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 # : Full Name : Post 34740 JOYDIP GHOSAL IT OFFICER- MMGS-II

: : :

Category

GENERAL N Percentage of Disability N

Person with Disability Type of Disability :

Domiciled in Kashmir :

Belong to Religious Minority Community : N ExServicemen : Employee of UCO Bank : Centre of Exam : Name of Issuing Bank: Place of Issue: Demand Draft No: MICR No.: Date of Issue : Date of Birth : Gender : N N KOLKATA STATE BANK OF INDIA Centre code : 20

KONNAGAR 689909 000002000

23 May, 2009 03 September, 1981 MALE Application Fee : Age in completed years as on 01.04.2009 : 250 27

Father's Name : Email ID : Address for Correspondence :

SRI JOYDEB GHOSAL joydip.ghosal@gmail.com

Mother's Name :

SMT ARATI GHOSAL

17/D SURATH BANERJEE LANE KONNAGAR HOOGHLY

WEST BENGAL State : Contact Details: STD Code 033 : Mobile No : 9331050998

Pin :

712235

Phone No :

26748027

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 2007 2007 2004 % of Marks 79 79 44

17.Post Qualification Work Experience details as on 01.04.2009

Organisation Served Designation and rank, if any Period of Service Nature of duties performed Reason for leaving services Year of Experience

From (dd/mm/yyyy) ASSURGENT TECHNOLOGY SOLUTION PVT LTD DB INFO SOLUTION PVT LTD PHOTOGRAMATIST 16 August, 07

To(dd/mm/yyyy) 13 October, 08 SOFTWARE DEVELOPMENT PERSONAL 1.2

PHP DEVELOPER

01 December, 08

31 March, 09

WEB DEVELOPER IN PHP,MY SQL

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.