5/7/2020 Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System Manager under
ger under different Central Cooper…
The Registrar of Cooperative Societies, Odisha, Bhubaneswar 330140
Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System
Manager under different Central Cooperative Banks
Registration Number : 6626956
Full Name : Suman Dash
Post: : Assistant Manager Grade-II
Category : UR
Are you a person with benchmark disability of 40% and above ? : NO
Type of Disability : -
Are you suffering from cerebral palsy and your writing speed is affected : -
If Yes, Do you need compensatory time at the time of examination? : -
Whether your dominant (Writing) hand is affected : -
If Yes, Do you need compensatory time at the time of examination? : -
Do you intend to use the services of a scribe ? : -
Religion to which you belong : Hindu
Whether you belong to Religious Minority Community ? : NO
Do you have Caste Certificate issued by the Competent Authority of : -
his/her home district and resident certificate issued not before than one
year ?
Are you permanent staff working in Cooperative Banks registered in : NO
Odisha ?
Are you an Ex-Serviceman (including ECOs & SSCOs) : ? : NO
Actual service rendered in defence services which may be counted for : -
qualifying as an Ex-serviceman (In Months)
Are you a sports person ? : NO
Are you a domicile of Odisha state ? : YES
Nationality / Citizenship : Indian
Centre of Online Preliminary Examination : BHUBANESWAR
Centre of Online Main Examination / Online Single Examination : BHUBANESWAR
Application Fee / Intimation charges
Payment In : ONLINE
Fees : 847.46
Tax : 76.27 (CGST) + 76.27
(SGST)
Amount : 1000.00
Payment Status : PAID
Reference ID : SHMP8774837542
Transaction Date : 07-05-2020
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5/7/2020 Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System Manager under different Central Cooper…
Personal Details
Date of Birth : 05-06-1993
Age completed as on 01.01.2020 : 26
Gender : MALE
Marital Status : Unmarried
Father's Name : Abani Mandan Dash
Mother's Name : Manorama Dash
Spouse's Name : -
Address for Correspondence
Address 1 : At Raghunath Bihar
Address 2 : Po Bhanjanagar
Address 3 : Ps Bhanjanagar
District : Ganjam
State : ORISSA
Pincode : 761126
Permanent address
Address 1 : At Raghunath Bihar
Address 2 : Po Bhanjanagar
Address 3 : Ps Bhanjanagar
District : Ganjam
State : ORISSA
Pincode : 761126
State for GST invoicing : Communication Address
(ORISSA)
Contact Details
Mobile No : +91 9938361314
Alternative Number : +91 9937512007
(Mobile No/Landline No)
Email ID : jugundz37@[Link]
Educational Qualification (as on 01.01.2020)
Exam Passed Degree/ Subject / Stream Date of % of Marks Class / Grade
Passing
Graduation Degree Others - Engineering 01-02-2015 66.00 First Class
Do you have proficiency in computer : YES
application : ?
1 Berhampur
Central Cooperative Banks of Odisha in 2 Bolangir
order of Preference 3 Khordha
Other Details :
Languages Known Read Write Speak
Odiya YES YES YES
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5/7/2020 Recruitment for the post of Banking Assistant grade-II, Assistant Manager grade-II & System Manager under different Central Cooper…
Hindi YES YES YES
English YES YES YES
Uploaded Document Details :
1. Left thumb impression
Declaration:
I hereby declare that all the 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 I am not satisfying any of the eligibility criteria
stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.
Date: 05-05-2020 Signature of Applicant
Left thumb impression
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