State Bank Of India

STATE BANK OF INDIA, CLERICAL RECRUITMENT PROJECT 2007. Application Format

Paste a recent  passport size Photograph  here and sign  across it in full  (Please hold with you two copies of same photograph

To, Post Box No.8229, Dahisar (East) Post Office, Mumbai ­ 400 068.

With the reference to your advertisement for the recruitment of clerical staff, I submit my application in  under noted format:­ 1.  Full Name: Shri/Smt/Kum:       (in block letters) 2.  Sex: Male 

Female 

3.  a)  Candidate’s Present address for Communication with Pin Code (in block letters)

City: ____________ Pin Code: ____________ State:     b)  STD Code: _____________ Phone No:      c)  Mobile No.______________e­mail ID _______________________@     d) District you originally come from:  4.  Centre for examination: _______________________ Centre Code:  5.  Date of Birth (DD/MM/YYYY):  /     /     /  Age:      Years      Month (Proof to be attached)  (as on 01.04.2007) 6.  Place of birth: ____________ 7. Nationality :_______________ 8. Religion:  9.  Father’s / Husband’s Name: Shri. 10.  Category to which you belong: (Tick  under the correct category) SC

SC (OH)

SC ( VH)

SC (HI)

ST

ST (OH)

ST ( VH)

ST (HI)

OBC

OBC (OH)

OBC (VH)

OBC (HI)

GEN

GEN (OH)

GEN (VH)

GEN  (HI)

11. 

12. 

No For PWD candidates­ Do you intend to use the services of scribe  Yes (Only for blind candidates & those whose writing speed is affected by cerebral palsy.) To be filled in by those SC/ST/Minority Community/Ex­servicemen Candidates desirous of  Yes No taking Pre­Examination Training. i) Would you like to undergo Pre­Examination Training: ii) Centre for Pre­Examination Training :  Yes No Indicate by Tick  mark in appropriate box i) Are you an Ex­serviceman Yes No If yes, date of discharge _____Rank at present / last held________w.e.f.  ii) Are you a widow, divorced woman, woman judicially separated from the husband & who is  Yes No not re­married? iii) Are you a candidate who has ordinarily been domciled in Kashmir Division of the State of  J&K during the priod of 01.01.80 to 31.12.89

iv) Whether you belong to Minority Community 13. Educational Qualifications (as on 01.04.2007) Sl. No . 1. 2.

Name of University/Institut ion

3. 4.

14. 

15. 

Name of Examination *Mandatory

Month & Year of passing

No of Attempt s

%age of marks obtained

Madhyamik (Class X)* Higher Secondary (Class XII)* Graduation*

Computer Knowledge : ­ i)  Course done : ______________________________________ ii)  Name of Institution : _________________________________ Languages Known  Language  Read  Write  (Mark ‘X’ in the  a) ____________________

Speak

b) ____________________ c) ____________________ Particulars of Application fees / Postal Charges appropriate box)

16. 

Name and Address of issuing Bank/Branch

17. 

Drawn in favour of

Payable at

State Bank of India

Mumbai

Demand Draft No.

Date of Issue

Amount (Rs.)

Are you applying separately for 100 vacancies in Sikkim, Andaman & Nicobar Islands, Ladakh  & Leh and Lakshadweep: Yes No

18. 

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   my   not   satisfying   any   of   the   eligibility   crietria  according to requirements laid down by the Central Recruitment and Promotion Department,  my candidature is liable to be cancelled. I am willing to serve anywhere in India including rural  area.

Place: __________________  Date : __________________ List of Enclosures :________

RTI

Signature:  Name of Candidate :   (in block letters)

Both Signature & Right Thumb Impression (RTI) are compulsory. Application with necessary documentary evidence should reach above address by 23rd May 2007 (for farflung areas 31st May 2007) by ordinary post.