IBPS CRP RRB-XI RECRUITMENT FOR THE POST OF OFFICER SCALE-I

BIO-DATA

(Bio-Data to be filled in by the candidate in his / her own handwriting & submit at the verification Venue)

1. Name (in Capital Letters) :

2. Date of Birth :
Please affix Photo
& Sign across the
3. Nationality : photo

4. Category SC ST OBC EWS GEN

OC oOOC

5. Religion HINDU / MUSLIM / CHRISTIAN / SIKH / BUDDHIST / OTHERS__________________

6. a. Address for Communication

(In Capitals with pin code) :

b. Permanent Address :
(In Capitals with pin code)

7.a. Name of the Father Occupation

b. Name of the Mother Occupation

c. Annual Income of Father Rs. Mother Rs.

8. Marital Status : Single / Married / Widow / Divorce / Legally Separated

a. Name of the spouse (if married) :

b. Present occupation of the Spouse :

9. Details of the Family :: Brothers Sisters Sons Daughters Others(give details)

10. Furnish the persons, if any, who are wholly dependent on you
S No NAME Relationship Age Occupation
1
2
3

(contd., in page-2)

-2-
11. Educational Qualification
Sl No Exams University/ Year & % of Principal & No of Full time course or
passed / Institution/ Board Month of Marks Subsidiary attempts correspondence
studying passing subjects
1.

2.

3.

4.

If Grade point averages or Cumulative grade point averages have been awarded, indicate the maximum
GPA or CGPA. If GPA are represented by letter like A,B,C., please give details.

12. a) Whether the candidate has passed Telugu as one of the Subject in 10th Std (SSC) YES / NO

b) Languages known :
• To Read :

• To Write :

• To Speak :

13. Name/s of the place/s, where you have lived in the last 10 years i.e. from January 2013

S No Place From To
1
2
3
4

14. a) Employment experience if any. NOC / Experience certificates must be produced.

Name & If not in

Address of the Designation Period of Temporary / employment at
employer Employment Permanent Salary present, reasons
for leaving

b) Post already applied for:

c) Interviews already attended or to be attended with dates
d) Jobs already qualified (Pending appointments if any)
Details of any self employment. (give full details) :-

(contd., in page – 3)
 -3-

15. Have you ever been arrested, prosecuted, kept under detention, or bound down /
fined, convicted by Court of Law for any offence involving moral turpitude? If yes,
give full details.

16. Have you ever been debarred/ disqualified by any institution from appearing at its
examination / selection or debarred from any examinations, rusticated by any
University or any other educational authority / Institution? If yes, give full details.

17. Is any case pending against you in any court of law involving moral turpitude? If
yes, give details.

18. Is any case pending against you in any University or any other educational
authority / Institution at the time of filling up this form / If yes, give full details.

19. Names, Occupation & addresses of two respectable persons, not related to you,
should be given as reference.
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1. Name S/O,D/O,W/O

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Occupation: Mobile No. Phone No. (with STD).
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Residential Address Office Address

PIN - PIN -
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2. Name S/O,D/O,W/O

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Occupation: Mobile No. Phone No(with STD).
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Residential Address Office Address

PIN - PIN -
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(Contd., in page – 4)
 -4-

20. Additional information, if any, which the candidate wishes to furnish:

21. How soon you can join in the Bank?

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DECLARATION

I hereby declare that the information furnished by me in the bio-data for pre-
recruitment verification for the post of Officer Scale-I under IBPS CRP RRB-XI provisionally
allotted to Saptagiri Grameena Bank, Head Office, Chittoor, Andhra Pradesh are true, complete
and correct and I understand that in the event of any information given herein being found false
or incorrect, my candidature is liable to be cancelled. In the event of any misstatement /
discrepancy in the particulars furnished being detected after my appointment, I shall be liable to
be dismissed from the services of the Bank

Place :
Date : Signature of the candidate
Name ……………………………..
(to be signed by the candidate in the presence of the duty officer)
_______________________________________________________________________________________________________________________________

Signed in my presence

Signature of the Duty Officer

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