Neelachal Gramya Bank

Application for Recruitment of Officer MMGS-III,Officer MMGS-II and Office Assistant

in Neelachal Gramya Bank
APPLICATION PRINT-OUT NEED NOT BE SENT TO THE BANK

Last Modified On : -- No.Of Times Modified : 0

20035

Registration No. : 14519

Post : Office Assistant
Post Code : 01
Full Name : SATYASUDHA MOHAPATRA
Category : GENERAL
Person With Disability : No
Type of Disability : --

Percentage of Disability : --
Do you intend to use the --
services of a scribe :
Whether you belong to No
Religious Minority Community :
Religion to which you belong: --
Domiciled in Kashmir Division: No
5 years of service in RRBs: No
Ex-Serviceman : No
Total Period of Service : (in --
Months)
Disabled Ex-Serviceman No
(DISXS) :
Dependent Ex-Serviceman No
(DXS) :
Seeking relaxation under No
widow/ divorced women/
women judicially Separated
from their husbands and who
are not re-married.
Domiclie of Orissa : Yes
Nationality : INDIAN
Centre of Examination : BHUBANESVAR
Centre code : 11

Application Fee/ Postal Charges Details :

Payment In Neelachal Gramya Bank
Transaction Sequence No./ 121
Batch No. :
Branch Name : BMC
DP Code : 20
Deposit Date : 02/04/2011 Amount : 500

Personal Details :
Date of Birth : 22/06/1987 Age completed as on 23
01.01.2011 :
Gender : Female
Husband's Name / PRATAP CHANDRA Mother's Name : BASANTI MOHAPATRA
Father's Name : MOHAPATRA
Address for Correspondence : J,K NATH
SAHEED NAGAR PLOT NO-
462
BHUBANESWAR
District : KHURDA
State : Orissa Pin : 751007
Permanent Address : J,K NATH
SAHEED NAGAR PLOT NO-
462
BHUBANESWAR
District KHURDA
State : Orissa Pin : 751007

Contact Details:
Phone No : - Mobile No : 9090027082
Email ID : etishree88@gmail.com

Qualification Details(as on 01.01.2011):

Exams Passed Name of the Course / Degree Year Of Passing % of Marks

HSC/Equivalent science 2004 75

Graduation Others 2007 45

Post Graduation

Professional Qualification

Others

Knowledge of Computers Skill : Yes

Details of computer Knowledge : PGDCA

Post Qualification work experience details (Start from present Employer) :

 Name of the Designation Period of Service Nature of duties Reason for Leaving Length of Service
Employer From-To performed (YY/MM)
-
-
-
-
-

Total Period of Work Experience (in months) : --

Knowledge of the local language of the State / Union Territory for which he / she is applying

Languages Known Read Write Speak

Oriya Yes Yes Yes

ENGLISH Yes Yes Yes

HINDI Yes Yes Yes

Pre-Examination Training : No
Centre for Pre-Examination Training : No
DECLARATION:

I 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 Mumbai and courts/ Tribunal/ forums at Mumbai 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: 05/04/2011
Signature of Applicant:
Name :SATYASUDHA MOHAPATRA

Note: Please retain your registration No. Password emailed to you and copy of printout carefully for further reference. Please DO
NOT SEND application print-out to the Bank.
Please retain your Registration No. and Password carefully for future reference.