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NATIONAL HOUSING BANK Please affix the

Head Office, New Delhi – 110003. latest passport size
photograph and
sign it across
BIO-DATA–CUM-ATTESTATION FORM
Advt. No.– NHB/HRMD/Recruitment/2024-25/02 dated
07.10.2024

1. a. REGISTRATION NO.
b. MEDIUM OF INTERVIEW English/ Hindi
c. NAME OF POST Manager (Credit/Audit/Inspection/Compliance)
d. ELIGIBILITY CRITERIA Minimum Educational/Professional Qualification:
Graduate in any discipline along with ICWAI/ICAI/CFA/MBA

Minimum Post-qualification Experience (as on 01.10.2024):

Minimum 4 years of experience as an officer in the Banks/ FIs/
HFCs/Regulatory Bodies/Regulated Lending Entities of which minimum 2
years of experience in Compliance/Audit/Inspection/CreditRetail Lending

I confirm that I have gone through the eligibility criteria and the undersigned is eligible for the position meeting the
requisite qualifications, experience mentioned thereunder.

2. a. Name in full (in Block Letters)

(As recorded in Matriculation or
equivalent. In case of change in name,
please provide necessary documentary
evidence).
b. Date of Birth
D D M M Y Y Y Y
c. Age as on 01.06.2024
…………… Years ………………Months
d. Nationality
e. Gender
f. Place of Birth
………………District……………….State……………
g. District and State which you
belong
h. Religion
i. Marital status Married/unmarried
j. Father’s/Husband’s Name and
occupation.
k. Mother’s Name and occupation
l. Do you belong to Minority Yes/No
community

If yes, please mention which

community

3. a. Category
(Tick appropriate box) SC ST OBC
EWS UR

b. If SC/ST/OBC, please indicate

the name of Caste/Sub-
caste/Tribe/Community

Roll No.: -………………………………... Signature of Candidate: ………………………………

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c. If OBC, do you belong to creamy Yes/No

layer category.

d. If you are Persons with

Benchmark Disability (PwBD) VI LD
candidate (Tick appropriate box) HI ID/MD

If you are a PwBD candidate,

please give details of your
disability.

4. Present Address in full

PIN CODE

Nearest Railway Station: …………………………….

5. Permanent Address in full

PIN CODE

6. Particulars of places where you

have resided for more than 1 year at From To Residential Address
a time during preceding 5 years
Mth. Yr. Mth. Yr.

7. Mobile Number

8. Email id

Roll No.: -………………………………... Signature of Candidate: ………………………………

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9. Educational/Technical/Professional Qualifications (from 10 th Standard onwards)

Examination Name of Main Examination Body Month & No. of % of Class /

Passed School/College Subjects (Board/University) Year of Attempts Marks Rank
Passing
1.

2.

3.

4.

5.

6.

10. Particulars of present and previous employment (in chronological order, till date)

S. Name of Designation/P From To Experience Nature of Place of Last drawn Reason

No. Employer osition (in duties employme salary for
months) nt (in Rs.) leaving
(address)

11. Particulars of Scholarship/Prize/Medal etc. received.

Roll No.: -………………………………... Signature of Candidate: ………………………………

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12. Proficiency in Sports, extra-curricular activities, Team

/NCC etc. (including credits and distinction received,
if any).

13. Position(s) of distinction Leadership held during

school/college.

14. Hobbies and other interests.

15. Particulars of academic/professional

qualifications/experience of value to the Bank.

16. a. Mother tongue: …………………………….

b. Knowledge of language other than English –

Language Speak Read Write Examination passed

(if any)

17. Have you ever been debarred from any examination,

rusticated by any University or any other educational
authority/institution? If yes, please provide details of the
same.

18. a. Have you ever been debarred/disqualified by any

Public Service Commission/SSC/examining body in
their examination/selection? If yes, please provide
details of the same.

b. Is any proceeding pending against you in University

or Public Service Commission or SSC or examining
body or any other authority, at the time of filling up of
this Form for any malpractices/ violations? If yes,
please provide its complete details.

Roll No.: -………………………………... Signature of Candidate: ………………………………

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19. a. Have you ever been arrested, prosecuted, kept under

detention or bound down/fined, convicted by a court
of law for any offence. If yes, please provide its
complete details.

b. Is any case pending against you in any court of law at

the time of filling up of this Form? If yes, please provide
its complete details.

20. Particulars of any case(s) of disciplinary action

instituted/pending against you by your present/previous
employer(s). Please also state whether you have barred
from appearing in promotion exercise/examination.

21. Have you ever been faced any Vigilance enquiry or

enquiry by anti-corruption bureau/CBI/any other
investigative agencies? If yes, please provide its complete
details.

22. Name and address of two referees (not related to the Candidate):

S. No. Name Address with Pin Code & Mobile No.

1.

2.

23.
Additional particulars which the candidate may like to
furnish.

24. Candidates are required to enclose self-attested scanned copies of following documents (wherever applicable)

✓ Proof of Date of Birth (Birth Certificate issued by the Competent Municipal Authorities or SSLC/ 10th
Standard Marks card/Certificate with DoB).

✓ 10th and 12th Standard Mark Sheets/ Certificates

✓ Graduation: Mark-sheets of all semesters/years and Degree Certificate. Proper document from University/
Institute for having declared the result on or before 01.08.2020 must be uploaded.
✓ Post-graduation/ Professional Qualification (if any): Mark-sheets of all semesters/years and Certificate.

✓ Identity Certificate (in the prescribed format)

✓ Experience Certificate (if any, in the letterhead of organization clearly indicating the duration of service
& nature of duties performed)

Roll No.: -………………………………... Signature of Candidate: ………………………………

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✓ Candidates serving in Government / quasi govt. offices/ Public Sector Undertakings (including
Nationalised Banks and Financial Institutions) to attach “No Objection Certificate” from their respective
employer.
✓ Caste Certificate issued by the competent authority in the prescribed format as stipulated by Government
of India in the case of SC / ST / OBC-NCL category candidates.

✓ Income and Asset Certificate issued by the competent authority in the prescribed format as stipulated by
Government of India in case of Economically Weaker Sections category.

✓ Disability certificate (if Persons with Benchmark Disability-PwBD). The PwBD Candidates who have
availed the facility of a scribe (other than the Visually Impaired candidates) will have to produce a medical
certificate from an Authorised Govt. of India/State Govt. Department/Hospital, to the effect that the
candidate has physical limitation to write including that of speed.

I have read all the instructions contained in the recruitment advertisement no. Advt. No. NHB/HRMD./Recruitment/2024-25/02 dated
07.10.2024. and I hereby undertake to abide by them.

I hereby certify that the particulars furnished above are true, complete and correct to the best of my knowledge and belief. I also
certify that I fulfil all the eligibility criteria laid down for the post in the Recruitment Advertisement in all respects. I am not aware
of any circumstance which might render my candidature unfit for employment in the Bank. I am willing to serve anywhere in the
country.

In case the particulars submitted by me are found to be false or not true and/or if there is any suppression of material facts by me
while submitting the form is revealed at a later date, the Bank shall have the right to cancel the appointment including the offer
for appointment, as the case may be.

Signature of the Candidate

Date
Place

Roll No.: -………………………………... Signature of Candidate: ………………………………