8/6/2019 CANARASPL_10909

1/3

ON-LINE APPLICATION FOR CANARA BANK SPECIALIST OFFICERS

Last Modified On: 02-05-2011 No Of Times Modified: 1

19029

Please paste your recentpassport size photograph

and sign across it. Please

retain atleast 5 copies of

same photograph with you

for subsequent use.

Canara Bank Recruitment Project - 1 / 2011 - Specialist Officers

Post Box No. 8364,

Jogeshwari (West)

Mumbai 400 102

Registration # : 10909

Full Name : Sachin Saxena

Post : System administrator (MMGS II)

Post Code : 03

Category : UR

If Person with Disability : NO

Type of Disability : --

Percentage of Disability : --

Whether domiciled in Kashmir Division of the State of J & K

during the period 1-1-1980 to 31-12-1989?:NO

Whether you belong to Religious Minor ity Community? : NO

Religion to which you belong : --

Are you an Ex-Serviceman ? : NO

Rank held : --Date of Discharge: --

Have you already applied for any additional Post ? NO

Additional post 1: --

Registration No: --

Additional post 2: --

Registration No: --

Nationality : indian

Application Fee / Postal Charges Details :

Transaction Sequence No: 18

Branch Name : canara bank rampurBranch DP Code No: 2199

Deposit Date: 27-04-2011

Amount : 300

Personal Details :

Date of Birth : 15-05-1980

Age completed as on 01.04.2011 : 30

Gender : MALE

Husband's Name / Father's Name : Mr Kamal Kant Saxen

1

8/6/2019 CANARASPL_10909

2/3

Mother's Name : Mrs Abha Saxena

Address for Correspondence : 88 Ekta Vihar Colony Behind PWD

Office Civil Lines

District Rampur

State : UTTAR PRADESH

Pin : 244901

Permanent Address : 88 Ekta Vihar Colony Behind PWD

Office Civil Lines

District Rampur

State : UTTAR PRADESH

Pin : 244901

Contact Details:

Phone No : -

Mobile No: 9359789204

Email ID : mail.sachinsaxena@yahoo.co.in

Qualification Details (as on 01.04.2011) :

Exam Passed Subject/Stream Year of Passing % of Marks Class / Grade

Graduation/Equivalent : Others-BSC 2000 51.00 Second Class

Post Graduation / Equivalent : MCA 2004 66.00 First Class

Professional Qualification : MCA 2004 66.00 First Class

Others 1 : MTech 2011 1.00 First Class

Whether possessing CCNA Certification ? : NO

Whether possessing RDBMS Certification ? : NO

Post Qualification work experience details as on 01.04.2011 (Start from present Employer) :

Name of the Employer /

Organisation

Designation and Rank if any From(mm/yyyy) To(mm/yyyy) Nature of

Duties Performed

Reason for Leaving Years of

Service

(YY/MM)

IFTM UNIVERSITY Mo

radabad

Sr Lecturer 02/2008 04/2011 Teaching working 3/2

Dr KNMIET Modinaga

r

Lecturer 07/2007 01/2008 Teaching Growth 0/6

Xerox India Programmer 07/2004 06/2007 Development Growth 2/11

Total Relevent Experience ( in months) : 72

Languages Known Read Write Speak

Hindi YES YES YES

English YES YES YES

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 orfactual 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 cr iteria 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 stipulated for the above post as per CB/RSPO/1/2011 dtd.08.04.2011 published in bankwebsite / Employment News / Rozgar Samachar.

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.

2

8/6/2019 CANARASPL_10909

3/3

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 Bangalore only, shall have sole and exc lusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms and

conditions in the advertisement given by the Bank.

Place:

Date: 27-04-2011 Signature of Applicant

Sachin Saxena

Please retain your Registration No. and Password emailed to you carefully for further reference

Please check the details printed on application. If you wish to correct the details kindly do the same by using EDIT / UPDATE DETAILS option in website.

After sending the application by post, please do not make any corrections in application.

After on-line registration, take print-out of the application, affix photograph and signature at appropriate places & send the application by ORDINARY

POST to the address mentioned on top of application print-out along with following documents

1)Original Application Fee / Payment Challan

2)Copy of Date of Birth Certificate / SSC / SSLC / Xstd Certificate

3)Copies of Marksheets & certificates from SSC / SSLC / X std, 10+2 / PUC / Intermediate, Graduation, Post Graduation & other qualifications if any

4)Copies of Experience certificates, if any

5)Copies of SC / ST / OBC caste certificate, PWD certificate, if any.

After applying on-line, if the application is not received by post along with required documents at the specified address before the stipulated last date, the

registration will become invalid.

3