SBI PO Application

9/18/23, 9:31 AM RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2023-24/19
STATE BANK OF INDIA 460129

RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO:
CRPD/PO/2023-24/19
Registration Number : 2330370128
Full Name : SHANKAR SANGAPPA

ALLIKATTI
Category : ST
SUB CASTE : HINDU TALAWARA

I confirm that I am in possession / will produce : -
EWS certificate issued based on annual income
for Financial Year 2022-23
Are you a person with benchmark disability of : NO

40% and above ?
Type of Disability: : -
Sub-Type of Disability for 'd' & 'e' : -

Sub-Type of Disability : -
Sub-Type of Multiple Disabilities : -

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?
Do you intend to use the services of a scribe ? : -
I accept the Guidelines for Scribe : -
Are you a person with a Specified disability : NO

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
having difficulty in writing ?

Are you a person with a Specified disability : -
covered under the definition of Sec 2(s) of the
https://ibpsonline.ibps.in/sbipoaug23/registration_print.php?q=ZjBlNDg0NGFiNmRhNDU2YmUzODdkYmNmNWE5OTQyMWV8MjMzMDM3MDEyOA== 1/5
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
Religion to which you belong: : Hindu
Whether you belong to Religious Minority : NO

Community ?:
Are you an Ex-Serviceman (including : NO
ECOs/SSCOs) :
Period of Service (in months) : : -

Please mention the number of occasions on : 02
which you have applied for the examination for
recruitment of Probationary Officers in SBI.
Candidates who have already appeared for the
maximum number of permissible chances are not
eligible to apply. The number of chances will be
counted from the examination held on
18.04.2010. Appearing in Preliminary
Examination will not be counted as a chance.
Appearing in Main Examination will be counted
as a chance. In the years in which only one
written examination has been held (i.e. no
Preliminary Examination has been held),
appearing in this examination will be counted as
a chance.
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 are available ?:
Do you have adverse report regarding character : NO
& antecedents, moral turpitude ? :
Are you an Employee of State Bank of India in : NO
the Clerical Cadre ?
Are you an Employee of State Bank of India in : NO
the Officer Cadre ?
Are you an Ex-Employee of State Bank of India : NO
and resigned from the Bank while in the Clerical
Cadre ?
Are you an Ex-Employee of State Bank of India : NO
and resigned from the Bank while in the Officer
Cadre ?
Please ensure that you are eligible to apply ? : -
PAN No. : CFVPA8717E

Nationality: : Indian
Examination Centre for Preliminary Examination
State/UT (to which centre of exam belongs): : Karnataka
State Code: : 24
Centre of Examination: : Mangalore
Examination Centre for Main Examination
State/UT (to which centre of exam belongs): : Karnataka
State Code: : 24
Centre of Examination: : Bengaluru
I intend to bring the following ID when appearing : YES
for the examination : (I confirm my name on
this ID and this application exactly match)
ID Proof : Aadhar Card
ID Proof No. : XXXXXXXX1189
Personal Details
Date of Birth : 29-08-1998

Age completed as on 01.04.2023 : 24
Gender : MALE
Do you have twin brother / sister ? : NO
Gender of the twin : -
Name of the twin : -
Marital Status : Unmarried
Father's First Name : SANGAPPA

Father's Middle Name : LAKKAPPA
Father's Last Name : ALLIKATTI
Mother's First Name : KAMALA
Mother's Middle Name : SANGAPPA
Mother's Last Name : ALLIKATTI
Spouse's First Name : -
Spouse's Middle Name : -
Spouse's Last Name : -

Address for Correspondence
Address 1 : NEAR OM SHANTI
Address 2 : SHANTI NAGAR
Address 3 : ATHANI
District : BELGAUM
State : KARNATAKA
Pincode : 591304
Permanent address
Address 1 : NEAR OM SHANTI

Address 2 : SHANTI NAGAR
Address 3 : ATHANI
District : BELGAUM
State : KARNATAKA
Pincode : 591304
Contact Details
Mobile No : +91 9590415771

Alternative Number : +91 9591436364
(Mobile No/Landline No)
Email ID : shankarallikatti98@gmail.com
Educational Qualification (as on 31.12.2023)
Exam Passed Degree/ Name of Place of Date of % of Marks Class /

Subject / Institution / Institution / Passing Grade
Stream College College
Graduation 1/ Science Shree Shivayogi ATHANI 17-02- 66.86 First Class

Equivalent Murughendra 2020
Passed College Athani
Other Details :
Whether desirous of taking Pre-Exam Training : NO

(SC/ST/OBC/Religious Minority Community)
State/UT (to which centre of Pre-Exam : -

Training belongs) :
State Code : : -
Centre for Pre-Exam Training (If conducted : -
through physical classes OR by way of
Online tools) :
Languages Known Read Write Speak
KANNADA YES YES YES
HINDI YES YES YES
ENGLISH 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: 18-09-2023
Left Thumb Impression
Hand Written Declaration

SBI PO Application

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9/18/23, 9:31 AM RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2023-24/19

STATE BANK OF INDIA 460129

Registration Number : 2330370128

Full Name : SHANKAR SANGAPPA

SUB CASTE : HINDU TALAWARA

Are you a person with benchmark disability of : NO

Sub-Type of Disability for 'd' & 'e' : -

Sub-Type of Multiple Disabilities : -

Whether your dominant (Writing) hand is : -

Are you a person with a Specified disability : NO

If Yes, Do you need compensatory time at the : -

Whether you belong to Religious Minority : NO

Period of Service (in months) : : -

PAN No. : CFVPA8717E

Date of Birth : 29-08-1998

Father's First Name : SANGAPPA

Spouse's Last Name : -

Address 1 : NEAR OM SHANTI

Mobile No : +91 9590415771

Educational Qualification (as on 31.12.2023)

Exam Passed Degree/ Name of Place of Date of % of Marks Class /

Graduation 1/ Science Shree Shivayogi ATHANI 17-02- 66.86 First Class

Whether desirous of taking Pre-Exam Training : NO

State/UT (to which centre of Pre-Exam : -

Languages Known Read Write Speak

KANNADA YES YES YES

HINDI YES YES YES

ENGLISH YES YES YES

Uploaded Document Details :

1. Left Thumb Impression

2. Hand Written Declaration

Left Thumb Impression

Hand Written Declaration

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