Surname:
First name:
PERSONAL DETAILS
CURRENT ADDRESS
Father's Name / Husband's Name:
Residence Address:
City:
Taluka:
District:
State:
Pincode:
PERMANENT ADDRESS
Permanent Address as Above :
Yes
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Permanent Address:
City:
Taluka:
District:
State:
Pincode:
POST APPLIED FOR
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Jr.Management
Sr.Bank Assistant
Jr.Bank Assistant
Peon
Watchman
PAYMENT DETAILS
Challan no:
Challan Date:
Marathi
Read:
Write:
Speak:
English
Read:
Write:
Speak:
Hindi
Read:
Write:
Speak:
CONTACT DETAILS
Mobile no.:
Landline no.:
Email ID:
SPECIALCASE APPLICANT
Prakalp Grasta:
Earthquake Prone:
Ex-Serviceman:
Sportsman:
Disabled:
Part time Employed:
OTHER DETAILS
Date of Birth:
Age:
Mother Tounge:
Gender:
Male
Female
LANGUAGES KNOWN
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EDUCATIONAL QUALIFICATION
Name of exam passed
Name of Board / University
Month and Year of Passing
Marks Obtained
Percentage of Marks
Name of exam passed
Name of Board / University
ADDITIONAL QUALIFICATION
Month and Year of Passing
Marks Obtained
Percentage of Marks
JOB APPLICATION
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