Annexure-A

ALLAHABAD BANK
To:
The General Manager (HR)
Allahabad Bank
2 N.S Road, Kolkata-700001

Please affix your

recent
passport
size
photograph
and sign it across.

E-mail: ho.pa@allahabadbank.in

Sub: Application for the post of Chief Customer Service Officer (CCSO) on contract

With reference to the above, I am submitting my application for the post of Chief Customer Service Officer,
(CCSO) brief particulars of mine being as under:
1.
2

Full Name:
[In capital letters]
Correspondence Address:

PIN

Phone No. with STD code:

Mobile No:
3

Email

Permanent Address:

PIN

4. Category: SC

ST

5. If PWD, type of disability:

6. Date of Birth
[Self attested copy
enclosed)

DD

OBC

VI/HI/OC
MM

Gen

( as applicable )

Percentage of Disability %:
YYYY

AGE
[As on 01/01/2016]

Years

Months

Days

7
10

Gender
M/F
( As Applicable)

8 Religion

9 Nationality

Indian

Fathers/Husbands Name
[In capital letters]

11 (a) Mother Tongue

(b) Languages Known

Read

Write

Speak

12. Educational Qualification:

Examination
Passed

Month &
year of
passing

Name of the
University

% of
Marks

Discipline /
Stream

Graduation
P G if any
Professional
Others

13. Work Experience Details [as on 01/01/2016]:

Bank

Designation /
Post held

Area of
Operation
(As per
advertisement)

Nature of
duties
performed

Period
From
Date

To
Date

Reasons
for
Leaving
(if any)

Note: Self attested Photocopies of qualification & experience are to be enclosed

14. Retired on voluntary retirement / superannuation:

Name of Scheduled Commercial Bank:
Designation held at the time of retirement:
Date of retirement / Discharge:
Total years of service:
15. Application Fees Details:
Name of the Remitting
Bank & Branch

Remitting Branch
[IFSC Code]

NEFT UTR No.

Amount
Paid

Rs.1000/Note: Original Payment Challan / NEFT receipt should be enclosed

Payment
Date

16. Any other Information: (Applicants can attach separate sheet if required)

17. Disciplinary action, if any taken in the past (Yes / No). If yes, give details.

18. Details of present employment (if any):

(a) Name and address of the organisation:
(b) Position held:
(c) Reporting to :
(d) Salary / compensation presently drawn:
19. Whether a case against you is pending in respect of any criminal offence / charge is under investigation,
inquiry or trial or otherwise. (Give Details)

Declaration
I
Son / Daughter / Wife of ____________________________hereby
declare that I had read Allahabad Bank advertisement RECT/2015-16/02 published in Banks website fully &
thoroughly and understood the contents and I undertake to abide by all the terms & conditions. Further, I hereby
declare/certify that all the information/statements furnished in this application are true and correct to the best of
my knowledge and belief. I understand that in the event of any information being found false or incorrect, or not
satisfying to the stipulated eligibility criteria for this post, my candidature is liable to be cancelled / rejected at
any stage. I shall abide by all the terms & conditions set out by the Bank. I solemly bind myself to observe the
strictest secrecy in all afairs of the Bank and not to divulge any information regarding Bank / any customers
account or his affairs to any third party not legally or otherwise entitled thereto. I agree that any legal
proceedings in respect of any matter or claims arising out of this application or out of the said advertisement can
be instituted by me at Kolkata only and the courts situated in Kolkata only shall have sole and exclusive jurisdiction
to try any cause / dispute.

Place:
Date:

List of enclosures of certificates/testimonials/separate sheets:

Signature of the Applicant