VANANCHAL GRAMIN BANK (Sponsored by: State Bank of India) Head Office, Dumka (Jharkhand) Phone No. - (06434) 222401, 240743, 236170(Per.) Fax No. - (06434) 222401 Website:- www.vananchalgraminbankcom. E-mail:[email protected]HO/HR/ /14-15 Date :- Roll No . SPECIMEN Dear Sir / Madam, Vananchal Gramin Bank Recruitment Project-2013 Recruitment Of Officer MMGS-Ili/ MMGS-II/JMGS-I (Group - 'A') Office Assistant (Group - 'B') Interview Date . We are pleased to inform that you have been short listed for interview on the basis of marks obtained by you in CWE for RRBsconducted by IBPS in September 2013:- 1. The venue for above interview is as under Vananchal Gramin Bank (H.D.) Municipality chowk, Dumka (Telephone No. 06434 236170) 2. Please report on " at 8.30 A.MI12.30 P.M. sharp with the hard copy (printout) of the filled in application form with same photograph duly pasted / all certificates/ marks Sheets / testimonials, in original & photocopies from Matriculation onwards. 3. Please bring with you original copy of Challan or proof of fee paid by you. 4. The ST/SC/OBC (OBC candidates are required to submit non- creamy layer certificate) candidates must bring cast certificates in original with its photocopies issued by Competent Authority. 5. You should also bring "Domicile Certificate I Address proof" issued by a competent Authority in original with photocopy. 6. Certificate of experience certificate in respect of Previous / Present employment, if any and NOC from your present employer. 7. The enclosed "BIO-DATA" form should be submitted before interview Board duly filled in alongwith all supporting documents otherwise you will not be allowed for interview. 8. Please note that no travelling and other expenses will be paid in this regard. Yours faithfully General Manager (Administration) Enel: -As stated above
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Bio-data Form and Interview letter speciment copy.
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VANANCHAL GRAMIN BANK(Sponsored by: State Bank of India)Head Office, Dumka (Jharkhand)
Dear Sir / Madam,Vananchal Gramin Bank Recruitment Project-2013Recruitment Of Officer MMGS-Ili/ MMGS-II/JMGS-I (Group - 'A')Office Assistant (Group - 'B')Interview Date .We are pleased to inform that you have been short listed for interview on the basis of marks obtainedby you in CWE for RRBsconducted by IBPSin September 2013:-
1. The venue for above interview is as underVananchal Gramin Bank (H.D.)Municipality chowk, Dumka(Telephone No. 06434 236170)
2. Please report on " at 8.30 A.MI12.30 P.M.sharp with the hard copy (printout) ofthe filled in application form with same photograph duly pasted / all certificates/ marksSheets / testimonials, in original & photocopies from Matriculation onwards.
3. Please bring with you original copy of Challan or proof of fee paid by you.4. The ST/SC/OBC (OBC candidates are required to submit non- creamy layer certificate)
candidates must bring cast certificates in original with its photocopies issued by CompetentAuthority.
5. You should also bring "Domicile Certificate IAddress proof" issued by a competent Authorityin original with photocopy.
6. Certificate of experience certificate in respect of Previous / Present employment, if any andNOC from your present employer.
7. The enclosed "BIO-DATA" form should be submitted before interview Board duly filled inalongwith all supporting documents otherwise you will not be allowed for interview.
8. Please note that no travelling and other expenses will be paid in this regard.Yours faithfully
General Manager (Administration)Enel: -As stated above
c.rGJhrM OJ I Jfl 01 hVANANCHAl GRAMIN BANK
Head Office: Shiv-Palace, Nagar Palika Chowk, Durnka (Jharkhand)~n!{ft Cf)T0TWlCOVl 'q;ct ~ W
(Please fill in theform in you own handwriting carefully)
m~cfjfW:r~ / Centre for Interview: Vananchal Gramin Bank H,O., DUMKA6ilful"{iCf) / Roll No, :~Cfif'1rT / NameofPost:m~~~cm~:~/~Choice of Language for Interview: Hindi / English
Paste a recent Ipassport size photographhere and sign across it in I
full with date
1. (Cf)) ~ 'l'Ff ~ i3WU ~ :(a) Name in full, in block letters :
ml~t+rot~.Shri/Smt./Kum.
(@) ~ ~: fclc;II~{1/ 61fc1c;H~{1(b) Marital Status: Married / Unmarried
(<9') 01.07.2013 ~~(b) Ageason01.07.2013
I I I~/Date
eNYear
I ]: I.~ I Month
~Month
[ ICI1if / Year
2. (Cf)) YR"~(a) Date of Birth
(1]") \JP1 qif ~(c) Place ofBirth
fvImDistrict
"{l\R:fState
(q) ~ ~ ~ \JfQT cfj \3{N f.rcffift l(d) District and State to which you belong:
(c) Ifyou are handicapped, please also tick appropriate box.i.e.OHorVHorHI
SC ST GEN OBe
I I~~. 0 ~m.D CJ
OH VH HI
(f.T) ~ i31N ~~ -ij- fclCb(1lj1(lm~ ~ fclf6(11jJ({1(qif ~~~(d) Ifyou are a Physically Handicapped person, please give details of your handicap.
6. (tfJ) ~i31N5I\'Q(qRfu/~/Pl~trq{1~mm~~~(a) ifyou are a repatriate / migrant / displaced person, give particulars:
(~) <Mi31N~~~m~Cbl<f!!Rffi l~q(PI~ rtt~qif~~(b) IfEx-serviceman, Please give date of dlscnare / retirement
1
7. (Cf;) ll"Ri'qflU(a) Mother Tongue:(@) ~<5~~'qflU\3ifCf)Tw-r (~q)f(~m~(b) Knowledge oflanguages Othe; than English (Indicate by a C'./J tick Mark:) :
'qflULanguage Speak1.
2.
3.
8. (C{i) ~!~~:(a) Educational Qualification:
~~~Cf)T ~I i3IClfq I Period ~m ~~
~~ ~~ -qjT~~ ~ ~<tf ~~ -Examination Indicate College/ t Examining Principal, mr . Class &Passed .Faculty Arts/ School
QCf) body Subjects No.of PercentageScience/ Comm. From To .. attempts Rank of marks
1 2 3 4 5 6 7 8 9
C{imClass X
C{imClass XII
~Graduation
~mq;h1(Post Graduation
~(~~)Other (Specify)
9. ~~/~/t§1?\~41q)f~ •Particulars of Prizes/medals/scholarships obtained:
(a) Particulars of sports and other extra-curricular activitiesin which you have participated, Credits &Distinctions obta:nined:
(@) i3lfTi~~41~~~(b) Hobbies&otherinterests:
11. ~ ~ ~ ~~ ~ 1"Sffu~ <{iffcrcr\urParticulars of any special qualification / training in Banking
12. (C{i) ~~~<5~<{if~(a) Particulars of present and previous employment:
~<{if~t{CtllQT i3IClfq I Period . l{GQlIT 'fiIl1 'qif ~'qif ~~ ~'fiT~Name & Address of t ~ ~ Total Emoluments
Reasons forQcl) Position and Place of I ~it aiQit~employer From To Nature of Duties Postiong Starting Last Drawn leaving
hO"~~~(<!f) ~ f'l41iJ1Cfi q5f ~ (mcortt / ~ ~ I *114vtf'lCfi ~ I f.rvft ~)
~I ~(b) Status of present employer (Govt. / Semi-Govt. / Pub. / Pvt. Sector) :.~-
2
13. q:;r~~~~ (~)w:Present address in full for communication:
13.~mtrnT:Permanent address in full:
ff.T.PIN CODE = ftr-f~
PIN CODE =~~Telephone No./M.No.
~MTelephone No./M.No ..
15. iRW.nem ~ \ifQf BTN fuffl t{f;:f ~ c6"m ~ eN ~ ~ ~ Qq; ~ it: ,Particulars of places where you have resided for more than 1year during the last 5 years:
~. f.rcrrn ~ q)f lU l{QT
~ cmtlf ~ f~;tPTq~ CfiT1;1CI) , ~~
From To Residential address in full District: Head Quartet of the placementioned in the left column
.'.
16.,~~;q1~1<'1~ ~~~~~c6~I3I~(llii\"1 r~fGUS/c{!~Rt<i!i) q)T~~iTm~~.Particulars of anyprosecuttou/ detention/fineconviction sentence against you awarded by any court oflaw for offence.. .
17.~~;qI~I(il~ ~i3TfC1'c6~~llPR'IT ~/i3f-<ffcfflt<rml3lT~~~1"tt~~~W~)fcjill(41'1mm~~.Particulars of case pending against you in any court oflawincluding case (s) for non-payment of any loan from Banks/Financial Institutions:
18.~~~.~, tRT~m~~'~"Cfft~~~~~iT /~~ctrm, m~fcwur.Particulars of disqualification/ debarment by any ServiceCommission, examining bodyat their selection/examination:
Particulars of any case (s) of disciplinary action institutedfpending against you byyour present or previousemployer (s). Please also state whether you were debarredfrom appearing in any promotional examination.
20. ~mtnullulq?\l Cf)f·fcrcRur 1Particulars of character certificates enclosed 2
3
3
21.~Slra~trlt~cf;;wrtClFH1(~~~(-m~~mt~m~m)N ccupation and addresses of two respectable references (known to you but not related)i ame,o ..
~~ ';fIlf qwAddress51.No. Name
1.
2.
22.l3RffcrcRvr\ifT~cf;~~ m~m:Additional particulars, if any, which may beof use to the Bank:
~~Cf)W /~{~~~irtt~\lj11Cbla ~~cf;~~, ~Cf~l. ~~~'4T~.~~ -mt\llT~~~~cf;~~~if~~mm.~<JQift~qmrr/qmfTt~~$r~d\ftlPt~'11961cf;~~f~ftfCf;~~~~cf;Wifri1ft~~~lJ<rr! I
~ if{zm ~ ~ lJ(IT~ llmf <IT~ qmr \Il1QT l am: 1~"Cffilf ~ ~~ cll~f4CbQait q)f~ \ifAT~rtt~iftfffi"~lm~cm~~, ~cf;mtcr., ~'4t1WRiJTm-, ~mcpfd\ftlCbI(~.. I certify that the. particulars furnished above ~re true, correc~ and ~om~lete ~o the bes~lof myknowledge and behef. I am not aware of any CIrcumstance whlch might imparr my fitness foremploymentunderthe Bank. .
Further, I declare that I have never been convicted for any dowry offence under the DowryProhibition 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 ofmaterial' facts by me while submitting the form is revealed ata latter date, the Bank shall have the rightto cancel the appointment including the offer for appointment, as the case may be. The-above detailsare submitted in reference to Vananchal Gramin Bank Recruitment Project "2010" & my applicationSUbmitted earlier.
~Date :m Place:
~~c6~~f.m'Right Thumb Impression
~q;r~~Signature of the Candidate
~.3ilWlT.~IDENTITY CERTiF1CATE
~~\iffiiTl~~.l3ft/~~ ~/.~/.6ITOO. CertifythatI have known Shri j Smt.jKum. . sonjwifejdat.ghterof
.gft . q;f~. ~ lJtAl~\ifRm~tOO:~OiHCblaShri for the past __ years __ monthj s and that to the besfofrny~~cf;~~W~lJ(IT~~~~ I . .knowledge and belief the particulars furnished above by him/her are correct.
!
m- Place:~~ Signature:
~ Designation:~Date :
W Address:SEAL
~ c6~ ~ I FOR OFFICE USE ONLY(1) m131!;tb1( ~flf41rBlQmq)f~:
(c) Ifyou are handicapped, please also tick appropriate box.Le.OHorVHorHI .
SC ST GEN OBC
[ ]~~. 0 ~ fcrcp.
D c=JOH VH HI
(tr) ~i3lN ~~~ FclC6~i·(lm~~fc!C6i.i1j~(j( q)ffcrcn:ur~cg(d) Ifyou are a Physically Handicapped person, please give details of your handicap.
6. (Cfi) ~ i3lN 5h'4IClRfu/ ~ / rq~(fq(j oWKl"& m ~ ~ a:(a) if you are a repatriate j migrant I displaced person, give particulars:
('&) ~i3lN~B~m~C6!4!!fiffi l{{qlP1"iRlc5T~CfiT~~(b) lfEx-serviceman, Please give date of dischare / retirement
1
----- --------
FORM OF CERI1FICATE TO BE PRODUCED BY OTHER BACKWARD CLASSESAPPLYING FOR APPOINTMENT TO POSTS UNDER THE
, GOVERMENT OF INDIA[£ERTIFICATE SHOULD BE ISSUED ON OR AFTER 01.04.20091
This is to certify that , 1
Son 0/ -', ofvillaqe _
District/Division in the _____________ State _
belongs to the - community which isrecognised as a backward class under the Government of India, Ministry of WelfareResolution No. 12011/68/93-BCC(C), dated 10th Sept..1993-published in the Gazette ofIndia Extraordinary Part] Section Jdated 13th Sept. 1993.
Shri and / or hisfamily ordinarilyresiders) in the District/Division of the--- State.
This is also to certify that he/she does not belong to thepersons/section (Creamy,Layer) mentioned in column 3of the Schedule to the Govermentof lndia, Department of Personnel & Training O.M. No. 36012/22/93 ~Estt. (SCTJ dated08.09.1993.
Date District MagistrateDeputy Commissioner etc.
Seal
NB
(a) The term 'ordinarily' used here will have the same meaning as in Section 20 ofthe Representation of the Peoples Act, 1950.
(b ) Where the certificates are issued by Gazetted Officers of the Union Governmentor State Govements, thet should be in the same fr~m but countersigned by theDistrict Magistrate or Deputy Commissioner (Certificates issued by GazettedOffi~e.rs and attested by District Magistrate/Deputy Commissioner are n~~.f,l'O'H