BIO–DATA

This form (to be printed in A4 size), duly filled up in candidate’s own handwriting, should be submitted along with
the call letter while appearing for the interview. No column should be left blank. Candidates are required to
produce original certificates, testimonials in support of their age, qualifications and service experience
mentioned in this form for verification at the time of interview.

POST : PROBATIONARY CLERK

Interview Call No. : Interview Centre : MANGALURU Affix your recent

passport size photo
Registration No. : Examination Roll No. : here and sign across

Date & Time of Interview

1. Name of the Candidate

(in block letters and as in
SSL Certificate)
2. Permanent Address : 3. Address for Correspondence :

PIN : PIN :

Telephone/Mobile No.: Telephone/Mobile No.:

E-mail ID :

4. Date of Birth Age Place of Birth Place of Domicile

5. Physical Disability if any :

(If yes, produce certificate)
6. Religion Caste Category (General/SC/ST/OBC)

7. Family Back Ground :

If employed, name and address Annual Income
Parent’s Name Age Occupation
of the employer (p.a.)
Father

Mother

No. of Brothers No. of Sisters Total

Total Income of
Members of
Married Unmarried the family (p.a.)
Employed Unemployed the family
Employed Unemployed Employed Unemployed

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Karnataka Bank, Regd. & Head Office, Mahaveera Circle, Kankanady, Mangaluru-575002
8. Marital Status of the Candidate : (Fill up the columns below)

No. of
If Married, If Spouse is employed, Monthly
Whether children, Name and Occupation of Place of
year of Name of his/her Emoluments of
Married if any and the Spouse Work
Marriage Employer the Spouse
their age

9. Academic Qualification :
Day, Month &
Medium of % of Marks/
Examinations Passed Year of Passing No. of Attempts
Instruction Grade
(dd-mm-yyyy)

SSLC (or equivalent)

PUC (or equivalent)

Graduation/Post Graduation Courses :

Name of the Day, Month & % of
Name of Medium of No. of
Duration Main Subjects College & Year of Passing Marks/
the course Study attempts
University (dd-mm-yyyy) Grade

10. Computer Education :

Duration Course Contents
Name of Name of the When
of the Operating Programming
the course Institution Packages Completed
Course Systems Languages

11. Other Technical Educations, if any :

Duration of the
Course Medium Year of Passing Speed
Course

Typewriting (Lower/Higher)

Stenography

Others (Specify)

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Karnataka Bank, Regd. & Head Office, Mahaveera Circle, Kankanady, Mangaluru-575002
12. Mother Tongue :

Languages Known :
To Speak

To Read

To Write

13. Extra Curricular Activities :

Please mention your achievements, if any :

14. Service Experience, if any (Produce Certificates) :

Duration of Monthly Salary Are You Still
Name of the Employer Place of Work Nature of Job
Service Received in Service ?

15. Registration in any employment exchange, if any :

Regn. No. Valid upto Address of the Employment exchange

16. Relatives in the Service of Karnataka Bank, if any :

Name Designation Branch / Office Relation

17. References :

Please furnish the names & addresses of two reputed persons who are not related to you and who are not
employees of our Bank. In case you are selected, Bank may refer your name to these persons seeking necessary
information.

Name : 1) 2)
Designation (If any) :
Full Residential Address :

Tel. No. /Mobile No.

(Compulsory)

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Karnataka Bank, Regd. & Head Office, Mahaveera Circle, Kankanady, Mangaluru-575002
 18. Have you appeared for the Common Written Examination (CWE) held by IBPS, Mumbai ? Yes / No
(other than the online examination held for Karnataka Bank)

If so, furnish the following details:

Examination Roll No. : Total Weighted Standard (TWS) Score :
Date of Issuance of Score Card :
Validity of Score Card :
19. Have you appeared for any interview call of other Banks recently? Yes / No
If so, give details :

20. Whether you have appeared for interview call of Karnataka Bank before ? If so, give details :

21. Any other useful information you would like to furnish :

Preferred States
22. Choice of posting : Ready for anywhere in India OR a)
b)
c)

DECLARATION
I hereby declare that all the particulars given above 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 or misrepresented at any
stage or not satisfying the eligibility criteria according to the requirements of the relative advertisement, my
candidature/appointment is liable to be cancelled/terminated.

Place :
Date : (Signature of the Candidate)

FOR HEAD OFFICE USE

Verified by

INTERVIEWED BY

_________________________ ________________________

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Karnataka Bank, Regd. & Head Office, Mahaveera Circle, Kankanady, Mangaluru-575002