VIJAYA BANK
Regional Office: CHANDIGARH
VIJAYA BANK, a leading listed
Public Sector Bank, having Head Office in Bangalore, with all India
representation, invites applications for recruitment for the post of PEONS in the States of Haryana, Himachal Pradesh, Punjab and the UT of Chandigarh.
RECRUITMENT NOTIFICATION
Last date for receipt of
applications : 12.07.2014
Last date for receipt of
applications : 21.07.2014
from far-flung areas
1. Name of the Post : PEON
2. Cadre : Sub-staff
3. Scale of Pay & allowances :
Rs.5850-200/4-6650-250/5-7900-300/4-9100-350/3-10150
-400/3-11350
APPLICATION
FORM
To
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The Asst./Dy./General Manager
Regional Office
Vijaya Bank
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With
reference to your advertisement in ________________ dated _______, I submit my
application in the prescribed format.
Name
of the post applied for : PEON
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1. CATEGORY TO WHICH I BELONG:
SC: ST: OBC: GEN:
(Indicate by Ö
mark in appropriate box.)
2. FULL NAME IN BLOCK LETTERS:
(Leave one space blank between two parts of your name)
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Mr./Ms.
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3. (a) ADDRESS FOR CORRESPONDENCE:
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Pin Code:
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3. (b) TELEPHONE NO. WITH STD CODE
MOBILE NO.
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4. 
DATE
OF BIRTH : DD M M YY
DATE
OF BIRTH : DD M M YY
5. AGE (As on 30.09.2013) : __________ completed years.
6. PARTICULARS OF FEES (Demand
Draft)
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Name & Address of issuing
Bank/Branch
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Drawn
in favour of
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Date
of Issue
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DD
No.
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Amount
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(Application fees should be sent in
the form of DD favouring " Vijaya Bank - Recruitment of Peons- 2013-14
" and payable at CHANDIGARH Cash, Money Order, Postal
Stamps/postal orders will not be accepted.
7. INDICATE BY Ö
MARK IN APPROPRIATE BOX:
i) GENDER: MALE FEMALE
YES NO
ii)
Are you a widow?
YES NO
iii)
a) Are you an Ex-serviceman:
b) In case of Ex-serviceman/Commissioned
Officer/Police Officer/
Other Equivalents, specify
1. Date of discharge:
__________________
2. Rank at present/last held A) Acting________ w.e.f._______
B) Substantive______ w.e.f.______
OC
HI VI
iv)
SUB-CATEGORY UNDER
PERSONS WITH DISABILITY
(Indicate by Ö mark in appropriate box.)
v) Are you a candidate who is
ordinarily being domiciled in Kashmir Division
during the period 01.01.1980 to 31.12.1989. YES NO
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vi) Whether
children/family members of those died in 1984 riots :
YES NO
vi) Whether you belong to
Minority community : YES NO
If yes, please state the religion:
____________
vii)
In case of SC/ST/OBC Candidate
a) Name of the Caste/Tribe/Class :
_____________
b) Name of the state to which I
belong : _____________
viii) Married/Unmarried :
8. EMPLOYMENT EXCHANGE REGISTRATION
NUMBER & NAME OF THE EMPLOYMENT EXCHANGE:__________________________if any.
9. FATHER’S/HUSBAND’S NAME (indicate
appropriately):
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Mr.
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10. NATIONALITY :
____________________
11. PLACE OF BIRTH: Place
_______ Dist._________ State________
12. PERMANENT ADDRESS:
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Pin Code:
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13. EDUCATIONAL QUALIFICATION
(From VIII Standard onwards; as on 30.09.2013):
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Examination
Passed
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Name
of the Institution studied
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Month
& Year of passing
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%age
of marks
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(If space is not sufficient, please attach separate sheet)
14. PARTICULARS OF EXPERIENCE, IF
ANY:
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Name
of the employer & nature of activities carried by them
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Period
of Service
From To
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Length
of Service
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Nature
of duties performed
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Remarks
(Reason for leaving service)
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Years
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Month
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(If space is not sufficient,
please attach separate sheet. Copies of
appropriate certificate to be attached).
15. Languages known : (Indicate by Ö mark in appropriate box)
(A) __________________
Read/Write/Speak
(B) __________________
Read/Write/Speak
(C) __________________
Read/Write/Speak
(D) __________________
Read/Write/Speak
16. Details of disciplinary proceedings and :
punishment, if any, imposed in the
course
of employment by the employer
17. Any other information :
________________________________
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 agree that Bank has right to transfer me to any part of
the State 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 CHANDIGARH.
I undertake to abide by all the terms and conditions mentioned in the
advertisement given by the Bank.
PLACE:
______________
DATE : _____________
SIGNATURE OF THE APPLICANT
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