ON-LINE APPLICATION FOR THE POST OF OFFICER IN GRADE 'B' (
GENERAL)-DR as per Advt. No.4A/2012-2013
32029Registration # : 558167
Full Name : KARAN DEEPAK MEHTA
Category : GENERAL If Person with Disability : NO Type of
Disability : -Whether requires Services of Scribe (Only for those
candidates who have physical limitation to write including that of
speed.) : NA Whether domiciled in Kashmir Division of the State of
J&K during the period 1-1-1980 to 31-12-1989 ? : NO Do you
possess of M.Phil. Qualification ? : NO Do you possess of Doctorate
Degree/ Ph.D. Qualification ? : NO Do you fall under the category
of Ex-serviceman / Retrenched from Government Office / Banking
Institution ? : NO If Yes, Select the Category : - Do you have
experience as an Ex-Servicemen for more than 5 years ? : Are you
Reserve Bank of India Employee (RBI Staff) ? : NO If Yes, PF Index
No : Have you appeared four times for 'WE' for Officers in Grade
'B' in RBI in the past ?( applicable in case of Unreserved/General
Candidates only) : NO
Do you have experience as an officer in Commercial
Bank/Financial Institution in Public Sector? : NO Years of
Experience (in Years) : State/ UT which the Centre of Examination
Belongs : MaharashtraCentre of Examination for Objective Type Test
(Phase I): MumbaiCentre code : 61Centre of Examination for
Descriptive Type Test (Phase II): MumbaiCentre code : 25Application
Fee Details : Payment In : ONLINEAmount : 400.00Reference ID :
MCTR3044689862Transaction Date : 11-07-2013Personal Details : Date
of Birth : 11-07-1991Age completed as on 01.06.2013 : 21Gender :
MALEFather's Name : DEEPAK BHARATKUMAR NARIELWALAMother's Name :
RUPAL DEEPAK NARIELWALAAddress for Correspondence : BLDG L-3 FLAT
NO 5 KASHISH PARK
L.B.S MARG THANE WESTDistrict THANEState : MAHARASHTRAPin code :
400604Contact Details : Phone No : -Mobile No : 9870856594Email ID
: [email protected] Details (as on 01.06.2013)
:
Exam Passed Subject /Stream Date of Passing % of Marks Name of
University/
Class / Grade
1/2
/ Institute
Graduation /Bachelor's Degree : MANAGEMENT 18-06-2012 60.76
MUMBAIUNIVERSITY First Class
Details of Work Experience (Start from Present Employer) :Name
of the Employer Designation and
Rank if anyFrom (DD/MM/YYYY) To (DD/MM/YYYY) Duration of
Service (YY/MM/DD)Nature of
Duties PerformedMAERSK GLOBAL SERV
ICESASSOCIATE 15/04/2013 01/06/2013 0/1/18 ISSUANCE BL
TCS eServe ASSOCIATE 24/07/2012 08/02/2013 0/6/15 CORPORATE
BANKING
DECLARATION: I hereby declare that all the statements made in
this application are true, complete and correct to the best of my
knowledgeand belief. I understand that if at any stage, it is found
that any information given in this application is false/incorrect
or that I do not satisfythe eligibility criteria according to the
Board, my candidature /appointment is liable to be
cancelled/terminated. I have read and understoodthe stipulations
given in the advertisement and hereby undertake to abide by
them.
Place:
Date: 11-07-2013 Signature of Applicant
Please retain your Registration No. and Password emailed to you
carefully for further referenceNOTE: Please DO NOT SEND application
printout to IBPS
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