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Send Request Until All Friends Are Done

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Submitted By saurav0502
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³eneB HeemeHeesì& DeekeÀej keÀe neue ner ceW eEKe®ee ngDee
HeÀesìes ef®eHekeÀe³eW leLee Gme
Hej efoveebkeÀ meefnle HetCe& nmlee#ej keÀjW

Yeejleer³e mìsì yeQkeÀ
STATE BANK OF INDIA kesÀvêer³e Yeleea SJeb HeoesVeefle efJeYeeie
CENTRAL RECRUITMENT & PROMOTION DEPARTMENT

Paste a recent passport size photograph here and sign across it in full with date

GcceeroJeej keÀe DeelcekeÀL³e SJeb mel³eeHeve HeÀece&
CANDIDATE'S BIO-DATA-CUM-ATTESTATION FORM

(ke=ÀHe³ee meeJeOeeveerHetJe&keÀ Heæ{ves kesÀ HeM®eele HeÀece& DeHeveer nmleefueefHe ceW Yejs)
(Please fill in the form in your own handwriting after reading carefully)

mee#eelkeÀej kesÀ efueS kesÀvê / Centre for Interview :
Deveg¬eÀceebkeÀ / Roll No. :
Heo keÀe veece / Name of Post : mee#eelkeÀej nsleg (pewmee yegueeJee He$e ces efo³ee ie³ee nw) Yee<ee keÀe efJekeÀuHe ë efnvoer/Debie´speer (jepeYee<ee DeefOeefve³ece ces HeefjYeeef<ele `keÀ` #es$e kesÀ GcceeroJeejeW keÀeW mee#eelkeÀej nsleg efnvoer efJekeÀuHe GHeueyOe nw)
Choice of Language for Interview (As furnished in the call letter) : Hindi/ English (Hindi option available for candidate appearing for
Interview in Region ‘A’ states only, as defined in the Official Languages Act)
1.

(keÀ) Hetje veece megmHeä De#ejeW ceW ë
(a)

Name in full, in block letters :
Þeer/Þeerceleer /kegÀ. Shri/Smt./Kum. : ______________________________________________________________

(Ke) JewJeeefnkeÀ efmLeefle ë efJeJeeefnle / DeefJeJeeefnle
(b)
2.

Marital Status : Married / Unmarried

(keÀ) pevce efleefLe
(a)

Date of Birth

(Ke) 01-12-2011 keÀes Gce´
(b)

efoveebkeÀ /Date
Je<e&

Age as on 01-12-2011

cenervee / Month cenervee Year

Je<e&

/ Year

Month

(ie) pevce keÀe mLeeve

efpeuee

jep³e

(c)

District

State

Place of Birth

(Ie) efpeuee leLee jep³e peneB kesÀ DeeHe efveJeemeer nQ.
(d)
3.

District and State to which you belong :

(keÀ) jeä^er³elee :
(a)

Nationality :

(Ke) Oece& :
4.

(ie) ke̳ee DeeHe DeuHemebK³ekeÀ mecegoe³e mes nQ

neB /veneR

(b)

(c) Do you belong to Minority Community

Yes / No

Religion :

(keÀ) efHelee /Heefle keÀe veece SJeb J³eJemee³e /Heoveece :
(a)

Father's / Husband's name and occupation/profession/designation : __________________________________
_______________________________________________________________________________________

(Ke) ceeB keÀe veece ë
(b)
5.

Mother's name : _________________________________________________________________________

(keÀ) ÞesCeer Jeie& (³eLeesef®ele Dee³ele ceW mener keÀe ef®evn ueieeSW)

De.pee.

De.pe.pee.

meeceev³e

Dev³e efHeí[s Jeie&

SC

(a)

ST

GEN

OBC

DeeefmLe efJekeÀ.

¢efä efJekeÀ.

ÞeJeCe efJekeÀ.

OH

VH

H
I

Category (Tick the appropriate box)

(Ke) Devegmetef®ele peeefle / Devegmetef®ele pevepeeefle / Dev³e efHeí[s Jeie& kesÀ GcceeroJeej peeefle/pevepeeefle /mecegoe³e keÀe veece oW
(b)

If SC / ST / OBC state the name of
CASTE / TRIBE / COMMUNITY

(ie) ³eefo DeeHe efJekeÀueebie nQ lees ke=ÀHe³ee ³eLeesef®ele Dee³ele ceW mener keÀe ef®evn ueieeSB pewmes DeeefmLe efJekeÀueebie ³ee ¢efä efJekeÀueebie ³ee ÞeJeCe efJekeÀueebie
(c)

If you are handicapped, please also tick appropriate box.
i.e. OH or VH or HI

(Ie) ³eefo DeeHe MeejerefjkeÀ ©He mes efJekeÀueebie nQ lees ke=ÀHe³ee DeHeves efJekeÀueebielee keÀe efJeJejCe GuuesKe keÀjW
(d)
6.

If you are a Physically Handicapped person, please give details of your handicap.

(keÀ) ³eefo DeeHe Òel³eeJeefle&le /ÒeJeemeer /efJemLeeefHele J³eeqkeÌle neW lees GmekeÀe efJeJejCe oW.
(a)

If you are a repatriate / migrant / displaced person, give particulars : ___________________________________________
__________________________________________________________________________________________________

(Ke) ³eefo DeeHe YetleHetJe& mewefvekeÀ nQ lees ke=ÀHe³ee keÀe³e&cegeqkeÌle /mesJeeefveJe=efÊe keÀer efleefLe keÀe GuuesKe keÀjW.
(b)

If Ex-serviceman, please give date of discharge / retirement.

(ie) ke̳ee DeeHe mewv³e keÀe³e&Jeener ces Menero mewefvekeÀ kesÀ DeeefÞele nw leLee GvekeÀes GHeueyOe Deej#eCe nsleg oeJesoej nwb.
(c)

neB/veneR

Are you a dependant of Serviceman killed in Action and claiming reservation benefits available there under
Yes/ No
³eefo Ssmee nw lees DeeHekesÀ oeJes kesÀ ÒeceeCe mJeªHe mebueive omleeJespeeW keÀe efJeJejCe _________________________________________________ if so details of documents submitted in support of your claim _________________________________________________

1

7. (») ÑâÈö ÐâØâ
(a)

Mother Tongue :

(¼) áï½ýëÁä »ë áãÈãÓkÈ ánÒ ÐâØâáâïë »â ÞâÌ (ÖÚä »â (✓ )ã¿nÚ Ô½â#ë)
Knowledge of Languages Other than English (Indicate by a ( ✓ ) tick mark) :

(b)

ÐâØâ

ÏâëÔ Ö»Èë Úì

Language

Speak

ÍÆ‘ Ö»Èë Úì

ãÔ¼ Ö»Èë ÚE

éùäÇô ÍÓäÜâÒë, ÒãÊ »âëæ Úâë Èâë

Write

Examination Passed, if any

Read

1.
2.
3.

8. (») ×ìÜãÇ» ÒâëgÒÈâ#ì ð
(a)

Educational Qualifications :

éùäÇô ÍÓäÜâ#ú
Examinations
Passed

1

Öï»âÒ »â élÔë¼ »Óëï

»âúÔëÁ s»èÔ áÕãË / Period

ÍÓäÜÇ ÖïsÉâ
Examining
body

Indicate
College /
Faculty:Arts/ School
Science/Comm.
2
3

Öë

ÑçKÒ ãÕØÒ
Principal
Subjects

È»

From

to
4

5

6

ã»Òë ½Òë
ÍýÒâÖâë »ä
ÖïKÒâ

ÙëÇä áâìÓ
ÍýâpÈ
sÉâÌ ®Ñ

No. of attempts 7

Class &
Rank
8

ÍýâpÈâï»âë »â
ÍýãÈ×È
Percentage of marks
9

»Üâ
Class X

»Üâ
Class XII

sÌâÈ»
Graduation

sÌâÈ»âëùÓ
Post Graduation

ánÒ (ãÕÕÓÇ Êëï)
Other (specify)

9. ÍýâpÈ ÍçÓs»âÓâëï/ÍÊ»âëï/ÀâÝÕöãùÒâëï »â ãÕÕÓÇ
Particulars of prizes/medals/scholarships obtained :

10. (») ¼ëÔ ÈÉâ ÍâÄÒ®ÑëÈÓ ã®Òâ»ÔâïÍâë »â ãÕÕÓÇ,

ãÁÖÑëï áâÍÌë Ðâ½ ãÔÒâ Úì, ÍýâpÈ ½âìÓÕ ÈÉâ ãÕã×wà ÒâëgÒÈâ
(a)

Particulars of sports and other extracurricular activities in which you participated, Credits & Distinctions obtained :

(¼) áãÐrã¿Òâû #Õï ánÒ rã¿Òâû
(b)

Hobbies & other interests :

11. Ïìã»ï½ Ñïë ãÕ×ëØ ×ìÜãÇ» ÒâëgÒÈâ/Íýã×ÜÇ »â ãÕÕÓÇ
Particulars of any special qualification / training in Banking

12. (») ÕÈôÑâÌ ÈÉâ ÍÚÔë »ë ãÌÒâëÁÌ »â ãÕÕÓÇ
(a)

Particulars of present and previous employment :

ãÌÒâëÁ» »â ÌâÑ
#Õï ÍÈâ
Name & Address of employer áÕãË / Period
Öë

È»

From

To

ÍÊ ÈÉâ »âÑ »â ãÕÕÓÇ ãÌÒçãkÈ »â sÉâÌ Position and
Nature of Duties

Place of
Posting

(¼) ÕÈôÑâÌ ãÌÒâëÁ» »ä ãsÉãÈ (ÖÓ»âÓä/á©ô ÖÓ»âÓä/ÖâÕôÁãÌ» ÜëÝ/ãÌÁä ÜëÝ)
(b) Status of present employer (Govt. / Semi-Govt. / Pub / Pvt. Sector)

2

»çÔ ÕëÈÌ

ÀâëÅÌë »â »âÓÇ

Total Emoluments

×çr Ñëï

áïÈ Ñëï ÍýâpÈ

Starting

Last Drawn

Reasons for leaving 13. ÍÝ vÒÕÚâÓ »ë ãÔ# ÍèÇô (ÕÈôÑâÌ) ÍÈâ

14. ÍèÇô sÉâÒä ÍÈâ

Present address in full for communication

Permanent address in full :

ãÍÌ »âëÅ

ãÍÌ »âëÅ

PIN CODE

PIN CODE

15. éÌ sÉâÌâë »â ãÕÕÓÇ ÁÚâû áâÍ ãÍÀÔë Íâï¿ ÕØâëô »ë ÊâìÓâÌ #» ÕØô Öë áãË» ÖÑÒ È» ÓÚë Úâë
Particulars of places where you have resided for more than 1 year during the last 5 years :

Öë

È»

From

To

ãÌÕâÖ sÉâÌ »â ÍèÓâ ÍÈâ
Residential address in full

ÏâïÒë »úâÔÑ Ñë ãÊ# ½# sÉâÌ »â ãÁÔâ
ÑçKÒâÔÒ
District Head quarter of the place mentioned in the left column

16. ÒãÊ ã»Öä nÒâÒâÔÒ Ìë áâÍ»ë ãÕr} ã»Öä áÍÓâË »ë ãÔ# áãÐÒâëÁÌ/

ãÚÓâÖÈ/ÊNÅ/ÊâëØãÖ}ä »â ãÌÇôÒ ãÊÒâ Úâë Èâë éÖ» ãÕÕÓÇ.
Particulars of any prosecution / detention / fine conviction sentence against you awarded by any court of law for offence.

17. ÒãÊ ã»Öä nÒâÒâÔÒ Ìë áâÍ»ë ãÕr} »âëæ ÑâÑÔâ (Ïìï»/ánÒ ãÕùäÒ

ÖïsÉâáâë »ä ±Ç áÊâÒ½ä ÌÚä »ÓÌë Öë ÖïÏïãËÈ ÑâÑÔë ÖãÚÈ) ãÕ¿âÓËäÌ Úâë Èâë éÖ»â ãÕÕÓÇ.
Particulars of cases pending against you in any court of law including case (s) for non-payment of any loan from Banks/
Financial Institution :

18. ÒãÊ ã»Öä ÖëÕâ áâÒâë½, ÍÓäÜÇ ÖïsÉâ Ìë áÍÌë ¿çÌâÕ ÍÓäÜâ Ñëï

áÒâëgÒ ¾âëãØÈ ã»Òâ Úâ ë/ Óâë» Ô½â Êä Úâë Èâë éÖ»â ãÕÕÓÇ.
Particulars of disqualification / debarment by any Service
Commission, examining body at their selection / examination :

19. áâÍ»ë ÕÈôÑâÌ áÉÕâ ÍÚÔë ãÌÒâëÁ» (»âë) ]âÓâ áâÍ»ë

ãÕr} ÍýâÓïÐ ã»# ½#/ãÕ¿âÓâËäÌ áÌç×âÖÌâtÑ» »âÒôÕâÚä
»â ãÕÕÓÇ, ÒãÊ áâÍ»âë ã»Öä ÍÊâënÌãÈ ÍÓäÜâ Ñëï ÏìÄÌë ÍÓ
Óâë» Ô½âæ ½Òä Úâë Èâë êÖ»â Ðä ãÕÕÓÇ Êëï.
Particulars of any case (s) of disciplinary action instituted / pending against you by your present or previous employer (s). Please also state whether you were debarred from appering in any promotion examination.

20. ÖïÔgÌ ¿ãÓÝ ÍýÑâÇÍÝâïë »â ãÕÕÓÇ
Particulars of character certificates enclosed

1
2
3

3

21. Êâë ÍýãÈãwÄÈ ÍãÓ¿âÒ»âëï »ë ÌâÑ, vÒÕÖâÒ #Õï ÍÈë
Name, occupations and address of two respectable referees :

®Ñ ÖïKÒâ

퉄

Sr. No.

Name

ÍÈâ
Address

1.
2.
22. ánÒ ãÕÕÓÇ Áâë Ïìï» »ë ãÔ# éÍÒâë½ä Úâë Ö»Èë Úâëï.
Additional particulars, if any, which may be of use to the Bank :

ceQ ÒeceeefCele keÀjlee ntB efkeÀ GHe³eg&keÌle efJeJejCe cesjer Hetjer peevekeÀejer leLee efJeMJeeme kesÀ Devegmeej mel³e, mener Je HetCe& nQ. ceQ Ssmeer efkeÀmeer Yeer yeele mes DeJeiele vener ntB pees cegPes yeQkeÀ keÀer veewkeÀjer kesÀ efueS GHe³egkeÌle nesves ceW yeeOekeÀ efme× nes mekeÀleer nw. ceQ ³en Yeer Iees<eCee keÀjlee/keÀjleer ntB efkeÀ cegPes onspe Òeefle<esMe DeefOeefve³ece 1961 kesÀ Debleie&le DeLeJee efJeefOe kesÀ Devegmeej oC[veer³e efkeÀmeer DeHejeOe kesÀ ceeceues ces keÀYeer Yeer oefC[le vener efkeÀ³ee ie³ee nw.
³eefo cesjs Üeje Òemlegle efkeÀ³ee ie³ee efJeJejCe ieuele ³ee Demel³e Hee³ee peelee nw Deewj/³ee HeÀece& Òemlegle keÀjles mece³e JeemleefJekeÀ leL³eeW keÀe efíHee³ee peevee yeeo keÀer efleefLe ceW Helee ®euelee nw lees yeQkeÀ keÀes cesjer efve³egeqkeÌle, efve³egeqkeÌle kesÀ ÒemleeJe meefnle, pewmee Yeer ceeceuee nes, jodo keÀjves keÀe DeefOekeÀej nesiee. GkeÌle efJeJejCe
Yeejleer³e mìsì yeQkeÀ kesÀ efJe%eeHeve mebK³ee meerDeejHeer[er/meerDeej/2011-12/05 efo.27.12.2011 SJeb meerDeejHeer[er/meerDeej/2011-12/05S efoveebefkeÀle
01.03.2012 Deewj cesjs Dee@veueeF&ve DeeJesove-He$e kesÀ meboYe& ceW Òemlegle efkeÀ³es ie³es nQ.
I Certify that the particulars furnished above are true, correct and complete to the best of my Knowledge and belief. I am not aware of any cirumstance which might impair my fitness for employment under the Bank.
Further, I declare that I have never been convicted for offence under the Dowry Prohibition Act, 1961, or any criminal offence under any other law.
In case the particulars submitted by me are found to be false or not true and/ or suppression of material facts by me while submitting the form is revealed at a latter date, the Bank shall have the right to cancel the appointment including the offer for appointment, as the case may be. The above details are submitted in reference to State Bank
Of India advertisement No. CRPD/CR/2011-12/05 dt. 27.12.2011 & CRPD/CR/2011-12/05A dt. 01.03.2012 & my online application thereto.

ãÊÌâï» Date : sÉâÌ Place :

ÊâÒïë ÚâÉ »ë áï½èÄë »â ãÌ×âÌâ

áBÒÉäô »â ÚsÈâÜÓ
Signature of the candidate

Right Thumb Impression

ÍãÓ¿Ò »â ÍýÑâÇ ÍÝ
IDENTITY CERTIFICATE

ÍýÑâãÇÈ ã»Òâ ÁâÈâ Úì ã» Ñì Ùä/ÙäÑÈä/»çÑâÓä

áâtÑÁ/ÍtÌä/áâtÑÁâ

Certified that I have Known Shri / Smt./Kum.

son/wife/daughter of

Ùä

»âë ãÍÀÔë

Shri

for the past

ÕØâëô

ÑÚäÌâë Öë ÁâÌÈâ/ÁâÌÈä Úèû ÈÉâ ÑëÓä ÁâÌ»âÓä

years

month/s and that to the best of my

ÈÉâ ãÕSÕâÖ »ë áÌçÖâÓ éÌ»ë ©âÓâ ãÊÒâ ½Òâ éÍÒçkÈ ãÕÕÓÇ ÖÚä Úìó
Knowledge and belief the particulars furnished above by him/her are correct.

sÉâÌ Place :

ÚsÈâÜÓ

ÍÊÌâÑ ãÊÌâï» Date :

Signature :
Designation :

ÍÈâ

Address :

SEAL
»âÒâôÔÒ »ë éÍÒâë½ ÚëÈç / FOR OFFICE USE ONLY
ÖâÜât»âÓ Ñëï ÖãmÑãÔÈ ÚâëÌë »â ãÊÌâ»ï ð
(1 )
Date of appearing in interview

(2) ÒâëgÒÈâ/ÍýÑâÇÍÝâë »â ÖtÒâÍÌ

Ùä./ÙäÑÈä

ÍÊÌâÑ
Designation :

Eligibility/Certificates verified by Shri/Smt.

(3) »ãÑÒâï ÈÉâ ÍýâpÈ ãÕÖï½ãÈÒâï ð
Deficiencies and Discrepancies found :

4

DECLARATION TO BE SUBMITTED BY THE OTHER BACKWARD CLASSES
CANDIDATES SEEKING RESERVATION AS OBC

I______________ _____________________________________________________
Son/daughter of Shri ____________________________________________________
Resident of village/ town/city ___________________ District ______________________
State _____________________________________________ . Hereby declare that I belong to the ____________________________________________ Community which is recognised as a backward class by the Government of India for the purpose of reservation in services as per orders contained in Department of Personnel and Training Office
Memorandum No. 36012/22/93-Estt.(SCT) dated 08.09.1993. It is also declared that as on 26.03.2012, I do not belong to persons / sections (Creamy Layer) mentioned in column
3 of the Schedule to the above referred Office Memorandum dated 08.09.1993.

Place :
Dated

(Signature of the candidate)

Dev³e efHeíæ[s Jeie& kesÀ ªHe ceW Deej#eCe keÀer ceebie keÀjvesJeeues Dev³e efHeíæ[s JeieeX kesÀ
GcceeroJeejeW Üeje Òemlegle keÀer peevesJeeueer Iees<eCee ceQ ______________ ___________________________________________________
Heg$e/Heg$eer Þeer __________________________________________________________ efveJeemeer _______________________________________________________________ ieebJe/keÀmyee/Menj ____________________________ epeuee _______________________ f jep³e ________________________________________ SleodÜeje Iees<eCee keÀjlee/keÀjleer ntB efkeÀ ceQ ____________________________________________ peeefle mes mebyebeOele ntB efpemes Yeejle mejkeÀej f Üeje keÀeefce&keÀ SJeb ÒeefMe#eCe keÀe³ee&ue³e %eeHeve ¬eÀceebkeÀ 36012/22/93-F&Smeìerìer (Sme meer ìer) efoveebkeÀ 08.09.1993 ceW meceeefJeä DeeosMeeW kesÀ Devegmeej mesJeeDeeW ceW Deej#eCe kesÀ Òe³eespeve nsleg SkeÀ efHeíæ[s Jeie& kesÀ ©He ceW ceev³elee oer ieF& nw. ³en
Yeer Iees<eCee keÀer peeleer nw efkeÀ ceQ efoveebkeÀ 26.03.2012 keÀes GHe³egkeÌle meboefYe&le keÀe³ee&ue³e %eeHeve efoveebkeÀ 08.09.1993
&
keÀer Devegmet®eer kesÀ mlebYe 3 ceW GefuueefKele J³eeqkeÌle³eeW /KeC[esn (ef¬eÀceer ues³ej) kesÀ oe³ejs ceW veneR nt.
B

mLeeve ë efoveebkeÀ ë

(GcceeroJeej kesÀ nmlee#ej)
5

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