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ON-LINE APPLICATION FOR SINGLE WINDOW OPERATOR(SWO)
16032
Please paste your recent
passport size photograph
and sign across it. Please
retain atleast 5 copies of
same photograph with you
for subsequent use.
Registration #: 3037003
Full Name: SUMIT TWARI
Category : GENERAL
If Person with Disability : NO
Type of Disability : -- Percentage of Disability : --
Do you intend to use the services of a scr ibe (only for VI
& OC
candidates whose writing speed is affected by cerebral
palsy)?:NO
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 Minority Community? : NO
Religion to which you belong : --
Whether Children / Family members of those who died in 1984
riots? : NO
Are you an Ex-Serviceman? : NO
Are you a disabled Ex-Serviceman (DISXS)? : NO
Period of Service in months : --
Are you a dependent of an Ex-Serviceman (DXS)? : NO
Are you seeking relaxation under widow/divorced women/
women judicially Separated from their husbands and who arenot
re-married :
NO
Nationality : Indian
State / Union Territory for which you are applying : Gujarat
State code : 09
Centre of Examination : Ahmedabad
Centre code : 20
Application Fee / Postal Charges Details :
Transaction ID : M163618
Branch Name : PNB BODAKDEV BRANCH
Branch Code : 4452
Date of Deposit : 20-04-2011
Amount : 300
Personal Details :
Date of Birth : 30-04-1987
Age as on 01.01.2011: 23
Gender : FEMALE
Father's Name / Husband's Name : R.P. Tiwari
Mother's Name : Sunita Tiwari
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Address for Correspondence : A3 Jashwant Vihar Society
Near Kameshwar School
Jodhpur Cross Road
District Ahmedabad
State : GUJARAT
Pin : 380015
Permanent Address : A3 Jashwant Vihar Society
Near Kameshwar School
Jodhpur Cross Road
District Ahmedabad
State : GUJARAT
Pin : 380015
Contact Details:
Phone No : -
Mobile No: 9662794089
Email ID : [email protected]
Qualification Details (as on 11.04.2011) :
Exam Passed Subject/Stream Year of Passing % of Marks
Graduation BA 2009 50.00
Working Knowledge of MS Office : YES
Other Details :
Would You like to undergo Pre-Exam Training (SC/ST/Minority
Community/ Ex-Servicemen/ Physically Challenged) :--
If Yes Centre for Training : --
Languages KnownRead 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 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 cr iteria according to the
advertisement, then my candidature will be rejected/ service
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 advised criteria in respect of
age, caste, educational
qualification etc.
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 New Delhi and courts / Tribunal/
forums at New Delhi only, shall have sole and exclusive
jurisdiction to any cause/ dispute. Iundertake to abide by all the
terms and conditions in the advertisement given by the Bank.
Place:
Date: 20-04-2011 Signature of Applicant
Please retain your Registration No. and Password emailed to you
carefully for further reference
NOTE: Please DO NOT SEND application print-out to the Bank
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