Federal Bank PERSONAL DATA FORM Campus R
APPLICATION CUM PERSONAL DATA FORM FOR THE CAMPUS RECRUITMENT OF PROBATIONARY OFFICERS/CLERKS
Roll No.
(For Office use only)
Name of the College
Date of Campus Process
Date of Interview
PERSONAL DAT A
(To be filled up completely by the candidate in his/ her own handwriting)
1
Name of the Candidate
(in Block Letters)
2
Sex (
3
Date of Birth in DD/MM/YY (as per
SSLC / equivalent certificate)
4
the appropriate box)
Male
Female
Please affix your recent
passport size photograph
and sign across
Age (as on 01.11.2012 )
Phone with STD:
Mobile:
5
E mail ID:
Address for Correspondence (in Block letters)
with Pin code
6
Permanent Address (in Block letters) with Pin code
7
If yes, name of the Caste/ Tribe
(Attach self attested copy of the
certificate)
Academic Qualifications: - Attach self attested copies of mark lists / certificates etc. Minimum percentage of marks
prescribed for examinations is not allowed to be rounded off. (For example : a candidate who secured only 59.99%
9
of marks will not be permitted to appear for the campus process in case the minimum stipulated percentage is
60%)
Name of the
Date, Month & Year
Name of the School /
Course
of passing (as per
Main Subject /
% of
College & University /
Particulars
(eg: BA, B Sc, MA,
mark sheet /
Streams
marks
Board
MBA, etc)
certificate attached)
8
Do you belong to Scheduled Caste/
Tribe (furnish Yes or No)
Standard X
Standard XII
Graduation
Post Graduation
Others
Roll No.
Signature of the candidate
1
10
Details of Computer courses, if any,
undergone
(attach certificates)
Read
11
Write
Speak
Languages known (underline
mother tongue)
12
Have you had any major illness,
operation or accident? Give details.
13
Do you have any physical disability?
If so, details.
14
Your blood group
15
What are your extracurricular
activities? (Attach certificates, if
any)
16
Have you received any prize/
distinction or scholarship? If so,
give details.
17
Have you ever been convicted of an
offence? If yes, state details
18
Father’s / Guardia ’s a e
19
Occupation
Guardian
20
Annual Income of your Father /
Guardian
21
If married, name of your spouse
with their employment details &
annual income
22
How many brothers and sisters do
you have?
23
Are they employed? If so, state
their age and present employment?
of
your
Father
/
Broth
ers
Sisters
Do you have any relative in the
service of Federal Bank? If yes,
24
1.
Name of the Employee
2.
Designation & Branch / Office
now working
3.
Period of service
4.
Relationship
Are you related to any Directors of
Federal Bank? If yes,
25
26
1.
Name of the Director
2.
Relationship
Have you applied earlier for any
post in Federal Bank? if yes, give
details.
Why do you consider yourself suitable for this post? Please emphasize what you hold to be notable achievements in
the past.
27
Roll No.
Signature of the candidate
2
Name and full address of three reputed persons (referees) who are not your relatives and who know you well
Sl No
Name of the person
Full communication address
Contact no and e-mail ID
(i)
28
(ii)
(iii)
29
If you are selected for the post
a) Are you ready to work in any Branches /
Offices of the Bank
b) Indicate your place of preference, if any
(District / State)
1)
2)
c) Indicate any specific areas / functions in the
Bank where you would like to work.
d) Whether you have any objection / difficulty in
taking up the assignment outside your Home
State. If yes, state the reasons.
Eligibility Criteria for Probationary Officers and Clerks for Campus Process 2012-13
Probationary Officers
Final year and final / penultimate semester students of
Postgraduate course in any discipline of any of the
universities incorporated by an act of the central or state
legislature in India or other educational institutions
established by an act of Parliament or declared to be
deemed as a University under section 3 of UGC Act, 1956,
or possess an equivalent qualification recognized by the
Ministry of HRD, Government of India, or approved by
AICTE.
Final year and final / penultimate semester students of
Degree in Agriculture Sciences or in Agriculture related
disciplines, Engineering and Law.
Candidates appearing for the final year / semester of the
qualifying examinations as above can also apply. Such
candidates must produce a certificate from the Principal /
Head of Department/ Registrar/ Director of the University /
institution certifying that the candidate is currently in the
final year.
Should have obtained minimum 60% marks for SSC or
equivalent exam & Plus 2 or equivalent exam, 60% marks in
graduation.
Shall secure the following % of marks in the qualifying
examination.
1. 60% marks for Science discipline, Engineering &
Agriculture.
2. 55% marks for Arts/ Commerce / MBA/ MCA/ Law
Non-attainment of minimum marks will disqualify the
candidate from the final selection.
Should have cleared all papers of the previous years/
semesters of the qualifying examination as on the date of
recruitment process conducted by the Bank.
Candidates shall not exceed 26 years of age as on
01.11.2012.
Candidates selected for appointment will be on probation
for a minimum continuous period of 2 years.
Clerks
Final year and final / penultimate semester students
of graduate course in any discipline of any of the
universities incorporated by an act of the central or
state legislature in India or other educational
institutions established by an act of Parliament or
declared to be deemed as a University under section
3 of UGC Act, 1956, or possess an equivalent
qualification recognized by the Ministry of HRD,
Government of India or approved by AICTE.
Candidates appearing for the final year of the
qualifying examinations as above can also apply.
Such candidates must produce a certificate from the
Principal / Head of Department/ Registrar/ Director
of the University / institution certifying that the
candidate is currently in the final year.
Should have obtained minimum 60% marks for SSC
or equivalent exam & Plus 2 or equivalent exam.
Shall secure the following % of marks in the
qualifying examination (graduation).
1.
55% marks for Science discipline.
2.
50% marks for other streams
Non-attainment of minimum marks will disqualify
the candidate from the final selection.
Should have cleared all papers of the previous
years/ semesters of the qualifying examination as
on the date of recruitment process conducted by
the Bank.
Candidates shall not exceed 24 years of age as on
01.11.2012.
Candidates selected for appointment will be on
probation for a minimum continuous period of 6
months.
Note:
Graduate course or equivalent examination must entail a minimum of 3 years of education after completing higher
secondary schooling (10+2) or equivalent
Postgraduate course or equivalent examination must entail a minimum of 5 years of education after completing higher
secondary schooling (10+2) or equivalent
Graduation in Agriculture / Engineering means those who have passed 10+2+4 year course
Graduation in Law means those who have passed 10+2+5 year course in law or degree in any subject +3 year course in
Law.
Roll No.
Signature of the candidate
3
DECLARATION BY CANDIDATE
I, …………………………………………………………………….hereby declare that I have gone through the
eligibility criteria and other norms stipulated by the Bank, for appointment as Probationary Officer / Clerk in
the Bank and agree to abide by the said stipulations. I understand that if, at any stage I am found not eligible
for the post applied for or the declaration given is found to be false / incorrect, my candidature is liable to be
cancelled at any stage, without notice and compensation.
I, further declare and submit that (strike off whichever is not applicable)
1. I am pursuing ……………………….. ……………………. (Name of the course) and I have appeared / am
appearing for the final / penultimate semester / year of the course.
2. I undertake to produce the original mark list, Degree / Provisional certificate within 30 days of the
announcement of results of the qualifying examination
Place :
Signature of applicant:
Date:
Name of the applicant:
CERTIFICATE FROM COLLEGE
This is to certify that
1.
Mr/ Ms …………………………………………….. . …pursuing……………………………..………
(Name of the course) is a final year or final semester / penultimate semester student of this college.
(please tick (√ ) whichever is applicable)
2. He / She has cleared all the papers upto the ……………………………… semester / year.
The
University has published results upto ………………………… semester / year of the course till date.
Place :
Date :
Name, Signature & Stamp of authorized signatory of the college
CERTIFICATE FROM THE HR CONSULTANT
This is to certify that Mr / Ms………………………………………………………………..satisfies the eligibility
criteria prescribed by the Bank in all respects.
Place :
Date :
Name, Signature & Stamp of authorized signatory of HR Consultant
Note:
If the space provided in any of the columns is not sufficient, please use additional sheets quoting the serial
number.
The Federal Bank Limited, Regd Office, Aluva
Roll No.
Signature of the candidate
4
Roll No.
(For Office use only)
Name of the College
Date of Campus Process
Date of Interview
PERSONAL DAT A
(To be filled up completely by the candidate in his/ her own handwriting)
1
Name of the Candidate
(in Block Letters)
2
Sex (
3
Date of Birth in DD/MM/YY (as per
SSLC / equivalent certificate)
4
the appropriate box)
Male
Female
Please affix your recent
passport size photograph
and sign across
Age (as on 01.11.2012 )
Phone with STD:
Mobile:
5
E mail ID:
Address for Correspondence (in Block letters)
with Pin code
6
Permanent Address (in Block letters) with Pin code
7
If yes, name of the Caste/ Tribe
(Attach self attested copy of the
certificate)
Academic Qualifications: - Attach self attested copies of mark lists / certificates etc. Minimum percentage of marks
prescribed for examinations is not allowed to be rounded off. (For example : a candidate who secured only 59.99%
9
of marks will not be permitted to appear for the campus process in case the minimum stipulated percentage is
60%)
Name of the
Date, Month & Year
Name of the School /
Course
of passing (as per
Main Subject /
% of
College & University /
Particulars
(eg: BA, B Sc, MA,
mark sheet /
Streams
marks
Board
MBA, etc)
certificate attached)
8
Do you belong to Scheduled Caste/
Tribe (furnish Yes or No)
Standard X
Standard XII
Graduation
Post Graduation
Others
Roll No.
Signature of the candidate
1
10
Details of Computer courses, if any,
undergone
(attach certificates)
Read
11
Write
Speak
Languages known (underline
mother tongue)
12
Have you had any major illness,
operation or accident? Give details.
13
Do you have any physical disability?
If so, details.
14
Your blood group
15
What are your extracurricular
activities? (Attach certificates, if
any)
16
Have you received any prize/
distinction or scholarship? If so,
give details.
17
Have you ever been convicted of an
offence? If yes, state details
18
Father’s / Guardia ’s a e
19
Occupation
Guardian
20
Annual Income of your Father /
Guardian
21
If married, name of your spouse
with their employment details &
annual income
22
How many brothers and sisters do
you have?
23
Are they employed? If so, state
their age and present employment?
of
your
Father
/
Broth
ers
Sisters
Do you have any relative in the
service of Federal Bank? If yes,
24
1.
Name of the Employee
2.
Designation & Branch / Office
now working
3.
Period of service
4.
Relationship
Are you related to any Directors of
Federal Bank? If yes,
25
26
1.
Name of the Director
2.
Relationship
Have you applied earlier for any
post in Federal Bank? if yes, give
details.
Why do you consider yourself suitable for this post? Please emphasize what you hold to be notable achievements in
the past.
27
Roll No.
Signature of the candidate
2
Name and full address of three reputed persons (referees) who are not your relatives and who know you well
Sl No
Name of the person
Full communication address
Contact no and e-mail ID
(i)
28
(ii)
(iii)
29
If you are selected for the post
a) Are you ready to work in any Branches /
Offices of the Bank
b) Indicate your place of preference, if any
(District / State)
1)
2)
c) Indicate any specific areas / functions in the
Bank where you would like to work.
d) Whether you have any objection / difficulty in
taking up the assignment outside your Home
State. If yes, state the reasons.
Eligibility Criteria for Probationary Officers and Clerks for Campus Process 2012-13
Probationary Officers
Final year and final / penultimate semester students of
Postgraduate course in any discipline of any of the
universities incorporated by an act of the central or state
legislature in India or other educational institutions
established by an act of Parliament or declared to be
deemed as a University under section 3 of UGC Act, 1956,
or possess an equivalent qualification recognized by the
Ministry of HRD, Government of India, or approved by
AICTE.
Final year and final / penultimate semester students of
Degree in Agriculture Sciences or in Agriculture related
disciplines, Engineering and Law.
Candidates appearing for the final year / semester of the
qualifying examinations as above can also apply. Such
candidates must produce a certificate from the Principal /
Head of Department/ Registrar/ Director of the University /
institution certifying that the candidate is currently in the
final year.
Should have obtained minimum 60% marks for SSC or
equivalent exam & Plus 2 or equivalent exam, 60% marks in
graduation.
Shall secure the following % of marks in the qualifying
examination.
1. 60% marks for Science discipline, Engineering &
Agriculture.
2. 55% marks for Arts/ Commerce / MBA/ MCA/ Law
Non-attainment of minimum marks will disqualify the
candidate from the final selection.
Should have cleared all papers of the previous years/
semesters of the qualifying examination as on the date of
recruitment process conducted by the Bank.
Candidates shall not exceed 26 years of age as on
01.11.2012.
Candidates selected for appointment will be on probation
for a minimum continuous period of 2 years.
Clerks
Final year and final / penultimate semester students
of graduate course in any discipline of any of the
universities incorporated by an act of the central or
state legislature in India or other educational
institutions established by an act of Parliament or
declared to be deemed as a University under section
3 of UGC Act, 1956, or possess an equivalent
qualification recognized by the Ministry of HRD,
Government of India or approved by AICTE.
Candidates appearing for the final year of the
qualifying examinations as above can also apply.
Such candidates must produce a certificate from the
Principal / Head of Department/ Registrar/ Director
of the University / institution certifying that the
candidate is currently in the final year.
Should have obtained minimum 60% marks for SSC
or equivalent exam & Plus 2 or equivalent exam.
Shall secure the following % of marks in the
qualifying examination (graduation).
1.
55% marks for Science discipline.
2.
50% marks for other streams
Non-attainment of minimum marks will disqualify
the candidate from the final selection.
Should have cleared all papers of the previous
years/ semesters of the qualifying examination as
on the date of recruitment process conducted by
the Bank.
Candidates shall not exceed 24 years of age as on
01.11.2012.
Candidates selected for appointment will be on
probation for a minimum continuous period of 6
months.
Note:
Graduate course or equivalent examination must entail a minimum of 3 years of education after completing higher
secondary schooling (10+2) or equivalent
Postgraduate course or equivalent examination must entail a minimum of 5 years of education after completing higher
secondary schooling (10+2) or equivalent
Graduation in Agriculture / Engineering means those who have passed 10+2+4 year course
Graduation in Law means those who have passed 10+2+5 year course in law or degree in any subject +3 year course in
Law.
Roll No.
Signature of the candidate
3
DECLARATION BY CANDIDATE
I, …………………………………………………………………….hereby declare that I have gone through the
eligibility criteria and other norms stipulated by the Bank, for appointment as Probationary Officer / Clerk in
the Bank and agree to abide by the said stipulations. I understand that if, at any stage I am found not eligible
for the post applied for or the declaration given is found to be false / incorrect, my candidature is liable to be
cancelled at any stage, without notice and compensation.
I, further declare and submit that (strike off whichever is not applicable)
1. I am pursuing ……………………….. ……………………. (Name of the course) and I have appeared / am
appearing for the final / penultimate semester / year of the course.
2. I undertake to produce the original mark list, Degree / Provisional certificate within 30 days of the
announcement of results of the qualifying examination
Place :
Signature of applicant:
Date:
Name of the applicant:
CERTIFICATE FROM COLLEGE
This is to certify that
1.
Mr/ Ms …………………………………………….. . …pursuing……………………………..………
(Name of the course) is a final year or final semester / penultimate semester student of this college.
(please tick (√ ) whichever is applicable)
2. He / She has cleared all the papers upto the ……………………………… semester / year.
The
University has published results upto ………………………… semester / year of the course till date.
Place :
Date :
Name, Signature & Stamp of authorized signatory of the college
CERTIFICATE FROM THE HR CONSULTANT
This is to certify that Mr / Ms………………………………………………………………..satisfies the eligibility
criteria prescribed by the Bank in all respects.
Place :
Date :
Name, Signature & Stamp of authorized signatory of HR Consultant
Note:
If the space provided in any of the columns is not sufficient, please use additional sheets quoting the serial
number.
The Federal Bank Limited, Regd Office, Aluva
Roll No.
Signature of the candidate
4