Dccbsep11 CTO 13003584x
Dccbsep11 CTO 13003584x
Dccbsep11 CTO 13003584x
ON-LINE APPLICATION FOR RECRUITMENT FOR THE POST OF ASSISTANT MANAGER AND STAFF ASSISTANT/ CLERK
24036
Registration # : Full Name: Post : Post Code : Category : If Physically Challenged: Type of Disability : Percentage of Disability : Do you intend to use the services of a scribe (only for VI and OC candidates whose both hands are affected by cerebral palsy)? : Are you an Ex - Serviceman ? : Are you a disabled Ex-serviceman ? : Period of Service as an Ex-Serviceman (in months) : Indian Nationality : Whether you are appearing under the quota for affiliated PACS of the DCCBank ? : Name of the PACS : Period of service in the PACS : Whether you are an employee of the DCCB? : Are you local to the Chittoor (District) DCCBank's area of Operation? : If Yes, By virtue of : Application fee including bank and other charges : Payment In : Transaction ID : Bank Branch Name : Branch Code No. : Date of Remittance : Amount (including bank and other charges):
SBI 11399651 STATE BANK OF INDIA 04724 21-09-2011 100 (In Rs.)
Personal Details : Date of Birth : Age in completed years as on 01.08.2011 : Gender : Marital Status : Husband's Name/ Father's Name : Mother's name : Address for Correspondence : 06-07-1985 26 MALE Married M SELVAM M POLASHIMMA VELUR VILLAGE OHW AND POST PICHATUR MANDAL CHITTOOR DIST AP
2/2
District : State : Pin : Permanent Address : CHITTOOR ANDHRA PRADESH 517587 VELUR VILLAGE OHW AND POST PICHATUR MANDAL CHITTOOR DIST AP District : State : Pin : Contact Details: Mobile No: Email ID : Qualification Details (as on 01.08.2011): Name of the Institution / University Studied Inter : Graduation/ Equivalent : Working Knowledge of Computers : Knowledge of Languages(Read, Write, Speak): Languages Known English Telugu Read YES YES Write YES YES Speak YES YES Commerce Commerce BOARD INTERMEDIATE S V UNIVERSITY 2001 2004 YES 2003 2010 Year of Passing 2003 2010 9177492790 service_message2002@yahoo.com CHITTOOR ANDHRA PRADESH 517587
Exam Passed
Subject
% of Marks
55.00 52.00
DECLARATION:
I hereby declare that I have read the relaive notification for the post/s and agree to the terms and conditions set out therin. I also hereby declare 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 false or incorrect or suppressed or I do not satisfy the eligibility criteria regarding age, qualification and the condition of being 'local candidate of the District', my candidature/appointment, at any stage, is liable to be cancelled/terminated.
Place:
Date: 28-09-2011
Signature of Applicant
VENKATESAN
Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: CANDIDATE SHOULD NOT SEND THIS PRINTOUT APPLICATION TO THE BANK OR ANY WHERE AS THE CANDIDATE HAS TO SUBMIT THIS AT THE TIME OF INTERVIEW INVARIABLY