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ONLINE APPLICATION FORM FOR THE POST OF PROBATIONARY ASSISTANT
MANAGER JMGS-I 2010
13029
Please paste your recent
passport size photograph
and sign across it. Please
retain atleast 5 copies of
same photograph with you
for subsequent use.
Registration # : 151222
Full Name : NAVNEETH VASU KOTIAN
Category : UR
Person With Disability : NO
Type of Disability : - Percentage of Disability : --
Do you intend to use the services
of a scribe (only for VI & OC candidates
whose writing speed is affected
by cerebral palsy)?
--
Are you a candidate who
had ordinarily been domiciled in Kashmir Division
of the State of J&K during the
period 1-1-1980 to 31-12-1989 :
NO
Whether you belong to The Children/Family Members
of Those who had died in 1984 Riots:NO
Are you an Employee of Vijaya Bank? NO
Employee Number/ Staff Code: -Applying for higher
grade/scale?-
Whether you belong to Religious Minority Community? NO
Religion to which you belong :
Are you an Ex-Serviceman ? NO
Nationality : INDIAN
Choice of Centre for Examination : : Mumbai
Centre code : 22
Application Fee / Postal Charges Details :
Transaction ID : 0139057
Branch Name : BORIVALI
Branch Code : 5047
Deposit Date : 13/10/2010 Amount : 300
Personal Details :
Date of Birth : February 03,1986 Age as on 30.06.2010: 24
Gender : MALE
Father's Name/ Husband's Name : VASU KOTIAN
Mother's Name : LALITHA VASU KOTIAN
Contact Details:
Email ID : [email protected]
Address for Correspondence : 73/10 - A NALANDA VAN CHS
MITTAL ENCLAVE JUCHANDRA
NAIGAON EAST
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District THANE
State : MAHARASHTRA Pin : 401208
Permanent Address : 73/10 - A NALANDA VAN CHS
MITTAL ENCLAVE JUCHANDRA
NAIGAON EAST
District THANE
State : MAHARASHTRA Pin : 401208
Phone No : - Mobile No : 9892367224
Educational Qualification Details (as on 30.06.2010):
Exams Passed Subject/Stream Month/Year Of Passing % of Marks
Graduation : BMS 05/2007 67.08
Knowledge of Computer : YES
Would You like to undergo
Pre-Exam Training (Only for SC/ST/Minority Community) :NO
If Yes centre for training :
Other Details :
Languages Known Read Write Speak
ENGLISH YES YES YES
HINDI YES YES YES
TULU YES NO YES
KANNADA YES NO YES
NO NO NO
DECLARATION:
I hereby declare that the s tatements 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 false or
incorrect at any stage or not satisfying the eligibility criteria
according to the requirements of the
advertisement my candidature/appointment is liable to be
cancelled/terminated at any stage and if appointed my services are
liable to be terminated. I am willing
to serve anywhere in India. I agree that the Bank has the r ight
to post me to any part of the country at its discretion.
I hereby agree that any legal proceeding in respect of any
matter(s) or c laims or disputes arising out of application or out
of said advertisement
can be instituted by me only at Bangalore and Courts / Tribunal
/Forums at Bangalore only shall have sole and exc lusive
jurisdiction to try any cause/dispute. I
undertake to abide by all the terms and conditions mentioned in
the advertisement given by the Bank.
Place:
Date: 14/10/2010 Signature of Applicant
NAVNEETH VASU KOTIAN
Please retain your Registration No. and Password (sent to your
Email ID) carefully for further reference.
Note : Please do not send the application print out to the
Bank.
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