Uco Bank - Recruitment Clerical Cadre 2010 Online Application Form Online Application Form For The Post of Clerks

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

UCO BANK - RECRUITMENT CLERICAL CADRE 2010 ONLINE APPLICATION FORM

ONLINE APPLICATION FORM FOR THE POST OF CLERKS


30039
Registration # : 128595 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 27-07-2010 19:24:29 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : Debashis Sarangi use.

Category : General

Physically Challenged : No

Type of Disability : - Percentage of Disability : -

Do you intend to use the services of a scribe : -

Whether domiciled in Kashmir Division of the State of J&K during the No


period 1-1-1980 to 31-12-1989 :

Whether you belong to Religious Minority Community : No

Are you an Ex-Serviceman : No

Are you a disabled Ex-Serviceman (DISXS)? : No

Are you a dependent of an Ex-Serviceman (DXS)? : No

Are you Regular Employee of the Union Carbide Factory, Bhopal No


retrenched from service (Applicable to Madhya Pradesh State only)? :

Are you seeking relaxation under widow / divorced women / women No


judicially Separated from their husbands and who are not re-married? :

Nationality : Indian

State / Union Territory for which you are Orissa State / UT code : 18
applying :

Centre of Examination : Bhubaneshwar Centre code : 51

Application Fees / Postal Charges :


Transaction No. : AA174410

UCO Bank Branch Name : Dhenkanal Branch Code : 0440

Deposit Date : 27-07-2010 Amount : 300

Personal Details :
Date of Birth : July 07,1987 Age as on 01.07.2010: 22

Gender : MALE

Father’s Name / Husband’s Name : Jayadev Sarangi Mother’s Name : Sudhira Padhi

Email ID : [email protected]

page 1 / 2
Address for Correspondence : At-Banamaliprasad Po-Mangalpur, Dist-Dhenkanal Pin-759015

District : Dhenkanal

State/UT : ORISSA Pin : 759015

Permanent Address : At-Banamaliprasad Po-Mangalpur, Dist-Dhenkanal Pin-759015

District : Dhenkanal

State/UT : ORISSA Pin : 759015

Contact Details:
Phone : 06762-227103 Mobile : 9861433927

Qualification Details(as on 01.07.2010) :


Exams Passed Subject/Stream Year of Passing % of Marks Grade / Class
HSC / Equivalent : Eng,MIL,Science,Math 2002 50.00 Second Class
Graduation : Arts Pol.sc Hons 2007 49.00 Second Class
Other Higher qualification : M.a in Culture Studi 2010 62.00 First Class
Working Knowledge in MS Office : Yes

Would You like to undergo Pre-Exam Training : No

Centre for Pre-Examination Training : -

Languages Known Read Write Speak


English Yes Yes Yes
Oriya Yes Yes Yes
Hindi 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 false or incorrect at any stage or not satisfying the eligibility criteria according to the
requirements of the relative advertisement, my candidature/ appointment is liable to be cancelled/terminated. I am willing to serve anywhere in
the State / UT applied for.

Place : Signature of Applicant


Date : 27-07-2010

Debashis Sarangi
Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the Bank

page 2 / 2

You might also like