APPLICATION FOR THE POST OF HOCKEY PLAYERS (MALE) IN CLERICAL CADRE

Paste Passport size Photograph Please sign across the Photograph

The Chief Manager (Recruitment Section) Human Resource Management Division Punjab National Bank H O: 1st Floor, Plot No. 4, West Wing, Sector-10, Dwarka, New Delhi-110075

Recruitment for the post of Hockey Player(Male)

With reference to your advertisement in employment news dated 13.01.2018, I submit my application in prescribed format. 1. NAME (in full) :

_____________________________

2. ADDRESS FOR CORRESPONDENCE : _______________________ ________________________ ________________________ ________________________ _________________________ 3. CATEGORY: _______________ (SC/ST/OBC/General) 4. DATE OF BIRTH (As per School leaving Certificate) : Age in completed years as on 01.01.2018: 5. Details of Non refundable Application Fee : Transaction ID: Amount : Name of PNB’s Branch where fee deposited : (Also enclose copy of Cash voucher) 6. Contact Details: MOBILE NO : E-MAIL ID :

LANDLINE No : Contd….2/-

::2:: 7. GENDER

:

8. NATIONALITY

:

9. BIRTH PLACE : _______________ NATIVE PLACE : _____________________ 10. RELIGION

:

11. MARTIAL STATUS

:

12. FATHER’s NAME

:

13. PERMANENT ADDRESS

:

14. QUALIFICATIONS (As on the date of Advertisement)

:

(a) Educational(Starting from Matriculation) NAME OF UNIVERSITY/BOARD

DATE & YEAR OF PASSING

% OF MARKS

(b) SPORTS

PLEASE SPECIFY LEVEL OF REPRESENTATION AS PER TERMS OF ADVERTISEMENT.

PLEASE ENCLOSE SELF-ATTESTED PHOTOSTAT COPIES OF EDUCATIONAL/SPORTS QUALIFICATION CERTIFICATES. Contd….3/-

::3:: 15. DETAILS OF PRESENT EMPLOYMENT (if applicable) : Organisation

Full Address

Position

Reporting to

Salary/Compensation presently drawn

DECLARATION: I hereby declare that the particulars furnished above are true and correct to the best of my knowledge and belief and I have not suppressed any material fact(s)/information. I understand that in the event of any information being found false or incorrect at any stage or my not satisfying the eligibility criteria according to the requirements of the related advertisement, my candidature/ appointment for the said post is liable to be cancelled at any stage and even after appointment, my services are liable to be terminated without any notice. I am willing to serve anywhere in India. I hereby agree that any legal proceedings in respect of any matter of claim or dispute arising out of this application and/or out of the said advertisement can be instituted by me only at New Delhi and Courts/tribunals/forums at New Delhi. I undertake to abide by all the terms and conditions mentioned in the advertisement.

(Signature of applicant) Place:__________________________ Date:___________________________ Enclosures: 1. 2 3. 4.