Home
About Us
About Us
Team
Awards
Facilities
Deposit Account Opening
Cash Withdrawal
Money Transfer
Micro Insurance
Atal Pension Yojna
Pradhan Mantri Jeevan Jyoti Bima Yojana
Pradhan Mantri Suraksha Bima Yojana
Partner Banks
Bank Of Baroda
Baroda U.P. Bank
Gallery
Downloads
News & Events
Contact Us
GM Mapra Form
Home
GM Mapra Form
APPLICATION FOR ENGAGEMENT AS BC (PURELY ON COMMISSION BASIS)
NAME OF LINK BRANCH (SOLID)
Please Enter NAME OF LINK BRANCH
NAME OF CANDIDATE
Please Enter NAME OF CANDIDATE
FATHER’S NAME
Please Enter FATHER’S NAME
DATE OF BIRTH (AGE IN YEARS)(DD/MM/YYYY)
Please Enter DATE OF BIRTH
QUALIFICATION
Please Enter QUALIFICATION
DOCUMENT (SELF ATTESTED) SUBMITTED FOR ID AND ADDRESS PROOF
AADHAR CARD
Please Upload AADHAR CARD
PAN CARD
Please Upload PAN CARD
HIGHEST QUALIFICATION
Please Upload HIGHEST QUALIFICATION
POLICE VERIFICATION
Please Upload POLICE VERIFICATION
PERMANENT RESIDENTIAL ADDRESS(WITH PIN CODE)
Please Enter PERMANENT RESIDENTIAL ADDRESS(WITH PIN CODE)
PRESENT ADDRESS AND DISTANCE FROM BANK BRANCH(WITH PIN CODE)
Please Enter PRESENT ADDRESS AND DISTANCE FROM BANK BRANCH(WITH PIN CODE)
MOBILE NUMBER
Please Enter Mobile Number
EMAIL ADDRESS
Please Enter Email Id
PAN NUMBER
Please Enter PAN NUMBER
AADHAR NUMBER
Please Enter AADHAR NUMBER
PLACE OF KIOSK CENTRE DISTANCE FROM THE LINK BRANCH
Please Enter PLACE OF KIOSK CENTRE
2 PHOTOGRAPHS OF THE LOCATION OF WHICH ONE SHOULD BE FULL OF THE MARKET VIEW
Please Upload POLICE VERIFICATION
EXPERIENCE AND SCOPE OF PURPOSED BUSINESS IN THE AREA
Please Enter EXPERIENCE AND SCOPE OF PURPOSED BUSINESS IN THE AREA
LATEST POLICE VERIFICATION REPORT-DATED
LATEST POLICE VERIFICATION REPORT-DATED
DATE OF IIBF EXAMINATION (B C CERTIFICATE ) PASSED
Please Enter DATE OF IIBF EXAMINATION (B C CERTIFICATE ) PASSED
HAVE YOU EVER WORKED/ WORKING AS BC/ VLE OF ANY BANK? (IF YES GIVE DETAILS)
Please Enter HAVE YOU EVER WORKED/ WORKING AS BC/ VLE OF ANY BANK? (IF YES GIVE DETAILS)
IF HAS BEEN CONVICTED IN ANY CASE
Please Enter IF HAS BEEN CONVICTED IN ANY CASE
CONTESTEED IN ANY ELECTION FOR LOCAL BODIES, MLA, MLC, Etc.
Please Enter CONTESTEED IN ANY ELECTION FOR LOCAL BODIES, MLA, MLC, Etc.
REMARKS (IF ANY)
Please Enter CONTESTEED IN ANY ELECTION FOR LOCAL BODIES, MLA, MLC, Etc.
Signature
Please Upload Signature
I hereby apply and undertake that I am having the capacity to arrange infrastructures though my own resources viz ,desktop ,printer ,biometric, devices, pin PAD devices ,FDR as security of adequate amount for settlement of account and establishment of KIOSK center at prominent Place.
©
Mapra, All rights reserved