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UCO BANK

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UCO BANK - RECRUITMENT OF SPECIALIST OFFICERS ONLINE APPLICATION FORM FOR THE SPECIALIST OFFICERS Please check Print Preview in A4 size Portrait format with 0.25" margin from all sides (Click to Print )

To, UCO BANK Post Box No. 7478, Jogeshwari (East), MUMBAI , 400 060.

With reference to your advertisement on bank's website , I submit my application in the prescribed format. Registration # :

34740

Full Name :

JOYDIP GHOSAL

Post

:

Category

IT OFFICER- MMGS-II

:

Person with Disability

GENERAL

:

N

Type of Disability : Domiciled in Kashmir :

Percentage of Disability

:

N

Belong to Religious Minority Community : N ExServicemen :

N

Employee of UCO Bank :

N

Centre of Exam :

KOLKATA

Name of Issuing Bank:

STATE BANK OF INDIA

Place of Issue:

KONNAGAR

Demand Draft No:

689909

MICR No.:

000002000

Date of Issue :

23 May, 2009

Date of Birth :

03 September, 1981

Gender :

MALE

Centre code :

Application Fee : Age in completed years as on 01.04.2009 :

20

250 27

Father's Name :

SRI JOYDEB GHOSAL

Email ID :

[email protected]

Address for Correspondence :

SMT ARATI GHOSAL

Mother's Name :

17/D SURATH BANERJEE LANE KONNAGAR HOOGHLY

WEST BENGAL

Pin :

712235

Phone No :

26748027

State : Contact Details: STD Code 033 : Mobile No :

9331050998

Details of Educational Qualification:(as on 01.04.2009) Exams Passed Graduation Post-Graduation Professional Degree Other

Subject Studied Select MCA/DOEACC – B LEVEL MCA BSc in Physics Hons

Year of Passing

% of Marks

2007 2007 2004

79 79 44

17.Post Qualification Work Experience details as on 01.04.2009 Organisation Served

Designation and rank, if any

Period of Service

From (dd/mm/yyyy)

To(dd/mm/yyyy)

Nature of duties performed

Reason for leaving services

PERSONAL

ASSURGENT TECHNOLOGY SOLUTION PVT LTD

PHOTOGRAMATIST

16 August, 07

13 October, 08

SOFTWARE DEVELOPMENT

DB INFO SOLUTION PVT LTD

PHP DEVELOPER

01 December, 08

31 March, 09

WEB DEVELOPER IN PHP,MY SQL

Year of Experience

1.2

0.30

Whether desirous of using services fo scribe:(only for VI and OC both hands affected by cerebral palsy): N

Declaration : I hereby declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements of the relative advertisement, my candidature/ appointment is liable to be cancelled/ terminated. I am wiling to serve anywhere in INDIA. I also agree that Bank has the right to transfer me to any part of the country at its discretion. I hereby agree that any legal proceedings in respect of any matter(s) or claims or disputes arising out of this application and/ or out of said advertisement can be instituted by me only in Kolkata and Courts / Tribunal/ Forums at Kolkata only shall have sole and exclusive jurisdiction to try any cause/ dispute. I undertake to abide by all the terms & conditions mentioned in the advertisement given by the Bank.

Signature of the candidate Name : Place : Date :

Note:



The candidate must retain the photocopy of the sent print out of application form for further reference.

Please retain your Registration No. and Password carefully for further reference.

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