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ON-LINE APPLICATION FOR ANDHRA BANK CLERKS RECRUITMENT PROJECT

Last Modified On: 2011-02-21 20:08:32 No Of Times Modified: 2

26033

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 # : 3092912

Full Name : Vobili.shaik.Kabeer Aazad

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 and

OC candidates whose writing speed is affected by cerebral palsy) :

--

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 YES

Religion to which you belong : Muslim

Are you an Ex-Serviceman? NO

Are you a disabled Ex-Serviceman (DISXS) NO

Are you a dependent of an Ex-Serviceman (DXS) NO

Are you Children / family members of those who died in 1984 riots ?: NO

Are you seeking relaxation under window / divorced women / women

judicially Separated from their husbands and who are not re-married?NO

Are you an employee of Andhra Bank : NO

If yes, Staff Code No:

Nationality : Indian

State / Union Territory for which you are applying : Andhra Pradesh

State / UT code : 24

Centre of Examination : Tirupati

Centre code : 71

Application Fee / Postal Charges Details :

Payment in : Andhra Bank Branch

Transaction ID : 00125637

Branch Name : Madakalavari palli

Branch SOL ID : 0924

Deposit Date : 10-02-2011

Amount : 250

Personal Details :

Date of Birth : 15-08-1990 Age as on on 31.12.2010. : 20

Gender : MALE

Father's Name/ Husband's Name : V.S.M.Mastan

Mother's Name : V.S.Shajadi

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Email ID : kabeer_14143@yahoo.co.in

Address for Correspondence : V S M Mastan

D/no 6-3-178 Mubarak Nagar

Badvel

District Kadapa

State : ANDHRA PRADESH

Pin : 516227

Permanent Address : V S M Mastan

D/no 6-3-178 Mubarak Nagar

Badvel

District Kadapa

State : ANDHRA PRADESH

Pin : 516227

Contact Details:

Phone No : 08569-284075

Mobile No: 9703244614

Qualification Details (as on 31.12.2010):

Exams Passed Subject/Stream Year Of Passing % of MarksHSC / Equivalent : Bipc April/2007 75.00

Graduation : bcom computers April/2010 57.00

Knowledge of Computers : YES

Details of Computer Knowledge : ms office

Other Details :

Whether desirous of taking Pre-Exam Training (SC/ST/Minority

Community) :NO

If Yes Centre for Training : --

Languages Known R ead Write Speak

Telugu YES YES YES

English YES YES YES

Hindi 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 cr iteria in respect of age, caste, 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 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 Hyderabad and courts/ Tribunal/ forums at Hyderabad only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake

to abide by all the terms and conditions in the advertisement given by the Bank.

Place:

Date: 11-02-2011 Signature of Applicant

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Vobili.shaik.Kabeer Aazad

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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