Application Form for Syndicate Bank Recruitment 2015 - 2016, Clerk,PO,Special Officers Posts

1. Application Form For Syndicate Bank Recruitment 2015 - 2016|Clerk|PO|Special Officers Posts APPLICATION FORM FOR TEMPORARY ATTENDER Name in FULL (in CAPITALS) Village/Town Taluk/Tehasil District State Contact No. Telephone Date of birth (with proof) Category (Tick _/) SC Whether you are an ex- If yes, no. of years of Serviceman (Yes or No) service in Defence Service Whether you are a Physically If yes, nature of Disability Disabled Person (Yes or No) visual, Orthopaedic, Hearing Impairment Martial Status Single Nationality Educational Qualification acquired as on date (copy of certificate to be enclosed) Language known Read Write Speak Whether your name has been 1. Name and address of the Registered with Employment employment exchange Exchange. If so, furnish details & copy of the certificate to be enclosed) Registration with employment exchange is mandatory Gender Pin Code Mobile No. Male OBC Date of discharge Percentag e of disability Widowed Religion 2. Registration No. allotted by the employment exchange and Date Female OBC ST Divorced Married Enclosures: 1.Copy of Educational Qualification. 2.Copy of Caste Certificate (where ever applicable) 3.Copy of Employment Exchange Registration. 4.Copy of Date of birth certificate/proof 5.Copy of Medical Certificate (where ever applicable) (Please tick mark) I, hereby declare that the above statements are true, complete and correct and also that no facts have been suppressed. Further, if the furnished information given by me is found to be false or incorrect at a later date, my candidature is forfeited. Place: Date: SIGNATURE

2. FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR APPOINTMENT TO POSTS UNDER THE GOVERNMENT OF INDIA This is to certify that Sri/Smt/Kumari ……………………………………………………………………………. son/daughter of ……………………………………………….. of village/town …………………………………. in District/Division ………………………………………………in the State Union Territory ……………….. Belongs to the ………………………………………………… Community which is recognized as a backward class under the Government of India, Ministry of Social Justice and Empowerment’s Resolution No……………………………… dated …………………………. Sri /Smt/Kumar ……………………………………… and / or his/her family ordinarily reside(s) in the ………………………….District/division of the …………………………………………..State/Union Territory. This is also in certify that he/she does not belongs to the persons/sections (Creamy Layer) mentioned in column 3 of the Schedule to the Government of India. Department of Personnel & Training (I.M 36012/22/93) Estt(SCT) dated 08.09.1993** Syndicate Bank Recruitment 2015 – 2016 Full Details http://www.recruitmentinboxx.com/syndicate-bank- recruitment/1274/