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ON-LINE APPLICATION FOR SINGLE WINDOW OPERATOR(SWO)

22037
Please paste your recent passport size photograph and sign across it. Please retain atleast 5 copies of same photograph with you for subsequent use.

Registration #: Full Name: Category : If Person with Disability : Type of Disability : Do you intend to use the services of a scribe (only for VI & OC candidates whose writing speed is affected by cerebral palsy)?: Whether domiciled in Kashmir Division of the State of J & K during the period 1-1-1980 to 31-12-1989 ? Whether you belong to Religious Minority Community? : Religion to which you belong : Whether Children / Family members of those who died in 1984 riots? : Are you an Ex-Serviceman? : Are you a disabled Ex-Serviceman (DISXS)? : Period of Service in months : Are you a dependent of an Ex-Serviceman (DXS)? : Are you seeking relaxation under widow/divorced women/ women judicially Separated from their husbands and who are not re-married : Nationality : State / Union Territory for which you are applying : State code : Centre of Examination : Centre code : Application Fee / Postal Charges Details : Transaction ID : Branch Name : Branch Code : Date of Deposit : Amount :

3104734 YATIN ARORA GENERAL NO -NO NO NO -NO NO NO -NO NO indian Haryana 11 Chandigarh 22 Percentage of Disability : --

M559786 model town hissar 329200 15-04-2011 300

Personal Details :
Date of Birth : Age as on 01.01.2011: Gender : Father's Name / Husband's Name : Mother's Name : 09-09-1990 20 MALE SATISH CHANDER DARSHANA RANI

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Address for Correspondence : H.NO. 6/4 NEAR DADAL PARK HANSI District State : Pin : Permanent Address : HISSAR HARYANA 125033 H.NO. 6/4 NEAR DADAL PARK HANSI District State : Pin : HISSAR HARYANA 125033

Contact Details:
Phone No : Mobile No: Email ID : Qualification Details (as on 11.04.2011): 01663-259583 9467345103 yatinarora9@gmail.com

Exam Passed
Graduation Working Knowledge of MS Office : Other Details :

Subject/Stream
BBA

Year of Passing
2010 YES

% of Marks
63.00

Would You like to undergo Pre-Exam Training (SC/ST/Minority Community/ Ex-Servicemen/ Physically Challenged) : If Yes Centre for Training :

---

Languages Known Read

ENGLISH HINDI YES YES

Write
YES YES

Speak
YES YES

DECLARATION:
I hereby certify that the above information furnished is correct to the best of my knowledge and belief. I have not suppressed any material fact or factual information in the above statement. I am aware that in case I have given wrong information or suppressed any material fact or factual information or I do not satisfy the eligibility criteria according to the advertisement, then my candidature will be rejected/ service terminated even after permanent employment without giving any notice or reasons thereof. I hereby certify that I am satisfying the eligibility criteria for the post applied for in terms of advised criteria in respect of age, caste, educational qualification etc. I hereby agree that any legal proceeding in respect of any matter or claims or disputes arising out of application or out of said advertisement can be instituted by me only at New Delhi and courts/ Tribunal/ forums at New Delhi only, shall have sole and exclusive jurisdiction to any cause/ dispute. I undertake to abide by all the terms and conditions in the advertisement given by the Bank.

Place: Date: 25-04-2011 Signature of Applicant

Please retain your Registration No. and Password emailed to you carefully for further reference NOTE: Please DO NOT SEND application print-out to the Bank

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