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INDIAN BANK - RECRUITMENT OF SPECIALIST OFFICERS
APPLICATION FOR THE POST OF SPECIALIST OFFICERS
1] Full Name :
2] Name of the Post and Scale :
3] Category : General/OBC/SC/ST/PWD(OH/VI/HI)
4] Gender: Religion:
5] Date of Birth : Age in completed years as on 01.07.2012 :
6] Husbands /Fathers Name :
7] Mother's Name :
8] Address for Correspondence :
State : Pin:
9] Contact Details: Phone No : Mobile No :
Email ID:
10] Qualifications Details :
Exams Passed Subject Studied Year Of Passing % of Marks
Graduation
Post Graduation
Professional Qualification
Other 1
Other 2
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11] Are You an Officer of Regional Rural Bank who put in minimum
5 years:
12. a] Post Qualification Work Experience details :
Organisation
Served
Designation and
rank, if any
Period of Service
From To
Reason for
Leaving Service
Years of
Service
12.b] Nature of duties performed in each organization :
Organisation served --- Duties and Responsibilities
13] Languages Known:
Language Read Write Speak
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14] Details of Fee Paid :
Name of Bank :
DD No : Date: Amount :
Declaration
I hereby certify that the above information furnished is correct
to the best of my knowledge and
belief. I have not suppressed any material fact or factual
information in the above statement. I am
aware that in case I have given wrong information or suppressed
any material fact or factual
information or I do not satisfy the eligibility criteria
according to the advertisement, then my
candidature will be rejected/services terminated even after
permanent employment without giving any
notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria
for the post applied for in terms of the
advised criteria in respect of age, educational qualification
and experience etc.
I am also willing to serve anywhere in India. I agree that the
Bank has the right to transfer
me to any part of the country and/or to any job position at its
sole discretion in terms of
applicable staff rules from time to time.
I hereby agree that any legal proceeding in respect of any
matter or claims or disputes arising out of
application or out of said advertisement can be instituted by me
only at Chennai and Courts/Tribunal/
Forums at Chennai only, shall have sole and exclusive
jurisdiction to try any cause/dispute. I
undertake to abide by all the terms and conditions in the
advertisement given by the Bank.
Place: Signature of the candidate
Date:
