reserve bank of india services board · buddhist/christian/muslim/sikh/zoroastrian 5

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Registration/ Receipt No………………….. Page 1 of 4 भारतीय रव बक ससे बोडव RESERVE BANK OF INDIA SERVICES BOARD बई/ MUMBAI -400 008 जीनृ फामव /BIO-DATA FORM आेददत पद/POST APPLIED FOR ……………………………………………………. रोल न ./ ROLLNO.…………………… सााकार का मायम/MEDIUM OF INTERVIEW:………………………………………………………………………………….. 1 पूरा नाम ी/ीमती/. Name in full Shri/Smt./Kum…………………………………………………………………………………………………….. (जैसा मेरिकलेशन अथा समक माणप म ददया गया है ; यदद नाम बदला गया हो तो आयक दताेजी साय तत कर ) (As recorded in Matriculation or equivalent certificate; in case of change in name, please produce necessary documentary evidence) 2 तवमान डाक पता/Present Postal address: नजदीकी रेले टेशन/ Nearest Railway Station: ……………………………… 3 पता/पत का नाम तथा साय: Father’s /Husband’s name and Occupation:……………………………………………………………………………….. ____________________________________________________________________________________________________ 4 गव / Category: अजा/SC अजजा/ST अप/OBC सामाय GENERAL (उिपत बॉकस पर रटक() कर /Tick ()the appropriate box) () अजा/अजजा/अिपव के मामले म जापत/उपजापत/जनजापत पलख/ (a) in case of SC/ST/OBC, Indicate Caste/Sub-caste/Tribe) ................................................................. () पन:शकतजन उ मीदवा/ (b) Persons with Disability (PWD) Candidate .िव. Orthopedically Handicapped बपधर/ Hearing impaired दृ ../ Visually Handicapped 4 A या आप अपसयक समदाय से सबपधत है ? यदद हा तो समदाय का नाम इपगत कर /Whether you belong to minority community? If so please indicate which community हा /नह:बौ/ईसाई/मपलम/पसख/जोरापियन Yes/No: Buddhist/Christian/Muslim/Sikh/Zoroastrian 5 रािीयता/Nationality: ……………………………………………. 6 भूतपूव सैपनक/ Ex-Serviceman: हा /नह Yes/No ासी/ Migrant: हा /नह Yes/No टाफ / Staff: हा /नह Yes/No 7 ईी सन म जम पतपथ/Date of Birth in Christian Era: ……........ /....….. / ……………….(DD / MM / YYYY) पासपोटव आकार का नीनतम हताररत फोटो पिपकाए / Affix a signed latest passport size photograph /

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  • Registration/ Receipt No.. Page 1 of 4

    RESERVE BANK OF INDIA SERVICES BOARD

    / MUMBAI -400 008

    /BIO-DATA FORM

    /POST APPLIED FOR .

    ./

    ROLLNO.

    /MEDIUM OF INTERVIEW:..

    1 // .

    Name in full Shri/Smt./Kum..

    ( ; )

    (As recorded in Matriculation or equivalent certificate; in case of change in name, please produce necessary

    documentary evidence)

    2 /Present Postal address: /

    Nearest Railway Station:

    3 / :

    Fathers /Husbands name and Occupation:..

    ____________________________________________________________________________________________________

    4 / Category: /SC /ST /OBC

    GENERAL

    ( () /Tick ()the appropriate box)

    () // // /(a) in case of SC/ST/OBC, Indicate Caste/Sub-caste/Tribe) .................................................................

    () : /

    (b) Persons with Disability

    (PWD) Candidate

    ..Orthopedically

    Handicapped

    /

    Hearing

    impaired

    ../

    Visually

    Handicapped

    4

    A

    ?

    /Whether you belong to minority

    community? If so please indicate which community

    /:// //

    Yes/No:

    Buddhist/Christian/Muslim/Sikh/Zoroastrian

    5 /Nationality:

    .

    6 /

    Ex-Serviceman:

    /

    Yes/No

    /

    Migrant:

    /

    Yes/No

    /

    Staff:

    /

    Yes/No

    7 /Date of Birth in Christian Era:

    ........ /...... / .(DD / MM / YYYY)

    /

    Affix a signed latest

    passport size

    photograph

    /

  • Registration/ Receipt No.. Page 2 of 4

    8 // ( /... )/

    Academic/Technical/Professional qualification (Matriculation/S.S.C. Examination onwards)

    /

    Examinations

    Passed

    /

    /

    College/ School

    /

    Year of

    Passing

    (/,

    )/

    Examination Body

    (Board/University

    etc.)

    /

    Main

    Subject

    /

    No. of

    attempts

    made

    % /

    Exact %

    of marks

    with

    fraction

    * /

    Class

    Grade*

    and

    Rank

    1.

    2.

    3.

    4.

    5.

    6.

    * /

    * In case of Grade exact numerical equivalent to be supported by a certificate from appropriate authority.

    9 ()

    (a)

    /

    Particulars of very high academic or professional qualifications/experience of value to the Bank.

    ()

    (b)

    * / ( 13 )

    Gross Salary per month drawn from previous/existing employer (As shown in column 13)

    ()

    (c)

    () () /

    ,

    Whether on the basis of (a) & (b) the candidate would desire to have advance increment/s

    in the pay scale offered, if selected. If so, how many and the justification for the request.

    ..

    10 //

    Particulars of Prizes/Medals/Scholarship obtained

    11 /

    ( , )

    Proficiency in sports/extra-curricular activities

    (including credits & distinctions obtained, if any)

  • Registration/ Receipt No.. Page 3 of 4

    12 (() )/

    Knowledge of Languages other than English (indicate by a tick () mark)

    /Language /

    Can Speak

    /

    Can read

    /

    Can write

    , /

    Examination passed, if any

    13

    /Particulars of present and previous employment

    /Name & Address

    of employer

    /period /

    Designation and nature of duties

    /

    Gross Salary

    drawn p.m.

    /

    Reason for

    leaving

    /From /To

    14 /

    Previous attempts for recruitments for post advertised by RBI Services Board

    ()

    (a)

    Name of the Post

    (

    (b)

    Date of Examination

    ()

    (c)

    Whether called for interview and the final result

    15

    /

    / ?

    Have you ever been debarred or disqualified by any Public Service Commission/any other

    Recruitment Board including RBI Services Board for any of their Examination/Selections? If

    answer to above is Yes give details

    /

    Yes/No

  • Registration/ Receipt No.. Page 4 of 4

    16 ()

    (a)

    - ?

    Are you free from debt?

    /

    Yes/No

    ()

    (b)

    If you are under any liability to repay money advanced by any institution of party for your

    education or for any other purpose, state the particulars.

    () () /

    If answer to (a) is No answer question (b) clearly

    /

    Yes/No

    17

    Additional particulars which the candidate may like to furnish.

    18 /Particulars of copies of certificates enclosed

    1.

    2.

    3.

    4.

    5.

    6.

    / s ,

    / /

    I certify that the particulars furnished above are true, correct and complete to the best of my knowledge and belief. I also

    certify that I fulfil the eligibility criteria laid down for the post in the relative advertisement in all respects. I am not aware of

    any circumstances which might impair my fitness for employment in the Bank.

    _______________________________

    /Signature of the candidate.

    /Place:

    /Date: