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ON-LINE APPLICATION FOR BANK OF BARODA PROBATIONARY OFFICERS RECRUITMENT PROJECT

19031

Please paste your recent

passport size photographand sign across it. Pleaseretain atleast 5 copies of same photograph with youfor subsequent use.

Registration # : 521911

Full Name : Mr BRIJESH KUMAR

Category : SC

If Person with Disability : NO

Type of Disability : -- Percentage of Disability : --

Do you intend to use the services of a scr ibe( only for VH andOH candidates whose writing speed is affected by cerebral palsy) :

--

Are you candidate who had ordinarily been domiciled in KashmirDivision 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

Minority Religion : --

Are you an Ex-Serviceman ( Inc luding ECO/SSCO)? NO

Preference for Posting :

Preference1 : UTTAR PRADESH

Preference2 : DELHI

Preference3 : MADHYA PRADESH

Are you an employee of Bank of Baroda : NO

If yes,E. C. No :Nationality : INDIAN

Centre of Examination : Lucknow

Centre code : 42

Application Fee / Postal Charges Details :

Transaction ID : M632473

Branch Name : NISHATGANJ

Branch Code No : 0684

Deposit Date : 21-01-2011

Amount : 50

Personal Details :

Date of Birth : November 13,1987 Age as on on 01.01.2011. : 23

Gender : MALE

Father's Name/ Husband's Name : MR.NAND KUMAR

Mother's Name : MRS.PUSHPA DEVI

Email ID : brijesh.kumar68@yahoo.com

Address for Correspondence : 509/43 OLD HYDERABAD

NEAR HOMEGUARD OFFICE

LUCKNOW

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District LUCKNOW

State : UTTAR PRADESH

Pin : 226007

Permanent Address : 509/43 OLD HYDERABAD

NEAR HOMEGUARD OFFICE

LUCKNOW

District LUCKNOW

State : UTTAR PRADESH

Pin : 226007

Contact Details:

Phone No : -

Mobile No: 9889437787

Qualification Details (as on 01.01.2011) :

Exams Passed Subject/Stream University / Board Year Of Passing % of Marks

Graduation : ARTS LUCKNOW UNIVESITY 30-05-2009 52.33

Possess certificate in computer literacy : YES

Post qualification work experience details as on 01.01.2011 (Start from Present Employer) :

No Experience

Other Details :

Whether desirous of taking Pre-Exam Training(SC/ST/PWD/Minority Community) :

NO

If Yes Centre for Training : --

LanguagesKnown

Read Write Speak

HINDI YES YES YES

ENGLISH YES YES YES

DECLARATION:

I hereby certify that the information furnished above is correc t 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, Ido not s atisfy the eligibility criteria according to the adver tisement, then my candidature will be rejected/services terminated even after permanent employmentwithout giving any notice or reasons thereof.

I hereby certify that I am satisfying the eligibility cr iteria for the post applied for in terms of the advised criteria in respect of age, educationalqualification 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 anyjob 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(s) or claims or disputes arising out of this application or out of s aid

advertisement can be instituted by me only at Mumbai and Courts/Tribunal/ Forums at Mumbai only, shall have sole and exc lusive jurisdiction to try anycause/dispute. I undertake to abide by all the terms and conditions mentioned in the advertisement given by the Bank.

Place:

Date: 24-01-2011 Signature of Applicant

BRIJESH KUMARPlease retain your Registration No. and Password emailed to you carefully for further referenceNOTE: Please DO NOT SEND application print-out to the Bank

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