadtheinstructionscarefullybeforefillingupthisform]

Discipline/Game:

PostforwhichcalledforInterview:

1 / Name infull[InBlockletters]:
2 / DateofBirth: / Age ason01.02.2013 :
3 / PlaceofBirth:
4 / NativePlace: / Tehsil :
District: / State :
5 / Father’sName:
Mother’sName:
SpouseName:
6 / Nationality: / Religion:
7 / Category:
[Pleasetickwhichever isApplicable]
8 a] / PermanentAddress[in blockletters] / b]Communication Address[in blockletters]
9 / Whetheryou are:
A]
B]
C] / A memberofScheduledCasteA memberofScheduledTribe
A memberofOtherBackwardClass / :YES/ NO,
:YES/ NO,
: YES/NO, / IfYES,
IfYES,IfYES, / Sub-Caste :
Sub-Caste :Sub-Caste :

D]Incaseyou belongtoSC/ ST/OBCcategory, indicatetheserial number ofSub-caste asappearing intheCentral Government list:

E]AnEx-Servicemen/DisabledEx-Servicemen:YES/ NO

IfYES,No.ofyearsofserviceputinDefenceServices, date of:discharge withreasons

F]VisuallyChallenged:YES/NOIfYES,% ofdisability :

G]Hearing Impaired: YES /NOIfYES,% ofdisability :H]OrthopaedicallyChallenged : YES /NO IfYES, % ofdisability :

NOTE: Indicatewhichever is applicable. A certificate in originalfrom the CompetentAuthorityshouldbe producedinthe caseofcandidatesbelongingtoScheduledCastes,ScheduledTribesandOtherBackwardClasses[aspertheproformaenclosed]. OBCCertificateshouldcoŶtaiŶ͞NoŶ-CreaŵyLayerClause͟aŶdshouldnotbemorethan1yearoldasonthedateof application.Intheeventofconversionorre-conversiontoHinduorSikhreligion,adequateevidenceincludingacopyoftherelevantgazettenotificationandalsootherdocumentaryevidenceshouldbefurnished.Inthecaseof Ex-servicemen,DischargeCertificateissuedbytheconcernedauthorityshouldbeproduced.IncaseofPersonsWithDisabilities,sufficientdocumentaryevidenceincludingthemedicalcertificateissuedbytheCompetentAuthorityshouldbenecessarilyproduced.

10MaritalStatus[Single/ Married /Widowed/ Divorced /Legally Separated]:

11State the numberof persons,whoare dependentonyou forsupport:[Parents,Wife / Husband, Children, Brothers/Sisters,Others]

12EducationalQualification

[Full particulars fromSSC/ SSLC onwards tobegiven.Ifspace isnotsufficient furnish in annexure]

Certificate/Degree/Diplomaobtained / School/College
/University
/Board / Dateofpassing[dd/mm/yy] / PrincipalOptionalsubjectsstudiedinbrief / No..ofattempts / Percentage ofmarksobtained / ClassRankobtained / Prizes/Rankifany
SSC
+2
Grad
P G
ComputerKnowledge
Others
Note:PercentageofMarksshouldbetakenasdeclaredbyBoard/UniversitywhereverGrades/CGPA/OGPAetcareawarded,thesameshouldbeconvertedtopercentageasperthe conversion formulanotifiedbytherespectiveBoard/ University.Ifsuchcases, acopyof͞conversion formulaalongwithequivalentclass,notifiedbytheBoard/UniversityshouldbesubmittedatthetimeofGDInterview.

13Workexperience

[Detailsofall previousemployments,whether temporary orpermanentincluding thepresentemployment,if any,aretobegiven. Ifspaceis notsufficientfurnishin annexure]

Nameandaddress oftheemployer / Jobtitle/Designation / Period ofEmployment / Salary / Job nature / Reasonsforleaving
From / To

14a]MotherTongue:b]LanguagesKnown :

15Particularsof participationin Sports,Athletics,Scouts,NCC,Debates, Dramas or other Extra-Curricular activities in :School,College andelsewhere

Name of the Tournament / Represented
State/Country / Year of Participation / Position

16Hobbies andotherinterests :

17a]Haveyoueverbeenarrested,prosecuted,keptunderdetentionor:bound down /fined / convicted by a Court of Laworwhetheranycase

is pending againstyou inaCourtofLaw?

Ifyes,givefulldetails

b]Have you ever been debarred / disqualifiedby anyinstitution:fromappearingatitsexamination /selectionor debarred in anymanner from anyexamination orrusticated by any Universityoranyothereducationalauthority /Institution ?If yes,givefulldetails

c]Is any case pending against you in any University or any other:educationalauthority/IBPS/Institutionatthetimeoffillingupthisform?Ifyes,givefull details

d]Has any case been filed against you at present or in thepast by any:Bank,InsuranceCompany etc.,fornon-paymentof any loan takenfromthem ? If so,pleasegivedetails

18a]Incaseyouare/wereanemployeeoftheGovernment/PublicSector:

/NationalizedBank/MunicipalCorpn.,/PrivateSectorOrganization,pleasestatewhetherthereisanydisciplinarycasependingagainstyouorwhetheranydisciplinarycasewastakenagainstyouduringthelast3yearsof yourservice.If so,pleasegivedetails

b]Wereyoueverremoved,discharged/dismissed/madetoresignfrom:suchservice inthe past?Ifso, pleasegivedetails.

19Please furnish Name, Occupation and address ofTWOrespectable persons, NOT related to you, tobe given as reference

1] / Name / : / 2] / Name / :
Occupation : / Occupation :
Address / : / Address / :
Pin: / Pin:

20Additional information if any,whichyou wishto furnish:

Thefollowingaretobeenclosed inthesame order

A.CERTIFIEDTRUECOPIESOF:

a)Proofof DateofBirth[SSC/SSLC/X Std.CertificatewithDOB orBirthCertificate].

b)Mark listsfromSSC /SSLC,10+2/HSC / PUC,Graduation, Post Graduationetcpassed byyou,includingtechnicalandprofessionalexamsofeachyear/semester,ifany.

c)Certificateregardinggraduation/post-graduation/otherexaminationspassed.

d)CastecertificateissuedbytheCompetentAuthorityintheGovt.ofIndiaformataspertheproformaenclosedinthecaseofSC/ST/OBCcandidates.NecessaryCertificate/documentsifthecandidate belongstoothersub-categories,ifany.

e)Medicalcertificatefrom the authorizedCertifyingAuthority–i.e.,MedicalBoardappointedbytheState Govt.at District levelscomprisingofChiefMedicalOfficer/Sub-DivisionalMedicalOfficer/sintheDistrictandanOrthopaedic/Ophthalmologist/ENTSurgeonasthecasemaybe, inthecaseofcandidatesbelongingto PersonsWithDisabilitiescategory.

f)PrintoutsofCallLetterforGDInterview,IBPSCWE-I-SPLSTRegisteredApplicationCopyofScoreCard(forCWEPosts),Bankonlineapplication,PaymentChallan/ NEFTReceiptandIdentityProofasmentionedincallletter.

g)ExperienceCertificate/sfromtheemployer/sregardingpresentandpreviousemployment.Service/DischargecertificateissuedbytheCompetentAuthorityinthecaseofEx-servicemen.

h)Testimonialsregarding proficiencyinCurricular/Extra-curricularactivities,ifany.

Note:Whereverphotocopiesaresubmitted,theoriginalsofthesameshouldbeproducedforverification.Ifthereisanyinformationavailableonthebacksideofthedocument,thesamealso shouldbecopiedandsubmitted.

B.ORIGINALCERTIFICATES:

1.NoObjectionCertificatefromthe employerinthecaseofcandidatesworking.

2.Charactercertificatefromtworespectablepersonsnotrelatedtoyou,obtainedonarecentdate. ThesameshouldcontainthedesignationoftheSignatory andOfficeSealshouldbeaffixed.

Ihereby declarethattheabovestatementsaretrue,completeandcorrectandalsothatnofactshavebeensuppressed.Itisunderstoodthatemployment,ifany,offeredtomeisbaseduponthetruthfulnessofthestatementsmadehereinandintheeventofanyinformationbeingfoundfalseorincorrectatalaterdate,myappointmentisliabletobeterminated.Ifurtherstatethat,ifselected,IamwillingtobepostedtoanywhereinIndia,atanyofthebranch/officeincludingruralbranchesoftheBank.

DATE :

PLACE:SIGNATUREOFTHECANDIDATE