Sbipo Application Form

STATE BANK OF INDIA 380125
RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2020-21/12
Registration Number : 1901021281
Full Name : Raghuveera Narasimha
Category : GEN
SUB CASTE : -
Are you a person with benchmark disability of 40% and above ? : NO
Type of Disability : -
Sub-Type of Disability for d' & 'e' : -
Sub-Type of Disability : -
Sub-Type of Multiple Disabilities : -
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 ? : -
I accept the Guidelines for Scribe : -
Religion to which you belong : Hindu
Whether you belong to Religious Minority Community ? : NO
Are you an Ex-Serviceman (including ECOs/SSCOs) : ? : NO
Period of Service (in months) : -
Please mention the number of occasions on which you have appeared for : 0
the examination for recruitment of Probationary Officers in SBI (chances will
be counted from the last examination which was held on 18.04.2010).
Appearing in Preliminary Examination will not be counted as a chance. ?
Do you have record of default in repayment of loans/credit card dues and/or : NO

against whose name adverse report of CIBIL or other external agencies are
Available ?
Do you have adverse report regarding character & antecedents, moral : NO

turpitude ?
Are you an Employee of State Bank of India in the Clerical Cadre ? : NO
Are you an Employee of State Bank of India in the Officer Cadre ? : NO
Are you an Ex-Employee of State Bank of India and resigned from the Bank : NO
while in the Clerical Cadre ?
Are you an Ex-Employee of State Bank of India and resigned from the Bank : NO
while in the Officer Cadre ?
Please ensure that you are eligible to apply ? : -
PAN No. : -
Nationality : Indian
Examination Centre for Preliminary Examination
State/UT (to which centre of exam belongs) : Karnataka
State Code: : 24
Centre of Examination : Bengaluru
Examination Centre for Main Examination
State/UT (to which centre of exam belongs) : Karnataka
State Code: : 24
Centre of Examination : Bengaluru
Application Fee / Intimation charges
Payment In : ONLINE
Fees : 635.60
Tax : 114.40 (IGST)
Amount : 750.00
Payment Status : PAID
Reference ID : VHMP9527916902
Transaction Date : 04-12-2020
Personal Details
Date of Birth : 05-07-1997
Age completed as on 01.04.2020 : 22
Gender : MALE
Marital Status : Unmarried
Father's First Name : P A Narasimha
Father's Middle Name : -
Father's last Name : -
Mother's First Name : K Geetha
Mother's Middle Name : -
Mother's Last Name : -
Spouse's First Name : -
Spouse's Middle Name : -
Spouse's Last Name : -
Address for Correspondence
Address 1 : 485 486 16th main 22nd B

cross road
Address 2 : Vijayanagara 3rd stage c block
District : Mysore
State : KARNATAKA
Pincode : 570017
Permanent address
Address 1 : 485 486 16th main 22nd B

cross road
Address 2 : vijayanagara 3rd stage c block
District : Mysore
State : KARNATAKA
Pincode : 570017
State for GST invoicing : Permanent Address
(KARNATAKA)
Contact Details
Mobile No : +91 9900822704
Alternative Number : +91 9448490829

(Mobile No/Landline No)
Email ID : raghusharmacc@gmail.com
Educational Qualification (as on 31.12.2020)
Exam Passed Appeared / Degree/ Subject / Name of Place of Date of % of Marks Class /
Passed Stream Institution / Institution / Passing Grade
College College
Graduation 1/ Passed Engineering NIE IT mysore 13-10- 58.00 Second

Equivalent 2020 Class
Other Details
Whether desirous of taking Pre-Exam Training : -

(SC/ST/Religious Minority Community) :
State/UT (to which centre of Pre-Exam Training belongs) : -
State Code: : -
Centre for Pre-Exam Training : -
Languages Known Read Write Speak
English YES YES YES
Hindi YES YES YES
Kannada YES YES YES
Declaration:
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 recruitment shall tantamount to cancellation of my
candidature.
Date: 04-12-2020 Signature of Applicant

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STATE BANK OF INDIA 380125

RECRUITMENT OF PROBATIONARY OFFICERS ADVERTISEMENT NO: CRPD/PO/2020-21/12

Registration Number : 1901021281

Full Name : Raghuveera Narasimha

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

Sub-Type of Disability for d' & 'e' : -

Sub-Type of Multiple Disabilities : -

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 ? : -

I accept the Guidelines for Scribe : -

Religion to which you belong : Hindu

Whether you belong to Religious Minority Community ? : NO

Are you an Ex-Serviceman (including ECOs/SSCOs) : ? : NO

Period of Service (in months) : -

Do you have record of default in repayment of loans/credit card dues and/or : NO

Do you have adverse report regarding character & antecedents, moral : NO

Are you an Employee of State Bank of India in the Clerical Cadre ? : NO

Are you an Employee of State Bank of India in the Officer Cadre ? : NO

Please ensure that you are eligible to apply ? : -

State/UT (to which centre of exam belongs) : Karnataka

Centre of Examination : Bengaluru

Examination Centre for Main Examination

State/UT (to which centre of exam belongs) : Karnataka

Centre of Examination : Bengaluru

Application Fee / Intimation charges

Tax : 114.40 (IGST)

Payment Status : PAID

Transaction Date : 04-12-2020

Date of Birth : 05-07-1997

Age completed as on 01.04.2020 : 22

Marital Status : Unmarried

Father's First Name : P A Narasimha

Father's Middle Name : -

Father's last Name : -

Mother's First Name : K Geetha

Mother's Middle Name : -

Mother's Last Name : -

Spouse's First Name : -

Spouse's Middle Name : -

Spouse's Last Name : -

Address for Correspondence

Address 1 : 485 486 16th main 22nd B

Address 2 : Vijayanagara 3rd stage c block

Address 1 : 485 486 16th main 22nd B

Address 2 : vijayanagara 3rd stage c block

Mobile No : +91 9900822704

Alternative Number : +91 9448490829

Educational Qualification (as on 31.12.2020)

Graduation 1/ Passed Engineering NIE IT mysore 13-10- 58.00 Second

Whether desirous of taking Pre-Exam Training : -

State/UT (to which centre of Pre-Exam Training belongs) : -

Centre for Pre-Exam Training : -

Languages Known Read Write Speak

English YES YES YES

Hindi YES YES YES

Kannada YES YES YES

Date: 04-12-2020 Signature of Applicant