HLC Application Form

Annexure/HL-X EMPANELMENT OF HOME LOAN COUNSELOR

APPLICATION FORMAT

 To,  The Dy. General Manager, Manager, State Bank of India, Zonal Office,

PASTE (not staple) A RECENT PASSPORT SIZE PHOTOGRAPH HERE AND SIGN ACROSS IT IN FULL WITH DATE

Sir, APPLICATION FOR EMPANELMENT OF HOUSING LOAN COUNSELOR IN STATE BANK OF INDIA

I submit herewith herewith my application for for the post of Housing Loan Counselor in State Bank of India. I have read the Role, Remuneration and Terms & Conditions relating to the post and advise that they are acceptable to me. 1. Full Name Name Shri/Sm Shri/Smt/Kum t/Kum (in (in Block Block Letters, Letters, as per degree degree certific certificate) ate)

2. Father’s/Husband’s Father’s/Husband’s Name

3. P.F Index No.

4. Date of Retirement (DD/MM/YYYY)

5. Name and Code no. Branch / Office from where retired: 6. Name and Code no. of Branch wherefrom receiving pension. 7. Candidates address where he/she normally resides/ will reside wherefrom he/she will perform his/ her duties after selection. ( IN BLOCK  LETTERS)

Dist State Pin CODE Phon e with STD Mobile No.

8. Date of Birth (DD/MM/YYYY):

Age* (as on

)

 YEARS MONTHS *should note be more than 64 years as on the stipulated date. 9. Category (SC/ST/OBC/GEN): 10.Educational Qualification: 11. Last 3 Assignments held covering minimum 5 years: ASSIGNMENT OFFICE/BRANCH

i) ii) iii)

FROM

TO

12. Languages Known (Mark “ “in the appropriate box) Language Understand a) ___________________________ ]

Read [

b)____________________________ [ ] c) ___________________________ ]

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Write [

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Speak

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13. Declaration I hereby declare that . 1)

no punishment / penalty was inflicted on me during five years of my service in the Bank preceding my retirement.

2)

no case of CBI or any other Law Enforcement Agency is pending against me and

3)

I am physically fit to carry out duties of the Marketing Consultant including continuous travel.

I further declare that all statement 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 untrue or incorrect at any stage of my not satisfying any of the eligibility criteria according to State Bank of India, my candidature is liable to be cancelled. Place : ___________________________ Signature:_________________________  Date : _______________ candidate:__________________ 

Name of 

Signature of Shri………………………………….... verified

(Signature & seal of the BM of the pension disbursing branch)