SBICLERK_3000068945
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Transcript of SBICLERK_3000068945
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8/2/2019 SBICLERK_3000068945
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ON-LINE APPLICATION FOR RECRUITMENT OF CLERICAL CADRE
3503
Registration # : 3000068945
Full Name : MANOJ KUMAR
State/UT Applied for : Jharkhand
Category : SC
If Person with Disability : NO
Type of Disability : -
Percentage of Disability : -
Do you intend to use the services of a scribe (only for VI & OH candidates whose writing
speed is affected by cerebral palsy) ? :NA
Are you candidate who had o rdinarily 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 Religious Minority Community ? : NO
Religion to which you belong : -
Are you an Ex-Serviceman ? : NO
Are you Disabled Ex-Serviceman (DXS) ? : NO
Are you a Matriculate ? :
Have you obtained the Indian Army Special Certificate of Education
or corresponding certificate in the Navy or the Air Force, after having
completed not less than 15 years of service in Armed Forces of the Union :
Are you Dependent of an Ex-Serviceman killed in action ? : NO
Are you seeking relaxation under widow /divorced women / women
judicially Separated from their husbands and who are not re-married ? :NO
Nationality / Citizenship : INDIAN
Centre of Examination : Ranchi
Centre Code : 76
Application Fee / Intimation Charges details:
Payment Mode: ONLINE
Amount : 50.00
Personal Details :
Date of Birth : 30-09-1988
Age completed as on 01.12.2011 : 23
Gender : MALE
Husband's Name/Father's Name : AWADHESH RAM
Mother's Name : MANOBRITI DEVI
Address for Correspondence : S/O-AWADHESH RAM
QR NO-375 TYPE-2
RAJRAPPA PROJECT
District RAMGARH
State : JHARKHAND
Pin : 829150
Permanent Address : VILL-BASDIHA GOPAL
THANA-KUTUMBA
PO-HARIHARGANJ
District AURANGABADH
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State : BIHAR
Pin : 824119
Contact Details :
Email ID : [email protected]
Phone No : -
Mobile No : 9955318626
Qualification Details (as on 01.12.2011):
Exam Passed Subject /Stream Date of Passing % of Marks
SSC/Equivalent : ENG MATH SCI SST SAN 28-05-2004 75.40
HSC/ 12th(10+2) / Equivalent :ENG BIO PHY CHEM
PHE23-05-2006 64.20
Graduation/Equivalent : BBA 30-06-2010 81.70
Other Details :
Would You l ike to undergo Pre-Exam Training (SC/ST/Minority Community/ XS /
DXS / Dependents of XS) :YES
If Yes Centre for Training : Ranchi
Languages Known Read Write Speak
English YES YES YES
HINDI YES YES YES
DECLARATION:
I hereby dec lare that all statements 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 untrue or incorrec t at any stage or my not satisfying any of the eligibility cr iteria according to the Central Rec ruitment & Promotion Department, my candidature is liable to cancelled. I
am willing to serve anywhere in India including rural areas.
Place:
Date: 05-01-2012 Signature of Applican
Please retain your Registration No. and Password emailed to you carefully for further reference
NOTE: Please DO NOT SEND application printout to CRPD/ SBI
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