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Harivansh

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gyan kumar
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0% found this document useful (0 votes)
43 views5 pages

Harivansh

Uploaded by

gyan kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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State Bank of India

Recruitment of Junior Associates (Customer Support & Sales) (Advertisement No.


CRPD/CR/2024-25/24) 130131

Registration Number : 2440501618


Full Name : HARIVANSH KUMAR
Circle : LUCKNOW/ NEW DELHI

Circle Preference 1 (for allotment, if selected) : Lucknow


Circle Preference 2 (for allotment, if selected) : New Delhi

State/UT you want to apply for : UTTAR PRADESH

Local Language for language proficiency test : Hindi


Do you have 10th or 12th standard mark : NO
sheet/certificate evidencing having studied
Specified opted local language ?

Category : SC

Sub Caste : CHAMAR


I confirm that I am in possession / will produce : -
EWS certificate issued based on annual income
for Financial Year 2023-24

Are you trained Apprentice of SBI ? : NO


Time period of apprenticeship in SBI : Start Date - : -
Time period of apprenticeship in SBI : End Date - : -

HRMS ID of Apprenticeship in SBI : -


Are you a person with benchmark disability of : NO
40% and above ?

Type of Disability : -
Sub-Type of Disability for 'd' & 'e' : -
Sub-Type of Disability : -
Sub-Type of Multiple 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 ? : -
I accept the Guidelines for Scribe : -
Are you a person with a Specified disability : NO
covered under the definition of Sec 2(s) of the
RPwBD act 2016 but not covered under the
definition of Sec 2( r ) of the RPwBD Act 2016 (
i.e persons having less than 40% disability)
and having difficulty in writing ?
If Yes, Do you need compensatory time at the time : -
of examination?

Are you a person with a Specified disability : -


covered under the definition of Sec 2(s) of the
RPwBD act 2016 but not covered under the
definition of Sec 2( r ) of the RPwBD Act 2016 (
i.e persons having less than 40% disability)
and wish to avail the services of Scribe ?
I certify that, I will produce the certificate from : -
competent medical authority of a Government
healthcare institution as per Ministry of Social
Justice and Empowerment, Department of
Empowerment of Persons with Disabilities
(Divyangjan) circular no F. No. 29-6/2019-DD-III
dated 10.08.2022.
I certify / undertake that Qualification of Scribe : -
availed by me shall be one step below my
qualification (OM–F.No. 29-6/2019-DD-III dated
10.08.2022).
Religion to which you belong : Hindu

Do you belong to Religious Minority Community ? : NO


Nationality / Citizenship : Indian
Are you seeking relaxation under widow /divorced : NO
women / women judicially Separated from their
husbands and who are not re-married ?
Are you an Ex-Serviceman ? : NO
Are you a Disabled Ex-Serviceman (DISXS) ? : NO

Period of Service (in months) : -


Are you a Dependent of Serviceman killed in : NO
Action (DXS) ?

Are you a Matriculate Ex-serviceman, who have : -


obtained the Indian 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 Armed Forces of the Union
(Such certificates should be dated on or before
31.12.2024) ?
Are you already working in SBI in the clerical : NO
cadre ?
Have you earlier employed in State Bank of India : NO
and resigned from the Bank while in clerical cadre
?
Do you have record of default in repayment of : NO
loans/credit card dues and/or against whose name
adverse report of CIBIL or other external agencies
?
Is/are there adverse report regarding character & : NO
antecedents, moral turpitude ?
State/UT to which the Preliminary Examination : Uttar Pradesh
Centre Belong
State code : 43
Centre of Preliminary Examination : Varanasi
State/UT to which the Main Examination Centre : Uttar Pradesh
Belong
State code : 43
Centre of Main Examination : Varanasi
I intend to bring the following ID when appearing : YES
for the examination : (I confirm my name on this
ID and this application exactly match)

ID Proof : Aadhar Card


ID Proof No. : XXXXXXXX8678
Kindly indicate Medium of Paper in Preliminary : English and Hindi
and Main Examination - how you would like the
paper to be presented to you ?

Personal Details

Date of Birth : 14-05-2001


Age completed as on 01.04.2024 : 22
Gender : MALE
Do you have twin brother / sister ? : NO
Gender of the twin : -
Name of the twin : -

Marital Status : Unmarried


Father's First Name : SURESH
Father's Middle Name : -
Father's Last Name : PRASAD
Mother's First Name : SITARA
Mother's Middle Name : -
Mother's Last Name : DEVI
Spouse's First Name : -
Spouse's Middle Name : -

Spouse's Last Name : -


Address for Correspondence

Address 1 : VILL BASUPAR BANKAT

Address 2 : POST SUTRAHI


Address 3 : MAU

District : MAU
State : UTTAR PRADESH

Pincode : 276138
Permanent address

Address 1 : VILL BASUPAR BANKAT

Address 2 : POST SUTRAHI


Address 3 : MAU

District : MAU
State : UTTAR PRADESH

Pincode : 276138
Contact Details

Mobile No : +91 9005187882


Alternative Number : -
(Mobile No/Landline No)

Email ID : [email protected]

Educational Qualification (as on 31.12.2024) :

Exam Passed Appeared/Passed Degree/ Name of Date of % of Marks Class /


Subject / College Passing Grade
Stream /University

Graduation Arts VBSPU 21-10- 56.33 Second


Passed
1/Equivalent JAUNPUR 2021 Class

Other Details :

Whether desirous of taking Pre-Exam : NO


Training
(SC/ST/OBC/EXS/DISXS/DXS/PWBD)

State/UT : -
State code : -

Centre of Pre-Examination Training : -

Local Language of The State :

Languages Known LangRead LangWrite LangSpeak

Hindi YES YES YES

English YES YES YES

Uploaded Document Details :

1. Left Thumb Impression

2. Hand Written Declaration

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.

I confirm that my name as filled by me in the application form exactly matches with the name in my ID proof
Date: 25-12-2024

Left Thumb Impression

Hand Written Declaration

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