pnbso_47496
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ON-LINE APPLICATION FOR SPECIALIST OFFICERS
3003
Registration # : 47496
Full Name: Saif Ahmad
Post : Dy. Manager (IT) JMGS I
Post Code : 07
Category : OBC
If Person with Disability : NO
Type of Disability : -
Percentage of Disability : -
Do you intend to use the services of a scribe(only for VI and
OC both hands 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
Whether you belong to Religious Minority Community? : YES
Minority Religion : Muslim
Are you an Ex-Serviceman ? : NO
Period of Service(in months) :
Whether applied for another post ? : NO
Name the additional Post applied for ? :
Nationality: Indian
Centre of Examination : Delhi
Centre code : 12
Application Fee / Postal Charges Details :
Transaction ID : M449160
Branch Name : PNB Industrial Area
Branch Code : 066600
Deposit Date : 08-07-2011
Amount : 400
Personal Details :
Date of Birth: 05-07-1987
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Age completed as on 01.01.2011 : 23
Gender : MALE
Husband's Name/Father's Name : Murtaza Hussain
Mother name: Wahida Parveen
Address for Correspondence : FAIZ CHASMA GHAR
NEAR MASJID MARKET
GORAKHNATH ROAD
District GORAKHPUR
State : UTTAR PRADESH
Pin : 273015
Permanent Address : NAURANGA BAD ZAHIDA BAD
GORAKHNATH
District GORAKHPUR
State : UTTAR PRADESH
Pin : 273015
Contact Details:
Phone No : -
Mobile No: 9555865772
Email ID : [email protected]
Qualification Details (as on 24.06.2011):
Exams Passed Stream Subject / Stream Year of Passing % of Marks Class Grade
Graduation : B.Tech Electronics 2010 64.17 FC
Certifications : --
PG Programme (2 years) in Banking & Finance from NIBM : NO
Do you have Sub-Officer Course from National Fire Service
College,Nagpur ? :
Working Knowledge of MS Office : YES
Post Qualification work experience details as on 24.06.2011 (Start from present Employee):
Name of the
Employer /
Nature of
Employment
Designation and Rank
if any
From(mm/yyyy) To(mm/yyyy) Nature of
Duties
Performed
Reason for
Leaving
Years
of
Service
(YY/MM)
Total Relevant Experience ( in months) : -
Other Details :
Languages
Known
Read Write Speak
Hindi YES YES YES
English YES YES YES
Arabic YES YES NO
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/ serv ice terminated even after permanent employment without giving any notice or reasons thereof.
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I hereby certify that I am satisfying the eligibility c riteria for the post applied for in terms of advised criteria in respect of
age, caste, educational qualification etc.
I hereby agree that any legal proceeding in respect of any matter or claims or disputes ar ising out of application or out of
said advertisement can be instituted by me only at New Delhi and courts/ Tr ibunal/ forums at New Delhi only, shall have sole and
exclusive jurisdiction to any cause/ dispute. I undertake to abide by all the terms and conditions in the advertisement given by the
Bank.
Place:
Date: 11-07-2011 Signature of Applicant
Saif Ahmad
Please retain your Registration No. and Password emailed to you carefully for further reference
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