5/7/2020 Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System Manager under

ger under different Central Cooper…

The Registrar of Cooperative Societies, Odisha, Bhubaneswar 330137

Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System
Manager under different Central Cooperative Banks

Registration Number : 6626980

Full Name : Suman Dash

Post: : Banking Assistant Grade-II

Category : UR

Are you a person with benchmark disability of 40% and above ? : NO

Type of Disability : -

Are you suffering from cerebral palsy and your writing speed is affected : -
If Yes, Do you need compensatory time at the time of examination? : -

Whether your dominant (Writing) hand is affected : -

If Yes, Do you need compensatory time at the time of examination? : -

Do you intend to use the services of a scribe ? : -

Religion to which you belong : Hindu

Whether you belong to Religious Minority Community ? : NO

Do you have Caste Certificate issued by the Competent Authority of : -

his/her home district and resident certificate issued not before than one
year ?

Are you permanent staff working in Cooperative Banks registered in : NO

Odisha ?
Are you an Ex-Serviceman (including ECOs & SSCOs) : ? : NO

Actual service rendered in defence services which may be counted for : -

qualifying as an Ex-serviceman (In Months)
Are you a sports person ? : NO

Are you a domicile of Odisha state ? : YES

Nationality / Citizenship : Indian
Centre of Online Preliminary Examination : BHUBANESWAR

Centre of Online Main Examination / Online Single Examination : BHUBANESWAR

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 847.46
Tax : 76.27 (CGST) + 76.27
(SGST)
Amount : 1000.00
Payment Status : PAID

Reference ID : SHMP8774812341
Transaction Date : 07-05-2020

https://ibpsonline.ibps.in/rscosocjan20/registration_print.php?q=ODdlYTljMjI0ZjcyYzkyNjI5OWE0ZTAwN2U2NWE3YjZ8NjYyNjk4MA== 1/3
5/7/2020 Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System Manager under different Central Cooper…

Personal Details

Date of Birth : 05-06-1993

Age completed as on 01.01.2020 : 26
Gender : MALE

Marital Status : Unmarried

Father's Name : Abani Mandan Dash
Mother's Name : Manorama Dash

Spouse's Name : -
Address for Correspondence

Address 1 : At Raghunath Bihar

Address 2 : Po Bhanjanagar
Address 3 : Ps Bhanjanagar

District : Ganjam
State : ORISSA
Pincode : 761126
Permanent address

Address 1 : At Raghunath Bihar

Address 2 : Po Bhanjanagar
Address 3 : Ps Bhanjanagar
District : Ganjam
State : ORISSA

Pincode : 761126
State for GST invoicing : Communication Address
(ORISSA)

Contact Details
Mobile No : +91 9938361314
Alternative Number : +91 9937512007
(Mobile No/Landline No)
Email ID : jugundz37@gmail.com

Educational Qualification (as on 01.01.2020)

Exam Passed Degree/ Subject / Stream Date of % of Marks Class / Grade

Passing

Graduation Degree Others - Engineering 01-02-2015 66.00 First Class

Do you have proficiency in computer : YES

application : ?

1 Balasore
Central Cooperative Banks of Odisha in 2 Bolangir
order of Preference 3 Berhampur

Other Details :

Languages Known Read Write Speak

Odiya YES YES YES

https://ibpsonline.ibps.in/rscosocjan20/registration_print.php?q=ODdlYTljMjI0ZjcyYzkyNjI5OWE0ZTAwN2U2NWE3YjZ8NjYyNjk4MA== 2/3
5/7/2020 Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System Manager under different Central Cooper…

Hindi YES YES YES

English YES YES YES

Uploaded Document Details :

1. Left thumb impression

Declaration:
I hereby declare that all the 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 incorrect at any stage or I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.

Date: 05-05-2020 Signature of Applicant

Left thumb impression

https://ibpsonline.ibps.in/rscosocjan20/registration_print.php?q=ODdlYTljMjI0ZjcyYzkyNjI5OWE0ZTAwN2U2NWE3YjZ8NjYyNjk4MA== 3/3