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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
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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
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