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SBI Junior Associates Application Form

Uploaded by

Ajeet Rathod
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0% found this document useful (0 votes)
132 views5 pages

SBI Junior Associates Application Form

Uploaded by

Ajeet Rathod
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) 400140

Registration Number : 2441429464

Full Name : Ajeet Rathod

Circle : BENGALURU

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

Circle Preference 2 (for allotment, if selected) : -

State/UT you want to apply for : KARNATAKA

Local Language for language proficiency test : Kannada

Do you have 10th or 12th standard mark : YES


sheet/certificate evidencing having studied Specified
opted local language ?

Category : SC

Sub Caste : Lambani

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 40% and : NO


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 covered : NO


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) : -

Have you joined a Government job on the civil side after : -


availing of the benefits given as an ex-serviceman ?
Are you a Dependent of Serviceman killed in Action : NO
(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 cadre ? : NO

Have you earlier employed in State Bank of India and : NO


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 Centre : Karnataka
Belong
State code : 25

Centre of Preliminary Examination : Hubli - Dharwad

State/UT to which the Main Examination Centre Belong : Karnataka

State code : 25

Centre of Main Examination : Hubli - Dharwad

I intend to bring the following ID when appearing for the : YES


examination : (I confirm my name on this ID and this
application exactly match)

ID Proof : Aadhar Card

ID Proof No. : 0282

Kindly indicate Medium of Paper in Preliminary and : English and Kannada


Main Examination - how you would like the paper to be
presented to you ?

Personal Details

Date of Birth : 15-08-1997

Age completed as on 01.04.2024 : 26

Gender : MALE

Do you have twin brother / sister ? : NO

Gender of the twin : -

Name of the twin : -

Marital Status : Unmarried

Father's First Name : Shrimant

Father's Middle Name : Chokalu

Father's Last Name : Rathod

Mother's First Name : Shanta

Mother's Middle Name : Shrimant

Mother's Last Name : Rathod

Spouse's First Name : -

Spouse's Middle Name : -

Spouse's Last Name : -

Address for Correspondence

Address 1 : 11 near Ganesh temple

Address 2 : Sangolli rayanna nagar

Address 3 : Dharwad

District : DHARWAD

State : KARNATAKA

Pincode : 580002

Permanent address

Address 1 : 11 near Ganesh temple


Address 2 : Sangolli rayanna nagar

Address 3 : Dharwad

District : DHARWAD

State : KARNATAKA

Pincode : 580002

Contact Details

Mobile No : +91 6360346842

Alternative Number : -
(Mobile No/Landline No)

Email ID : [email protected]

Educational Qualification (as on 31.12.2024) :

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


/ Stream College Passing Grade
/University

Graduation Engineering Sdmcet 10-07- 5.31 Second


Passed
1/Equivalent 2024 Class

Other Details :

Whether desirous of taking Pre-Exam Training : YES


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

State/UT : Karnataka

State code : 25

Centre of Pre-Examination Training : Hubli - Dharwad

Local Language of The State :

Languages Known LangRead LangWrite LangSpeak

Kannada 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: 06-01-2025

Left Thumb Impression

Hand Written Declaration

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