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Common Written Examination for Specialist Officers - (CWE - SPL -III)

38035
Registration # : 1260167807

ADARSH KUMAR Full Name : PRADH AN Marketing Officer (Scale I) 06 GENERAL

NOTE: Category change is not allowed after submission

Post : Post Code : Category :

If Person with Disability : Type of Disability : Percentage of disability : Do you intend to use the services of a scribe (only for VI and OC whose writing speed is affected by cerebral palsy) ? : Whether are you Children / family members of those who died in 1984 riots? : Whether domiciled in Kashmir Division of the State of J&K during the period 1-1-1980 to 31-12-1989 ? : Whether you belong to Religious Minority Community ? : Religion to which you belong : Are you an Ex-Serviceman? : Have you joined a Government job on the civil side after availing of the benefits given as an ex-serviceman?: Have you applied for CWE (exam held in March 2012)? : Registration Number : Have you applied for CWE (exam held in March 2013)? : Registration Number : Nationality / Citizenship : State/UT to which centre of exam belongs : State code :

NO NA NO NO NO Hindu NO NA YES 3000390926 YES 2220702404 INDIAN Odisha 36

Note: IBPS also reserves the right to allot the candidate to any centre other than the one he/she has opted for.

Centre of Examination : Centre Code : Personal Details : First Name : Middle Name : Last Name :

Berhampur(Ganjam) 239

ADARSH KUMAR PRADHAN

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Date of Birth : Age completed as on 01.11.2013 : Gender : Husband's Name/Father's Name : Mother's Name : Address for correspondence : 07-02-1988 25 MALE ANIL KUMAR PRADHAN ROSY PRADHAN PALUR BUNGLOW STREET HOUSE- OM SHANTI BERHAMPUR District : State : Pin code : Permanent Address : GANJAM ORISSA 760001 PALUR BUNGLOW STREET HOUSE- OM SHANTI BERHAMPUR District State : Pin code : Contact Details : Phone No. : Mobile No. : Email ID : Qualification Details (as on 01.11.2013) : Exam Passed Degree Subject /Stream Duration of Course(In years) 3 2 Date of Passing % of Marks Class / Grade 0680-2220316 9938485937 adarsh.pradhan@rediffmail.com GANJAM ORISSA 760001

Graduation : Post Graduation :

B.Sc. MBA

Others ZOOLOGY Marketing

02-07-2008 28-09-2011 YES

61.88 74.00

First Class First Class

Do you have Operating and working knowledge in computer systems i.e. Certificate/Diploma/Degree in Computer Operation/Language :

Do you have certificate/degree/Diploma in in computer operations/Language/ OR have studied Computer / Information Technology as one of the subjects YES in the High School/College/Institute? : Details of Computer Knowledge : "Do you have 2 years in the area of Credit Appraisal of big/ medium industrial projects in Scheduled Commercial Banks : Do you have 3 years experience at Bar or judicial service? : Do you have 2 years experience as a Law Officer in the Legal Dept. of a Scheduled Commercial Bank or the Central/State Government or of a Public Sector Undertaking ? : Registration Number Alloted by Bar Council : Date of Enrolment with Bar Council : Do you have 2 years experience in IT field? : Other Details : Details of Preference : Diploma in Computer Operations -

Details of Preference : 1. Andhra Bank 2. Allahabad Bank 3. Bank of Baroda 4. Bank of India 5. Bank of Maharashtra 6. Canara Bank 7. Dena Bank 8. IDBI Bank 9. Indian Bank 10. Indian Overseas Bank 11. Punjab National Bank 12. UCO Bank 13. Union Bank of India 14. United Bank of India 15. Central Bank of India 16. Corporation Bank 17. Syndicate Bank 18. Vijaya Bank 19. Punjab & Sind Bank 20. Oriental Bank of Commerce 21. ECGC Whether any prosecution/ detention/ fine/conviction/ sentence against you has been awarded by any court of law for any offence ? : NO If yes, particulars of the same : Languages Known : Languages Known ENGLISH ORIYA HINDI Read YES YES YES Write YES YES YES Speak YES YES YES

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Application Fee Details : Payment Mode Amount Reference ID Transaction Date ONLINE 600.00 MSBI3184349145 04-12-2013

DECLARATION :
I 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 untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria stipulated, my candidature is liable to be cancelled.

Place:

Date: 04-12-2013

Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference

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NOTE: Please DO NOT SEND application printout to IBPS