Application Form For Recruitment Of Senior Account Assistant

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APPLICATION FORM FOR RECRUITMENT OF SENIOR ACCOUNT ASSISTANT IN
THE MANIPUR STATE CO-OPERATIVE BANK LTD.
1. Full name (in capitals) :
Paste (do not pin
or staple) a
recent colour
passport size
2. Father’s Name :
photograph of
size
4 cm x 5 cm
3. Permanent Address/Address for Communication :
(i) Village/Lane/Street:
(ii) P.O./B.P.O. :
(iii) Police Station:
(iv) District :
(v) Pin Code :
(vi) E-mail address :
4. Gender (Tick √) :
Male
Female
5. Marital status (Tick √) :
Married
Unmarried
6. Nationality :
7. Social Category (Tick√):
General
OBC
SC
ST
8. Religion :
9. Date of Birth (DD/MM/YYYY) :
10. Age (as on 01/09/2014) :
years
months
days
11. Visible Identification Marks, if any:________________________________________________________
12. Educational Qualifications (Matriculation and onwards):
Examinations
Board/University
Year of
Division/Grade
% of Marks
Subjects
Passed
passing
% of Marks
offered
Matric/HSLC
Higher Secondary/
HSSLC
Graduation
Post Graduation
Others/Computer
13. List of Enclosures :
DECLARATION
I hereby declare that all the statements made by me in the application are true and complete to the best of
my knowledge and belief and nothing has been concealed or suppressed. I also understand that in case if
any of my statement is found untrue during any stage of recruitment or thereafter, I shall be disqualified for
the post applied for and I shall be liable for any other action under the Rules.
Place _____________
(Signature of the Candidate)
Date ______________
(Not in Capital letters)
----------------- (0) -----------------

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