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    IPPB Recruitment 2023 Application Form

    Uploaded by

    SankarMathi Vaigundham
    1. The document is an application form for the post of CBS technical support and Insurance Systems support at IPPB. 2. It requests information such as name, date of birth, current employment details, educational qualifications, work experience, languages known, and other personal details. 3. Applicants are asked to provide details of their educational qualifications and professional training in Annexures I and II.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    IPPB Recruitment 2023 Application Form

    Uploaded by

    SankarMathi Vaigundham
    50 views4 pages
    1. The document is an application form for the post of CBS technical support and Insurance Systems support at IPPB. 2. It requests information such as name, date of birth, current employment details, educational qualifications, work experience, languages known, and other personal details. 3. Applicants are asked to provide details of their educational qualifications and professional training in Annexures I and II.

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    1. The document is an application form for the post of CBS technical support and Insurance Systems support at IPPB. 2. It requests information such as name, date of birth, current employment details, educational qualifications, work experience, languages known, and other personal details. 3. Applicants are asked to provide details of their educational qualifications and professional training in Annexures I and II.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    50 views4 pages

    IPPB Recruitment 2023 Application Form

    Uploaded by

    SankarMathi Vaigundham
    1. The document is an application form for the post of CBS technical support and Insurance Systems support at IPPB. 2. It requests information such as name, date of birth, current employment details, educational qualifications, work experience, languages known, and other personal details. 3. Applicants are asked to provide details of their educational qualifications and professional training in Annexures I and II.

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    You are on page 1of 4

    ================================================================================

    APPLICATION FORM
    Affix your latest
    passport size
    ADVT. NO.: IPPB/HR/CO/RECT./2022-23/04 Photo

    APPLICATION FOR THE POST OF: ____________________________________

    SUB FUNCTION:
    CBS technical support (Finacle, Alert) and Insurance Systems support)
    SLA Management, Vendor Management ,Billing & Payments
    Infrastructure Support
    IT asset management/patching/compliance
    DC Operations

    ALL ENTRIES TO BE MADE IN CAPITAL BLOCK LETTERS


    S.N Particulars Surname First Name Middle Name

    1. Name in full (in block letters)

    2. Date of Birth (DD/MM/YYYY)


    Age as on Cut Off date

    3 Emp.Id at Department of Post (DoP)

    4 Current Pay Level

    5 Current Basic Pay

    5 Years of experience in Current Pay


    Level
    6 Current Place Of Posting

    7 Current Department

    8. Present Correspondence Address with


    Pin Code
    (to which communications are to be
    addressed)
    Mobile No.

    Email ID

    Page 1 of 4
    9. Permanent home address

    10. State to which you belong:


    11. Marital status (bachelor / spinster /
    married / widow / widower /
    divorcee).
    12. State your nationality and religion.
    13. Father’s / Husband's name
    14. Languages Known:

    15. Whether any Vigilance case/Enquiry is


    pending against you? If Yes, Please
    specify.

    16. State the hereditary/chronic diseases /


    physical handicap, if any.

    17. Educational qualification &


    professional training, if any, please
    give details of your educational
    qualification & professional training in
    Annexure I.
    18. Work Experience: (Please give details
    of your experience in the proforma
    attached as Annexure II)
    19. Permanent Account Number (PAN):

    20. AADHAAR No.:

    I hereby declare that the above particulars furnished by me are true to the best of my knowledge
    and belief.

    Date Signature of the applicant

    Page 2 of 4
    Annexure-I

    STATEMENT INDICATING THE DETAILS OF EDUCATIONAL QUALIFICATION AND


    PROFESSIONAL TRAINING OF THE APPLICANT
    A-EDUCATIONAL QUALIFICATION
    Period Name & address of the Examination University/ Subjects Division %age of Remarks
    From To School/College attended Passed Board taken marks

    B- PROFESSIONAL TRAINING
    Period Name & Address of the Course Examination Sponsored Division % age of Remarks
    From To Institution contents Passed by marks

    (Signature of the Candidate)


    Annexure-II
    STATEMENT INDICATING THE DETAILS OF EXPERIENCE IN RESPECT OF THE APPLICANT
    Period Salary Details Duties performed/
    Name & Address
    Post Held From To Performing
    of the employer Total Pay Level
    (DD/MM/YYYY) (DD/MM/YYYY) (In Brief)

    I hereby certify that the contents/ information supplied above are true.

    (Signature of the Candidate)

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