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Karnataka Local Bank Officer Application

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0% found this document useful (0 votes)
30 views4 pages

Karnataka Local Bank Officer Application

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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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11/9/24, 10:08 PM Recruitment of Local Bank Officer 2025-26

Union Bank of India 120138


Recruitment of Local Bank Officer 2025-26

Registration Number : 545172338


Full Name : SHILPA PATEL
State / UT you want to apply for : Karnataka

Local Language : Kannada


Are you proficient in reading, writing, : YES
speaking and understanding the specified
local language of the selected state ?
Do you have 10th or 12th standard mark : YES
sheet/certificate evidencing having studied
specified local language of the State
applied for?

Category : OBC
Are you a person with benchmark disability : NO
of 40% and above ?

Type of Disability : -
Sub-Type of Disability for 'ID & Others' : -

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

Do you need compensatory time at the : -


time of examination ?
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 ?
If Yes, Do you need compensatory time at : -
the time of examination ?
Do you intend to use the services of a : -
scribe ?
Are you a person with specified disability : NO
covered under the definition of sec 2(s) of
the RPwD Act, 2016 and not covered
under Sec 2(r) of the said act and having
difficulty in writing ?
If Yes, Do you need compensatory time at : -
the time of examination ?

Are you a person with specified disability : -


covered under the definition of sec 2(s) of
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11/9/24, 10:08 PM Recruitment of Local Bank Officer 2025-26
the RPwD Act, 2016 and not covered
under sec 2(r) of the said act 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.
Are you a child/ family member of those : NO
who died in 1984 riots ?
Are you an Ex-Servicemen, Commissioned : NO
Officers including Emergency
Commissioned Officers (ECOs)/ Short
Service Commissioned Officers (SSCOs) ?

Actual service rendered in defence : -


services which may be counted for
qualifying as an Ex-serviceman (In
Months)
Date of relief from defence services : -

Have you joined a Government job on the : -


civil side after availing of the benefits given
as an ex-serviceman ?
Religion to which you belong : Hindu
Do you belong to Religious Minority : NO
Community ?
Nationality / Citizenship : Indian
State /UT to which Exam centre belong : Karnataka
Centre of Examination : Dharwad/ Hubballi (Hubli)

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 720.34
Tax : 129.66 (IGST)
Amount : 850.00
Payment Status : PAID
Reference ID : YHD42474492611

Transaction Date : 09-11-2024

Personal Details

Date of Birth : 11-07-2001


Age completed as on 01.10.2024 : 23
Gender : FEMALE

Do you have twin brother / sister ? : NO


Gender of the twin : -
Name of the twin : -
Marital Status : Unmarried
Father's Name : PATEL MANJUNATH GOWD
Mother's Name : PATEL SUNITHA

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11/9/24, 10:08 PM Recruitment of Local Bank Officer 2025-26

Spouse's Name : -
Address for Correspondence
Address 1 : VINAYAKA NAGAR MAHADEVA
THATH MATTA
District : BELLARY
State : KARNATAKA
Pin code : 583104

Permanent address
Address 1 : VINAYAKA NAGAR MAHADEVA
THATH MATTA
District : BELLARY

State : KARNATAKA
Pin code : 583104
State for GST invoicing : Permanent Address
(KARNATAKA)

Contact Details

Mobile No : +91 7676327767


Alternative Number : +91 6360219611
(Mobile No/Landline No)
Email ID : [email protected]

Educational Qualification (as on 13.11.2024)

Exam Passed Duration of Degree/ Subject / Date of % of Marks Class /


Course Stream Passing Grade

Graduation/Equivalent Full Time /Regular Commerce 16-11-2023 79.00 First Class

Other Details :

Languages Known Read Write Speak

Kannada YES YES YES

ENGLISH YES YES YES

TELUGU NO NO YES

Uploaded Document Details :

1. Left Thumb Impression

2. Hand Written Declaration

Declaration:

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11/9/24, 10:08 PM Recruitment of Local Bank Officer 2025-26

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
engagement shall tantamount to cancellation of my candidature.

I Undertake that I have not defaulted in repayment under any lending arrangement with Bank/NBFCs/Financial
Institutions including credit card dues

Date: 09-11-2024

Left Thumb Impression

Hand Written Declaration

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