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Application Form - The Assam Co-operative Apex …

application format application for the post of deputy general manager (information technology) the assam co-operative apex bank ltd. to, the managing director

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Text of Application Form - The Assam Co-operative Apex …

APPLICATION FORMATAPPLICATION FOR THE POST OF DEPUTY GENERAL MANAGER (INFORMATION TECHNOLOGY) THE ASSAM CO-OPERATIVE APEX BANK LTD. To,The Managing DirectorThe Assam Co-operative Apex Bank , Panbazar, RoadGuwahati-781001Name of the Post:................................... ........................................ ...............1. Full Name (In Block Letters) Mrs. :....................................... ........................................ ...........2. Permanent Address (In Block Letters) ........................................ ........................................ ................................... ........................................ ........................................ .................................... ........................................ ........................................ Pin:..............................3. Address for Communication (In Block Letters) ........................................ ........................................ ................................... ........................................ ........................................ .................................... ........................................ ........................................ Pin:..............................4. Date of Birth (As per School leaving Certificate) Day__________________Month______________ ____Year________________ Age as on ____________Years ____________Months___________Days5. Telephone/ Mobile No:6. e-mail id:7. Gender: Male / Female8. Father s/ Husband s Name (In Block Letters)................................ ............9. Nationality:............................ .......................10. Religion:............................... .........................Recent Pass Port sizePhotograph11. Category(Please tick): General / SC / ST / OBC / Others If others, Please Place of Domicile: Educational and Professional QualificationsExaminationpassedName of theInstitution/UniversitySubjectsstudied Date, Month &year ofpassingPercentageof MarksClass/Division14. Particulars of Past Experience including the present Occupation/ JobName of theEmployer(s)Designation andrank, if anyPeriod ofServiceLengthofservice Nature ofdutiesperformedin detailReasons forleavingservicesFromTo15. Language Known (Please tick)LanguageReadWriteSpeakI hereby declare that all statements made in this application are true, correct andcomplete to the best of my knowledge and belief. In case of the information is found to befalse, incorrect and misleading at any stage, I shall have no claim against cancellation of mycandidature and / or taking other legal action as deemed fit by the Bank. Place:Date: Signature of the Applicant

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