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ON-LINE APPLICATION FOR COMMON WRITTEN EXAMINATION(CWE) FOR RECRUITMENT OF POS/MTS IN 19 PSBS- CWE PO/MT-II

This online application is provisional subject to payment of application fees/ intimation charges

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Registration # : 5000265990

Full Name : GOWTHAMI KAMADRI

Category : SC

If Person with Disability : NO

Type of Disability : -

Percentage of Disability : -

Do you intend to use the services of a scribe (only 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 J & K during the period 1-1-1980 to 31-12-1989? : NO

Are you an Employee who has completed 5 years of service in RRBs : NO

Are you a Clerical employee of a Participating Public Sector Bank ? : NO

If yes, please specify the Name of the Public Sector Bank : -

Are you an Ex-Serviceman ? : NO

Whether you belong to Minority Community ? : NO

Religion to which you belong : -

Have you appeared for CWE PO/MT exam held on 18/09/2011 and 13/11/2011 ? : YES

Registration Number : 1002655877

Roll Number : 1130109236

Nationality / Citizenship : INDIANState/ UT which the Centre of Examination Belongs : Andhra Pradesh

State Code : 02

Centre of Examination : Hyderabad

Centre Code : 13

Application Fee / Intimation Charges details:

Payment Mode: CBS

Amount : 50.00

Personal Details :

Date of Birth : 13-09-1987

Age completed as on 01.01.2012 : 24

Gender : FEMALEHusband's Name/Father's Name : MALLESH

Mother's Name : PADMAVATHI

Address for Correspondence : 1-129

VEENAVANKA

District KARIMNAGAR

State : ANDHRA PRADESH

Pin : 505502

Permanent Address : 1-129

VEENAVANKA

District KARIMNAGAR

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State : ANDHRA PRADESH

Pin : 505502

Contact Details :

Email ID : sunil.new23@gmail.com

Phone No : -

Mobile No : 9948776220

Qualification Details (as on 01.01.2012):

Exam Passed Subject /Stream Date of Passing % of Marks

Graduation/Equivalent : B COM 22-06-2008 52.66

Post Graduation/Equivalent : M COM 08-10-2010 60.60

Other Details :

Whether desirous of taking Pre-Exam Training (SC/ST/ Minority Community) : YES

If Yes, Centre for Training : Hyderabad

DECLARATION:

I hereby dec lare 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 incorrec t at any stage or my not satisfying any of the eligibility cr iteria stipulated, my candidature is liable to be cancelled.

Place:

Date: 17-03-2012 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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