Application_Deputation

Application for the post of officer in Grade ‘B’
in Small Industries Development Bank of India on deputation basis
Name of the Office / Vertical applying for:
Branch offices - Post Code-1
OR
Preferred
Risk Management Vertical (RiMV) - Post Code-2
Location(s)
(in case of
OR
Branch
offices)
Treasury and Resource Management Vertical (TRMV)- Post Code-3
Note: - A candidate may express her/his interest for more than one
SIDBI locations/ Vertical; however, not more than one application
should be submitted by any candidate.
1. Name of the Candidate: _______________________________________________
(IN CAPITAL LETTERS)
2. Gender: Male / Female / Others
3. Father’s / Mother’s / Husband’s Name: __________________________________
(IN CAPITAL LETTERS)
4. Category: UR / SC / ST / OBC / EWS
5. Date of Birth (DD/MM/YYYY) ______________, Age as on (31/08/2024) ________
6. Address for communication:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
7. Email address____________________________________________________ (All

communications from SIDBI will be made to this e-mail address given by you).
8. Contact Numbers:
a) Landline __________________________
b) Mobile ____________________________
Page 1 of 4
9. Educational / Professional / Technical Qualification (Starting from Class 12th
onwards), as on 31/08/2024.
Examination Discipline/ Board / Year of Duration Percentage Division

passed Specialization University Passing of course, of marks
/Subject (In Months)
10. Name of the present employer along with present place of posting with complete
postal address: ______________________________________________________
___________________________________________________________________
___________________________________________________________________
11. Experience starting from present to previous, as on 31/08/2024. (Please specify
period and nature of deputation undertaken earlier and details thereof).
Department / Designation and From To Brief

Organization Pay Band and description
Grade Pay / of duties
Scale
12. Please state whether you meet eligibility criteria? Yes / No
Page 2 of 4
13. Please elaborate how you are eligible?
14. Additional information, if any, which you would like to mention in support of your
candidature for the post. (This among other things may provide information with regard
to (i) additional academic qualifications, (ii) professional training and (iii) work
experience over and above stated in the advertisement.
Page 3 of 4
Declaration to be signed by the Candidate
I hereby certify that above particulars mentioned in the application are correct and true to the
best of my knowledge and belief and no material fact/information has been suppressed or
concealed there from.
Place: Signature of the applicant: ___________________________

Date: Name and Designation: ______________________________
______________________________
(Certificate to be furnished by the Employer/Head of office/ Forwarding Authority)
Certified that the information/details provided in the above application by the applicant
are true and correct as per the records. He/She fulfils the eligibility criteria as prescribed for
the grade applied by him/her. If selected, he/she will be relieved within 15 days from the
date of offer letter.
2. It is also certified: -
i. That there is no vigilance / disciplinary case or criminal case pending or contemplated
against Shri / Smt./ Ms. ____________________________________
ii. That he/she is a person of integrity.
iii. That the photocopies of the ACRs / APAR for the last four years are enclosed.
iv. That no major / minor penalty has been imposed on him / her during the last ten years
or a list of major / minor penalties imposed on him / her during the last ten years is
enclosed (as the case may be).
Place: ________________ Signature____________________________________

Date: _________________ Name and Designation__________________________
Tel. No.______________________________________
Office Seal
List of enclosures:
1.
2.
Page 4 of 4

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Application for the post of officer in Grade ‘B’

in Small Industries Development Bank of India on deputation basis

Name of the Office / Vertical applying for:

Branch offices - Post Code-1

1. Name of the Candidate: _______________________________________________

(IN CAPITAL LETTERS)

2. Gender: Male / Female / Others

3. Father’s / Mother’s / Husband’s Name: __________________________________

(IN CAPITAL LETTERS)

4. Category: UR / SC / ST / OBC / EWS

5. Date of Birth (DD/MM/YYYY) ______, Age as on (31/08/2024)

6. Address for communication:

7. Email address____________________________________________________ (All

Examination Discipline/ Board / Year of Duration Percentage Division

Department / Designation and From To Brief

12. Please state whether you meet eligibility criteria? Yes / No

Place: Signature of the applicant: ___________________________

(Certificate to be furnished by the Employer/Head of office/ Forwarding Authority)

Place: Signature____________________

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