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ON-LINE APPLICATION FOR ALLAHABAD BANK PROBATIONARY OFFICERS RECRUITMENT PROJECT

20036
Please paste your recent
passport size photograph
and sign across it. Please
retain atleast 5 copies of
same photograph with you
for subsequent use.

Registration # : 341723
Full Name : RUPALI BABAN DENGALE
Category : ST
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 candidates whose writing speed is affected by cerebral palsy)? :
Whether domiciled in Kashmir
NO
Division of the State of J&K during the period 1-1-1980 to 31-12-1989?
Whether you belong to Religious Minority Community ? NO

Religion to which you belong : --

Are you an Employees who have completed 5 years of service in RRBs ? NO
The Children/Family Members of those
NO
who died in 1984 Riots?:
Are you an Ex-Serviceman (Including ECOs/SSCOs)? NO
Nationality : INDIAN

Centre of Examination : Mumbai

Centre code : 23

Application Fee / Postal Charges Details :

Journal No. : 3003408
Branch Name : KALYAN
Branch Code No: 0211215

Deposit Date : 28-02-2011

Amount : 50

Personal Details :
Date of Birth : October 1986,29 Age as on on 01.01.2011. : 24

Gender : FEMALE
Father's Name/ Husband's Name : BABAN BHORU DENGALE

Mother's Name : ASHA BABAN DENGALE

Email ID : parudengale@gmail.com

Address for Correspondence : OM GURUKRUPA APT ROOM NO 306

3ED FLOOR KATEMANIVALI

CHINCHPADA ROAD KALYAN EAST

District THANE

State : MAHARASHTRA

Pin : 421306
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Permanent Address : OM GURUKRUPA APT ROOM NO 306

3ED FLOOR KATEMANIVALI

CHINCHPADA ROAD KALYAN EAST

District THANE
State : MAHARASHTRA

Pin : 421306

Contact Details:
Phone No : 0251-2251145
Mobile No: 9594639415

Qualification Details (as on 31.12.2010):

Exams Passed Subject/Stream Date of Passing % of Marks

Graduation : ACS I II III TAX COM 20-06-2007 56.29

Working Knowledge of Computers : YES

Details of Computer Knowledge : MS CIT

Other Details :

Would You like to undergo Pre-Exam Training (SC/ST/Minority

NO
Community) :
If Yes Centre for Training : --

Languages Known Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

MARATHI YES YES YES

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/ service terminated even after permanent employment
without giving any notice or reasons thereof.

I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of advised criteria in respect of age, caste, educational
qualification and experience etc.

I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of country and/ or to any job
position at its sole discretion in terms of applicable staff rules from time to time.

I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can be
instituted by me only at Kolkata and courts/ Tribunal/ forums at Kolkata 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: 28-02-2011 Signature of Applicant

RUPALI BABAN DENGALE

Please retain your Registration No. and Password emailed to you carefully for further reference
NOTE: Please DO NOT SEND application print-out to the Bank