Bandhan Bank
Bandhan Bank BER
H.R. Department - Zonal Office
Govt. Regd. No.- 50087 : 66548
Application for the post of.
PHOTO
NAME OF THE CANDIDATE WITH
SURNAME IN (BLOCK LETTERS)
"ADDRESS FOR COMMUNICATION
CONTACT NO. / E- MAILID
FATHER’S / HUSBAND'S NAME
EMPLOYMENT EXCHANGE /
SAINIK BOARD REGISTRATION
NO. AND NAME OF THE DISTRICT
WHERE IT WAS REGISTERED.
DATE OF BIRTH AND AGE
MARITAL STATUS:
RELIGION
EDUCATIONAL QUALIFICATIONS
(ENCLOSE MARK LISTS FOR SSC
OR ITS EQUIVALENT AND
INTERMEDIATE OR IT’S,
EQUIVALENT
10
‘CATEGORY (BELONGS TO SC/ST/
(OBC/ PWD/ EX-SM)
i
SUB - CASTE
12
PLACE OF DOMIDIE
B
‘ARE YOU A DEPENDENT OF EX-
SERVICMAN KILLED IN ACTION 71m
(a) DO YOU HAVE ANY OF THIS FOLLOWING
DISABILITY. IF SO DETAILS :
(i) BLINDNESS / LOW VISION (VH)
(ii) HEARING IMPAIRMENT (HH)
(lil) LOCOMOTORS DISABILITY (LM OR OH)
(b) PERCENTAGE OF DISABILITY AS CERTIFIED
BY MEDICAL BOARD / MEDICAL
AUTHORITY
EAN a
INAME & ADDRESS OF| fw
Sienueten
iu
Tse)
Nite
16 | WHETHER ANY CRIMINAL / CIVIL ACTION IS PENDING AGAINST
YOU IN ANY COURT OF LAW IN THE COUNTRY, IF SO, FURNISH
THE
DETAILS IN BRIEF.
17 _| HAVEYOU BEEN CONVICTED ANY TIME?
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment , | understand that false or misleading information in my
application
or interview may result in my release.
DOCUMENT VERIFICATION CHARGE RS. 401/- AS PER COMPANY RULE & REGULATION AT THE TIME OF|
‘SUBMISSION YOUR APPLICATION MUST BE PAID SERVICE / VERIFICATION CHARGE ONLINE MODE.
Date:
Place:
Signature of the Candidate