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Registration Number : 270252980 Full Name : Sukanya Bhawal Category : Unreserved If Physically Challenged : NO Type of Disability : Percentage of Disability : Are you suffering from cerebral palsy and your writing speed is affected? : If Yes, Do you need compensatory time ? : Whether your dominant (Writing) hand affected ? : If Yes,Do you need compensatory time ? : Do you intend to use the services of a scribe (only for VI or OC Candidates) ? : Whether domiciled in Kashmir Division of the State of J&K during the period 111980 to 31121989 : ? : NO Whether are you a Children/Family Members of those who died in 1984 Riots? : NO Religion to which you belong : Hindu Whether you belong to Religious Minority Community ? : : NO Are you an ExServiceman : NO Period of Service as an Ex Serviceman (in months) : : Nationality : : Indian Centre of Examination : Kolkata Application Fee / Intimation charges: Payment In : ONLINE Amount : 600.00 Bank of Baroda ADMISSION TO BARODA MANIPAL SCHOOL OF BANKING PROJECT 201516

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  • 3/17/2015 AdmissiontoBarodaManipalschoolofbankingProject201516inBankofBarodaApplicationFormPrint

    http://ibps.sifyitest.com/bobmsbmar15/registration_print.php?q=MDA0NTk4OWNjNWE3MTEzM2Q3YTAyNWMwM2NkOTg1OTN8MjcwMjUyOTgw 1/3

    RegistrationNumber : 270252980

    FullName : SukanyaBhawal

    Category : Unreserved

    IfPhysicallyChallenged : NO

    TypeofDisability :

    PercentageofDisability :

    Areyousufferingfromcerebralpalsyandyourwritingspeedisaffected?

    :

    IfYes,Doyouneedcompensatorytime?

    :

    Whetheryourdominant(Writing)handaffected?

    :

    IfYes,Doyouneedcompensatorytime?

    :

    Doyouintendtousetheservicesofascribe(onlyforVIorOCCandidates)?

    :

    WhetherdomiciledinKashmirDivisionoftheStateofJ&Kduringtheperiod111980to31121989:?

    : NO

    WhetherareyouaChildren/FamilyMembersofthosewhodiedin1984Riots?

    : NO

    Religiontowhichyoubelong : Hindu

    WhetheryoubelongtoReligiousMinorityCommunity?:

    : NO

    AreyouanExServiceman : NO

    PeriodofServiceasanExServiceman(inmonths):

    :

    Nationality: : Indian

    CentreofExamination : Kolkata

    ApplicationFee/Intimationcharges:

    PaymentIn : ONLINE

    Amount : 600.00

    BankofBarodaADMISSIONTOBARODAMANIPALSCHOOLOFBANKINGPROJECT201516

  • 3/17/2015 AdmissiontoBarodaManipalschoolofbankingProject201516inBankofBarodaApplicationFormPrint

    http://ibps.sifyitest.com/bobmsbmar15/registration_print.php?q=MDA0NTk4OWNjNWE3MTEzM2Q3YTAyNWMwM2NkOTg1OTN8MjcwMjUyOTgw 2/3

    PaymentStatus : PAID

    ReferenceID : BUPG3708190700

    TransactionDate : 17032015

    PersonalDetails

    DateofBirth : 23021991

    Agecompletedason17.03.2015 : 24

    Gender : FEMALE

    MaritalStatus : Unmarried

    FathersNameinFull : SwapanBhawal

    MothersNameinFull : KuheliBhawal

    HusbandsNameinFull :

    AddressforCorrespondence : 304APurbachalKalitalaRoad

    : IshanaAppt

    District : Kolkata

    State : WESTBENGAL

    Pincode : 700078

    PermanentAddress : 304APurbachalKalitalaRoad

    : IshanaAppt

    District : Kolkata

    State : WESTBENGAL

    Pincode : 700078

    ContactDetails

    PhoneNo :

    MobileNo : +919531745223

    EmailID : [email protected]

    QualificationDetails(ason01.06.2015):

    ExamPassed Degree/Subject/Stream DateofPassing

    %ofMarks

    Class/Grade

    Graduation/Equivalent:Passed

    Engineering 20072013 74.40 FirstClass

    OtherDetails:

    LanguagesKnown Read Write Speak

  • 3/17/2015 AdmissiontoBarodaManipalschoolofbankingProject201516inBankofBarodaApplicationFormPrint

    http://ibps.sifyitest.com/bobmsbmar15/registration_print.php?q=MDA0NTk4OWNjNWE3MTEzM2Q3YTAyNWMwM2NkOTg1OTN8MjcwMjUyOTgw 3/3

    Bengali YES YES YES

    English YES YES YES

    Hindi YES YES YES

    Haveyoueverbeenarrestedorkeptunderdetention/wasimprisonedorbounddown/fined/convictedbyaCourtofLawforanyoffenceorFIRlodged/complaintregistered/chargesframedagainstyouoranycriminalcasependingagainstyoubeforeanycourtofLaw/authorityordebarred/disqualifiedbythePublicServiceCommissionfromappearingatitsexaminationselectionordebarredfromtakinganyexaminationorrestrictedbyanyauthority/anyinstitution/terminatedfromservicebyanypreviousemployerforanycriminaloffence/indisciplineforanyotheract/sofmisconductsetc

    : NO

    Ifyes,statefullparticularsofthecase/s,misconduct/s,offence/s,detention,imprisonment,fine,conviction,sentence,FIR,chargedframedagainst,asthecasemaybe.

    :

    Date:17032015 SignatureofApplicant


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