The document is an online application for a clerk position with Bank of Baroda. It contains personal details such as name, date of birth, address, qualifications, and experience for Ms. Malvia Isha Prakashbhai. She is applying for positions in Surat, Valsad, and Baroda districts of Gujarat. The application includes details of her educational qualifications, languages known, and a declaration agreeing to the terms of application and employment.

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ON-LINE APPLICATION FOR BANK OF BARODA CLERKS RECRUITMENT PROJECT
28031
Please paste your recent
passport size photograph
and sign across it. Please
retain atleast 5 copies of
same photograph with you
for subsequent use.
Registration # : 3553453
Full Name : Ms Malvia Isha Prakashbhai
Category : GENERAL
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 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?
Are you Children/family members of those who died in 1984 riots NO
Whether you belong to Religious Minority Community NO
Minority Religion : --
Are you an Ex-Serviceman (Including ECO/SSCO)? NO
Are you a disabled Ex-Serviceman (DISXS) NO
Are you a dependent of an Ex-Serviceman (DXS) NO
Have you passed in Service (Departmental) Examination which is equivalent
NO
to Civil Examination not below the rank of HSC?
Are you seeking relaxation under widow/divorced women/women judicially/
NO
Separated from their husbands and who are not re-married?
District Preference for Posting :
District Preference 1 : Surat
District Preference 2 : Valsad
District Preference 3 : Baroda
Are you an employee of Bank of Baroda : NO
If yes,E. C. No :
Nationality : Indian
State / Union Territory for which you are applying : Gujarat
State / UT code : 20
Centre of Examination : SURAT
Centre code : 12
Application Fee / Postal Charges Details :
Transaction ID : M104040
Branch Name : Citilight
Branch Code No : 2949
Deposit Date : 04-02-2011
Amount : 200
Personal Details :

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Date of Birth : December 27,1990 Age as on on 01.01.2011. : 20
Gender : FEMALE
Father's Name/ Husband's Name : Prakashbhai Malvia
Mother's Name : Kalpana Malvia
Email ID : ishu.malvia@gmail.com
Address for Correspondence : Poojan Farm House Sultanabad
Ramji Pema Ni Wadi
Dumas
District Surat
State : GUJARAT
Pin : 395007
Permanent Address : Poojan Farm House Sultanabad
Ramji Pema Ni Wadi
Dumas
District Surat
State : GUJARAT
Pin : 395007
Contact Details:
Phone No : 0261-2250261
Mobile No: 9624160036
Qualification Details (as on 01.01.2011):
Exams Passed Subject/Stream University / Board Year Of Passing % of Marks
HSC / Equivalent : Commerce GSEB 04-06-2008 67.43
Diploma in Banking : NO
Possess certificate in computer literacy : YES
Post qualification work experience details as on 01.01.2011 (Start from Present Employer) :
No Experience
Other Details :
Whether desirous of taking Pre-Exam Training
--
(SC/ST/PWD/Minority Community) :
If Yes Centre for Training : --
Languages Known Read Write Speak
English YES YES YES
Hindi YES YES YES
Gujarati YES YES YES
DECLARATION:
I hereby certify that the information furnished above 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/services 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 the advised criteria in respect of age, educational
qualification and experience, etc.
I am also willing to serve anywhere in India. I agree that the Bank has the right to transfer me to any part of the country and/or to any
job position at its sole discretion in terms of applicable staff rules from time to time.
I hereby agree that any legal proceeding in respect of any matter(s) or claims or disputes arising out of this application or out of said advertisement

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can be instituted by me only at Mumbai and Courts/Tribunal/ Forums at Mumbai only, shall have sole and exclusive jurisdiction to try any cause/dispute. I
undertake to abide by all the terms and conditions mentioned in the advertisement given by the Bank.
Place:
Date: 07-02-2011 Signature of Applicant
Malvia Isha Prakashbhai
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