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United Bank of India - Recruitment of Clerks Online Application Form For The Post of Clerks

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UNITED BANK OF INDIA - RECRUITMENT OF CLERKS

ONLINE APPLICATION FORM FOR THE POST OF CLERKS


9039

Registration # : 201204 Please paste your


recent passport size
photograph and sign
Full Name : VANDNA RANI across it.Please retain
atleast 5 copies with
you for subsequent
Category : General use.

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)? :
Whether domiciled in Kashmir Division of NO
the State of J&K during the period
1-1-1980 to 31-12-1989 :
Belongs to Religious Minority Community : NO Minority Religion : --

Are you an Ex-Serviceman ? NO Are you Disabled NO


Ex-Serviceman (DISXS)?

Period of Service in the Defence forces (in -


months) :

Are you Dependent of an Ex-Serviceman NO


(DXS)? :

Are you seeking relaxation under widow NO


/divorced women / women judicially
Separated from their husbands and who
are not re-married? :
Nationality : INDIAN

State / Union Territory for which you are Bihar UT Centre code : 04
applying :

Centre of Examination : Patna Centre code : 36

Application Fee / Postal Charges Details


Transaction Id : M48128

Branch Name : MUZAFFARPUR

Branch Sol ID : 0046

Deposit Date : 31/08/10 Amount : 200

Personal Details :
Date of Birth : 25/09/1985 Age as on 01.07.2010 : 24

Gender : Female

Father’s Name : SHRI MANIKANT SINGH

Mother’s Name : SAVITA SINGH

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Marital Status : Married

Spouse Name(if Married) : SHRI MANIKANT SINGH

Email ID : vandnarani@rocketmail.com

Address for Correspondence : W/O MANIKANT SINGH

AT-ALKAPURI LANE NO 2

NEAR NATH BHAWAN P.O.- BHAGWANPUR

District : MUZAFFARPUR

State : BIHAR Pin: 842001

Permanent Address: W/O MANIKANT SINGH

AT-ALKAPURI LANE NO 2

NEAR NATH BHAWAN P.O.- BHAGWANPUR

District : MUZAFFARPUR

State : BIHAR Pin : 842001

Phone : - Mobile : 9386422708

Qualification Details(as on 01.07.2010):


Exams Passed Subject / Stream University / Board Year Of Passing % of Marks
HSC / Equivalent : SCIENCE B.S.E.B.PATNA 2003 62.00
Graduation : SCIENCE B.R.A.B.U.MUZ. 2007 63.00

Whether undergone Computer Course for YES


three months :

Other Details:
Whether desirous of taking Pre-Exam NO Centre for Training : --
Training (SC/ST/Ex-Servicemen/Religious
Minority Community) :

Languages Known Read Write Speak


HINDI YES YES YES
ENGLISH YES YES YES

DECLARATION:
I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have not suppressed any material fact or
factual information in the above statement. I am aware that in case I have given wrong information or suppressed any material fact or factual
information or I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected/services terminated
even after permanent employment without giving any notice or reasons thereof.
I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of the advised criteria in respect of age, educational
qualification and experience etc.
I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of the country and/or to any job position
at its sole discretion in terms of applicable staff rules from time to time.
I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can
be instituted by me only at Kolkata only, shall have sole and exclusive jurisdiction to try any cause/dispute. I undertake to abide by all the terms
and conditions in the advertisement given by the Bank.

Place : Signature of Applicant


Date : 14/09/10
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VANDNA RANI
Please retain your Registration No. and Password emailed to you carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the Bank

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