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ON-LINE APPLICATION FOR SINGLE WINDOW OPERATOR(SWO)
27038
Registration #: 3125637
Full Name: HANAMANT ANNAPPA DALAWAI
Category : OBC
If Person with Disability : NO
Type of Disability : -- Percentage of Disability : --
Do you intend to use the services of a scribe?( only for VH and OH
NO
candidates whose writing speed is affected by cerebral palsy)? :
Are you candidate who had ordinarily been domiciled in Kashmir
NO
Division of the State of J&K during the period 1-1-1980 to 31-12-1989?
Whether you belong to Religious Minority Community? : NO
Religion to which you belong : --
Are you an Ex-Serviceman? : NO
Are you a disabled Ex-Serviceman (DISXS)? : NO
Period of Service in months : --
Are you a dependent of an Ex-Serviceman (DXS)? : NO
Are you seeking relaxation under widow/divorced women/
women judicially Separated from their husbands and who are NO
not re-married :
Nationality : INdian
State / Union Territory for which you are applying : Karnataka
State code : 14
Centre of Examination : Belgaum
Centre code : 47
Application Fee / Postal Charges Details :
Receipt Number (TSL No.) : 1063
Branch Name : KLS BRANCH TILKWADI
Branch Code No : 2003
Date of Deposit : 21-04-2011
Amount : 200
Personal Details :
Date of Birth : 06-06-1988
Age as on 31.03.2011: 22
Gender : MALE
Father's Name / Husband's Name : ANNAPPA
Mother's Name : KASAVVA
Address for Correspondence : HANAMANT ANNAPPA DALAWAI

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AT POST-SATTI
TQ-ATHANI
District BELGAUM
State : KARNATAKA
Pin : 591240
Permanent Address : HANAMANT ANNAPPA DALAWAI
AT POST-SATTI
TQ-ATHANI
District BELGAUM
State : KARNATAKA
Pin : 591240
Contact Details:
Phone No : -
Mobile No: 9980006279
Email ID : hanamant6@gmail.com
Qualification Details (as on 31.03.2011):
Exams Passed Subject/Stream Year of Passing % of Marks Class / Grade
Graduation : BBA 2010 66.00 First Class
working knowledge of computers : YES
Details of Computer Knowledge : MS OFFICE C
Other Details :
Whether desirous of taking Pre-Exam Training (SC/ST/Ex-
--
Servicemen/Minority Community/DISXS/DXS) :
If Yes Centre for Training : --
Languages Known Read Write Speak
KANNADA YES YES YES
ENGLISH YES YES YES
HINDI YES YES YES
DECLARATION:
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 Mangalore and courts/ Tribunal/ forums at Mangalore 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: 23-04-2011 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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