1. ALLAHABAD BANK Affix your recent
BIO DATA CUM DECLARATION FORM passport size colour
(Please fill up this Bio Data Form and make 4 copies of it. Bring all the 5 copies at the time of interview) photograph &
sign(similar) across
so that a part of
1. (a) Post Applied for: SINGLE WINDOW OPERATOR - A (b) Roll No :……………………… the signature
2. (a) Date of Interview: ……………………………. (b) Interview Centre: ……………… spreads over the
3. Full Name (in Block Letters leaving one box blank between the parts of your name): application form
Shri/ Smt/ Kum : and photograph
4. Father’s/Husband’s Name:
5. Father’s Occupation (Service/Business/Agriculture): …………………. If service, give details : Post :
If Business, give details:
MARRIE SINGLE
6. Sex: M F 7. Marital status D
Full address of the Office with PIN Code/Mob. No.
……………………………………………………
8. (a) Date of Birth : ………………………………………………………
(Date) (Month) (Year) ………………………………………………………
(b) Age as on 01.01.2011 : _____ Years ______ Months ______ Days.
(i) Relaxation of Age ( if claimed) : _________ No of Years ; Under Category _____________________________
( SC/ST/OBC/PC/EXSM/Domiciled in Kashmir Division/Widow, Divorced who are not remarried/Children of those died in1984 riots )
(Please attach attested Photostat copy of relevant certificate)
9 .Category [PLEASE MENTION YES/ NO ] :
SC ST OBC General Whether MC (Sikh/Muslim/Christian/Neo-Buddhist/ Zoroastrian etc.)
Caste Creamy Non-Creamy Layer (please write community & attach copy of certificate)
Layer
(a) If SC/ ST/ OBC, please mention name of sub caste : _____________________________________________
(Please attach attested Photostat copy of Caste Certificate on prescribed proforma as applicable, issued by Competent Authority)
(b) If OBC, Date of issuance of relevant certificate : …………………….
(OBC Certificate on prescribed proforma issued by appropriate authority as per Govt. directives should not be more than one
year old as on the date of application i.e. issued on or after 01.04.2010.)
(c) If physically challenged (PC), [ PLEASE MENTION YES/NO ] :
Orthopaedically Challenged (OC) Hearing Impaired (HI) Visually Impaired (VI)
Deaf/Dumb Hearing impairment Blindness Low vision
(i) Percentage of Disability : _____ ( for OC candidates ), (ii) Hearing Impairment : …………. decibels ( for HI candidates )
(iii) Visual acuity : -------- --Snellen and Limitation of the Field of vision subtending an angle of : ………… Degree ( for VI candidates)
(Please enclose attested copy of medical certificate on prescribed proforma issued by competent authority/Medical Board as per Govt. of India)
(d) If EX-Serviceman : (i) Service in which force : (ii) Rank in which served :
(iii) Total period of service : (iv) Date of Discharge : (v) No objection certificate :
(attach copy of (vi) Whether Fit for Civil Employment [ PLEASE MENTION YES/NO ] :
discharge certificate) (vii) Whether re-employed after discharge [ PLEASE MENTION YES/NO ] :
10. Educational Qualifications: (As on 01.01.2011)
Examination/ Name of Date, Month % of Marks Whether
Exam/ Subjects Studied & Year of obtained in Name of Board/ University recognised
Degree Passing
Degree passed ( Whether Govt./Autonomous) by Govt.
aggregate * *
Of Years/ Semesters ( Yes/No)
th
12
Graduation
Post Graduation
Any Other
Qualifications
* * N.B. : The percentage of marks shall be arrived at by dividing the aggregate/ total marks obtained by the candidate in all the
2. subjects irrespective of optional/ additional/ pass subjects studied with the aggregate/ total maximum marks of the
examination passed ( both for pass and/ or Honours course) for all the years of the examination.
Signature as in written test call letter …………………………………………… Signature in Local Language …………………………………….
(2)
11. Computer Knowledge:
Name of the Subject/Area Duration Date of Name & address of Whether
Course/Read as covered/Exposed From To completion the Institution recognised
a subject in (Yes/No)
Exam.
12. Particulars of post qualification Experience including present occupation/job (as on 01.01.2011);
(Please attach copies of relevant certificates and No Objection Certificate from present Employer)
Name & address of the Designation Period of Length of Monthly Nature of duties Remarks
Organisation /Post held Service Service Salary Performed in detail (reasons for
From To Years Months leaving)
1.
2.
13.Languages Known :
Language Read Write Speak
14. Particulars of relative, if any, serving with Allahabad Bank :
Sl. No Name Designation Place of posting relationship
1.
15. Extra curricular Activities (Games/Membership/Association etc.) :
16. Hobbies:
17. Achievements, if any :
18. Permanent Address: ………………………………………………………………………………………………………………………
(Please mention H No, Lane/street/Road/Town, Village, Post, Via, Thana, District, State, PIN Code etc)
19. Address for Correspondence: ………………………………………………………………………………………………………….
(Please mention H No, Lane/street/Road/Town, Village, Post, Via, Thana, District, State, PIN Code etc)
20. Name of the State/UT to which you belong: District …………………………… State/UT…………………………………………..
21. Mobile No. …………………….………. Tel. No…………………………….. E-mail ID: …………………………………………….
22. Nationality : ……………………. 23. Religion : ………………………..
24. Have you already been called for Interview/ selected in any other Bank/Organization, give details:
……………………………………………………………………………………………………………………………………………….
25. Have you ever been arrested, or kept under detention or bound down/fined/convicted by a court of Law for any offence or
a case against you is pending in respect of any criminal offence/charge/is under investigation, inquiry or trial. Whether a case
against you is pending in respect of any criminal offence/charge/ is under investigation, inquiry or trial or otherwise.
[ PLEASE MENTION YES/NO If “Yes” full particulars of the case should be given:
Case/Suit No. …………………….. Thana/Court…………………. Section/Act………………………………
Summary of case:………………………………………………………………………………………………………………………..
Declaration
I hereby declare that all the statements made above are true, complete and correct to the best of my knowledge and belief. I understand and
agree that misrepresentation, falsification or omission of material facts if found at any stage or not satisfying the eligibility criteria (as on
01.01.11) according to the requirements of the advertisement for the post, my candidature/ appointment is liable to be cancelled/ terminated.
I am wiling to serve anywhere in the State/U.T. I undertake to abide by all the terms & conditions mentioned in the advertisement/Service
Regulation of the Bank for the said post.
Date:
Place:
Roll No. :
Signature as in written test call letter ……………………………………………….
Signature in Local Language …..…………………………………………………….
3. Name :
N.B.: Please bring all the Original certificates/testimonials/experience certificates/mark sheets of all the examinations/semesters passed along with
attested Photostat copies thereof. Wherever required separate sheet regarding post qualification experience/previous employments etc. may be
attached.