2
 This online application is provisional subject to payment of application fees/ intimation charges 39035 Registration # : 1110779166  Full Name : Sreejith Kumar Category : OBC If Person with Disability : NO Type of Disability : - Percentage of Disability : - Do you in tend to use the service s of a scribe (on ly for VI & O C candidates whose writing speed is affect ed by cerebral palsy)? : NA Whether Children/Family Members of those who died in 1984 Riots? : NO Whether domiciled in Kashmir Division of the State of Jammu & Kashmir during the period 1-1-1980 to 31-12-1989? : NO Do you belong to a Religious Minority Community? : NO Religion to which you belong : - 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 a matriculate Ex-Servicemen candidate, who has obtained the Army Special Certificate of Education or corresponding certificate in the Navy or Air Force after having completed not less than 15 years of service in the Armed Forces of the Union? : NA Percentage of Marks : Are you seeking relaxation under window / divorced women / women judicially separated from t heir husbands and who are not re-married? : NO Whether Regular Employees of the Union Carbide Factory, Bhopal, retrenched from service (applicable to Madhya Pradesh state only)? : NO Have you applied for the CWE f or Clerical Cadre held in November/ December 2011? Note: If Yes, Please enter your Registration Number NO Registration Number: Nationality / Citizenship : India State/ UT which the Centre of Examination Belongs : New Delhi State / UT code : 35 Centre of Examination : New Delhi Centre code : 180 Application Fee / Intimation Charges :  Payment through : OFFLINE Amount : 400.00 Personal Details :  Date of Birth : 04-04-1989 Age completed as on 01.10.2012 : 23 Gender : MALE Husband's Name : Father's Name : Dileep Kumar Mother's Name : Sreedevi Address for Correspondence : 2731/a B-Block Gali No 1 1/2

CWE_CLK_1110779166

Embed Size (px)

Citation preview

7/31/2019 CWE_CLK_1110779166

http://slidepdf.com/reader/full/cweclk1110779166 1/2

 

This online application is provisional subject to payment of application fees/ intimation charges

3903

Registration # : 1110779166  

Full Name : Sreejith Kumar

Category : OBC

If Person with Disability : NO

Type of Disability : -

Percentage of Disability : -

Do you in tend to use the services of a scribe (on ly for VI & OC

candidates whose writing speed is affected by cerebral palsy)? :NA

Whether Children/Family Members of those who died in 1984 Riots? : NO

Whether domiciled in Kashmir Division of the State of Jammu & Kashmirduring the period 1-1-1980 to 31-12-1989? :

NO

Do you belong to a Religious Minority Community? : NO

Religion to which you belong : -

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 a matriculate Ex-Servicemen candidate, who has obtained the

Army Special Certificate of Education or corresponding certificate in the

Navy or Air Force after having completed not less than 15 years of service

in the Armed Forces of the Union? :

NA

Percentage of Marks :

Are you seeking relaxation under window / divorced women / women judicially

separated from their husbands and who are not re-married? : NO

Whether Regular Employees of the Union Carbide Factory, Bhopal,

retrenched from service (applicable to Madhya Pradesh state only)? :NO

Have you applied for the CWE for Clerical Cadre held in November/ December

2011?

Note: If Yes, Please enter your Registration Number

NO

Registration Number:

Nationality / Citizenship : India

State/ UT which the Centre of Examination Belongs : New Delhi

State / UT code : 35

Centre of Examination : New Delhi

Centre code : 180

Application Fee / Intimation Charges :  

Payment through : OFFLINE

Amount : 400.00

Personal Details :  

Date of Birth : 04-04-1989

Age completed as on 01.10.2012 : 23

Gender : MALE

Husband's Name :

Father's Name : Dileep Kumar

Mother's Name : Sreedevi

Address for Correspondence : 2731/a B-Block Gali No 1

1

7/31/2019 CWE_CLK_1110779166

http://slidepdf.com/reader/full/cweclk1110779166 2/2

S.G.M Nagar N.I.T Faridabad

District Faridabad

State : HARYANA

Pin code : 121001

Permanent Address : 2731/a B-Block Gali No 1

S.G.M Nagar N.I.T Faridabad

District Faridabad

State : HARYANA

Pin code : 121001

Contact Details :  

Phone No : 0129-4059329

Mobile No : 9873046655

Email ID : [email protected]

Educational Qualification (as on 01.10.2012) :

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

Graduation / Equivalent : B tech 16-07-2011 60.00 Second Class

Knowledge of Computers : YES

Details of Computer Knowledge : Degree in

Computer language

Do you have work experience? : YES

Total Experience in months (as on 01.10.2012) : 4

Other Details :

Would you like to undergo Pre-Exam Training (SC/ST/Minority Community/Ex-

Servicemen/PWD)? :--

If Yes, Centre for Training : --

Languages Known Read Write Speak

English YES YES YES

Hindi YES YES YES

Malayalam YES YES YES

Tamil YES YES YES

 

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 stipulated, my candidature is liable to be cancelled.

Place:

Date: 29-10-2012 Signature of Applican

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

NOTE: Please DO NOT SEND application printout to IBPS

 

2