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                                               ON-LINE APPLICATION FOR PROBATIONARY OFFICER



                                                                                              26031




Registration #:                                                    3191417




                                                                   Sarathkumar Shivadhar
Full Name:
                                                                   Nair




Category :                                               GENERAL
If Person with Disability :                              NO
Type of Disability :                                     --
Percentage of Disability :                               --
Do you intend to use the services of a scribe(only
                                                         NO
for VH and OH both hands affected by cerebral palsy) :
Category Code :                                          10 [GEN]
Whether domiciled in Kashmir Division of the
                                                         NO
State of J&K during the period 1-1-1980 to 31-12-1989?

Whether you belong to Religious Minority Community? :    NO
Religious Minority Community to which you belong :       --
Are you an Ex-Serviceman :                               NO
No of chances appeared in past :                         -

Bank You Prefer to Join:
Preference 1 :                                           State Bank of Travancore
Preference 2 :                                           State Bank of Hyderabad

Preference 3 :                                           State Bank of Mysore
Centre of Examination                                    Ahmedabad

Centre code :                                            11

Application Fee / Postal Charges Details :
Deposit Journal No :                                     006397401
SBI Branch Name :                                        kathlal

SBI Branch Code :                                        10984

Deposit Date :                                           16-06-2011
Amount :                                                 500




Personal Details :
2/3
           Date of Birth :                                                  20-12-1988

           Age as on on 01.06.2011. :                                       22

           Gender :                                                         MALE
           Husband's Name / Father's Name :                                 shivdhar k nair

           Mother's Name :                                                  radhamani s nair
           Address for Correspondence :                                     Radhalayam Mahatma Sindhi Soc Abad

                                                                            Road Kathlal Chokdi Kathlal
                                                                            Dist-kheda Gujarat
           District                                                         Kheda
           State :                                                          GUJARAT

           Pin :                                                            387630
           Permanent Address :                                              Radhalayam Mahatma Sindhi Soc Abad
                                                                            Road Kathlal Chokdi Kathlal
                                                                            Dist-kheda Gujarat

           District                                                         Kheda
           State :                                                          GUJARAT
           Pin :                                                            387630

           Contact Details:
           Phone No :                                                       02691-243118
           Mobile No:                                                       8128497529
           Email ID :                                                       sarath.guj@gmail.com

           Qualification Details (as on 01.06.2011):
           12th Std :                                                       YES
           Diploma course after 10th :                                      --

                         Exams Passed                         Subject/Stream                     Year of Passing                  % of Marks
                             12th / Diploma :                     commerce                            2007                            67.00

                              Graduation :                          b com                             2010                            62.00

Other Details :
Whether desirous of taking
                                                                       --
Pre-Exam Training (SC/ ST/Religious Minority Community) :
If Yes Centre for Training :                                           --


DECLARATION:

             I hereby declare that all statements made in this application are true. complete and correct to the best of my knowledge and belief. I understand that
in the event of any information being found untrue or incorrect at any stage or my not satisfying any of the eligibility criteria according to the Central Recruitment
& Promotion Department, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas.




Place:
Date: 16-06-2011                                                                                                                            Signature of Applicant
3/3
                                                                                                  Sarathkumar Shivadhar Nair
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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Sbiassocpo 3191417

  • 1. 1/3 ON-LINE APPLICATION FOR PROBATIONARY OFFICER 26031 Registration #: 3191417 Sarathkumar Shivadhar Full Name: Nair Category : GENERAL If Person with Disability : NO Type of Disability : -- Percentage of Disability : -- Do you intend to use the services of a scribe(only NO for VH and OH both hands affected by cerebral palsy) : Category Code : 10 [GEN] Whether domiciled in Kashmir Division of the NO State of J&K during the period 1-1-1980 to 31-12-1989? Whether you belong to Religious Minority Community? : NO Religious Minority Community to which you belong : -- Are you an Ex-Serviceman : NO No of chances appeared in past : - Bank You Prefer to Join: Preference 1 : State Bank of Travancore Preference 2 : State Bank of Hyderabad Preference 3 : State Bank of Mysore Centre of Examination Ahmedabad Centre code : 11 Application Fee / Postal Charges Details : Deposit Journal No : 006397401 SBI Branch Name : kathlal SBI Branch Code : 10984 Deposit Date : 16-06-2011 Amount : 500 Personal Details :
  • 2. 2/3 Date of Birth : 20-12-1988 Age as on on 01.06.2011. : 22 Gender : MALE Husband's Name / Father's Name : shivdhar k nair Mother's Name : radhamani s nair Address for Correspondence : Radhalayam Mahatma Sindhi Soc Abad Road Kathlal Chokdi Kathlal Dist-kheda Gujarat District Kheda State : GUJARAT Pin : 387630 Permanent Address : Radhalayam Mahatma Sindhi Soc Abad Road Kathlal Chokdi Kathlal Dist-kheda Gujarat District Kheda State : GUJARAT Pin : 387630 Contact Details: Phone No : 02691-243118 Mobile No: 8128497529 Email ID : sarath.guj@gmail.com Qualification Details (as on 01.06.2011): 12th Std : YES Diploma course after 10th : -- Exams Passed Subject/Stream Year of Passing % of Marks 12th / Diploma : commerce 2007 67.00 Graduation : b com 2010 62.00 Other Details : Whether desirous of taking -- Pre-Exam Training (SC/ ST/Religious Minority Community) : If Yes Centre for Training : -- DECLARATION: I hereby declare that all statements made in this application are true. complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue or incorrect at any stage or my not satisfying any of the eligibility criteria according to the Central Recruitment & Promotion Department, my candidature is liable to cancelled. I am willing to serve anywhere in India including rural areas. Place: Date: 16-06-2011 Signature of Applicant
  • 3. 3/3 Sarathkumar Shivadhar Nair 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