21/07/2015

CWEforRegionalRuralBanks(RRBsCWEIV)RecruitmentofOfficersScaleIApplicationFormPrint

InstituteofBankingPersonnelSelection
CWEforRegionalRuralBanks(RRBsCWEIV)RecruitmentofOfficersScaleI

RegistrationNumber

: 1440489330

FullName

: MADHAVSHARANPANDEY

Category

: GENERAL

AreyouaPersonwithDisability

: NO

TypeofDisability

PercentageofDisability

Areyousufferingfromcerebralpalsyand
yourwritingspeedisaffected:?

IfYes,Doyouneedcompensatorytimeat :
thetimeofexamination?
Whetheryourdominant(Writing)handis
affected?

IfYes,Doyouneedcompensatorytimeat
thetimeofexamination?

Doyouintendtousetheservicesofa
scribe(onlyforVIcandidatesandthe
candidateswhosewritingspeedis
permanentlyaffected)?:

AreyouaChild/FamilyMembersofthose
whodiedin1984Riots?

: NO

AreyouaPersondomiciledintheState
ofJammu&Kashmirduringtheperiod
from01.01.80to31.12.89.?

: NO

Religiontowhichyoubelong

: Hindu

DoyoubelongtoReligiousMinority
Community?:

: NO

AreyouanExServiceman

: NO

Periodofservicerenderedindefence
servicesasanExserviceman(in
months)

HaveyoujoinedaGovernmentjobon
thecivilsideafteravailingofthebenefits
givenasanexserviceman?

HaveyouappearedfortheCWEforRRB
(RRBCWEI)heldinSeptember2012?

: NO

PostName

RegistrationNumber

HaveyouappearedfortheCWEforRRB

: NO

http://ibps.sifyitest.com/rrbos1jun15/registration_print.php?q=MzUxMzIxOTU5N2NhN2UwMGFiODMzNjk4NjgwOWJhNDl8MTQ0MDQ4OTMzMA==

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CWEforRegionalRuralBanks(RRBsCWEIV)RecruitmentofOfficersScaleIApplicationFormPrint

(RRBCWEII)heldinSeptember/
October2013?
PostName

RegistrationNumber

HaveyouappearedfortheCWEforRRB
(RRBCWEIII)heldinSeptember2014
?

: NO

PostName

RegistrationNumber

AadhaarCardNo.

Nationality/Citizenship:

: Indian

Doyouhaveanyworkexperience?

: NO

IfYes,Mentiontheworkexperience

State/UT(towhichcentreofexam
belongs)

: UttarPradesh

CentreofExamination

: Meerut

ApplicationFee/Intimationcharges:
PaymentIn

: ONLINE

Amount

: 600.00

PaymentStatus

: PAID

ReferenceID

: DSBI3917691560

TransactionDate

: 21072015

PersonalDetails
DateofBirth

: 08081989

Agecompletedason01.07.2015

: 25

Gender

: MALE

MaritalStatus

: Unmarried

Father'sName

: RAMHARIPANDEY

Mother'sName

: ASHADEVI

Spouse'sName

AddressforCorrespondence

: 27778FIRSTFLOOR
: NEARSINGHSABHA
GURUDWARA
: DAKKAJOHAR

District

: DELHI

State

: DELHI

Pincode

: 110009

PermanentAddress

: RAMHARIPANDEY
: KHAIWALIGALICHAUTHAI
MOHALLA
: HOLIROADBALDEO

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CWEforRegionalRuralBanks(RRBsCWEIV)RecruitmentofOfficersScaleIApplicationFormPrint

District

: MATHURA

State

: UTTARPRADESH

Pincode

: 281301

ContactDetails
MobileNo

: +918471074810

AlternativeNumberMobileNo/Landline
No.

: +917065885011

EmailID

: maddypandey90@gmail.com

EducationalandProfessionalQualificationDetails(ason28.07.2015)
ExamPassed

Degree/Subject
/Stream

Graduation/Equivalent OthersBTech

Dateof
Passing

%ofMarks

Class/Grade

01072012

65.40

FirstClass

DoyouhaveComputerKnowledge
?

: YES

Ifyes,DetailsofComputer
Knowledge

: BASICANDHTML

Languageinorderof
Proficiency

1Hindi
2English

BankinorderofPreference

1SarvaUPGraminBank
2UttarBiharGraminBank
3GraminBankofAryavart
4PrathamaBank
5AllahabadUPGraminBank
6BarodaUPGraminBank
7SarvaHaryanaGraminBank
8KashiGomtiSamyutGraminBank
9MadhyanchalGraminBank
10CentralMadhyaPradeshGramin
Bank
11HimachalPradeshGraminBank
12UttarakhandGraminBank
13MadhyaBiharGraminBank
14RajasthanMarudharaGramin
Bank
15PurvanchalBank
16BiharGraminBank
17BarodaRajasthanKshetriya
GraminBank
18VananchalGraminBank
19NarmadaJhabuaGraminBank
20ChhattisgarhRajyaGraminBank
21ArunachalPradeshRuralBank
22JharkhandGraminBank
23NagalandRuralBank
24EllaquaiDehatiBank

http://ibps.sifyitest.com/rrbos1jun15/registration_print.php?q=MzUxMzIxOTU5N2NhN2UwMGFiODMzNjk4NjgwOWJhNDl8MTQ0MDQ4OTMzMA==

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CWEforRegionalRuralBanks(RRBsCWEIV)RecruitmentofOfficersScaleIApplicationFormPrint

OtherDetails
AreyoudesirousoftakingPreExam
Training(ApplicableOnlyforSC/ST/
MinorityCommunity):

IfYes,CentreforTraining

Declarationforallthecandidates(OtherthanVIandOC)

IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrectto
thebestofmyknowledgeandbelief.Iunderstandthatintheeventofanyinformationbeingfounduntrueor
incorrectatanystageorIamnotsatisfyinganyoftheeligibilitycriteriastipulated,andalsoincaseofcreating
influence/unduepressureregardingrecruitmentshalltantamounttocancellationofmycandidature.

Date:21072015

SignatureofApplicant

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