BIO-DATA FORMAT FOR APPRENTICE

Paste
Please go through the instructions provided overleaf and follow them Passport size
meticulously. photo

Candidate should fill up the details in his / her own handwriting.

--------------------------------------------------------------
For Office Use Only
Not to be filled by the Candidate

NATS Registration No

IBPS Registration No

Branch / Dept. / Office Posted:

CBS Code:

IBGA Code:
Date of Commencement of training in
the Posted branch / Dept. / Office

Forwarded: First Copy to CO/HRM, Chennai

Second Copy to Zonal Office, _______________

Date: _____________
Signature of Verifying Officer

Name:
SR No:
Designation:
Branch / Office:

Page 1 of 12
 Instructions for filling up BIO-DATA format

(1) Name (in capital letters) and particulars of Date of Birth etc. should be as per SSC / SSLC Certificate.

(2) Wherever date is to be entered, it should be in the format: dd.mm.yyyy

(3) Eg. The Date Oct 03, 1989 should be written as 0 3 1 0 1 9 8 9

(4) Tick () the appropriate option wherever O is provided.

(5) All certificates wherever required should be in the prescribed proforma and issued only by the Competent
Authority.

(6) Abbreviations used in the BIO-DATA:

SC – Scheduled Caste

ST – Scheduled Tribe

OBC – Other Backward Class

Gen - General

(7) If certificate(s) other than original is/are enclosed, it/they should be self attested by Self as well as by a
Gazetted Officer.

a) Candidates belonging to SC/ST/OBC etc. must submit the respective Caste Certificate issued by the
Competent Authority in the format prescribed by Govt. of India showing the Caste as notified by Government
of India, failing which the claim of the candidate for the respective category may not be tenable.

b) Candidate belonging to OBC category should submit the latest OBC certificate issued by the Competent
Authority not earlier than one year from the date of closure of application in the format prescribed by Govt.
of India specifically mentioning the Creamy layer clause.

c) In the event of conversion or re-conversion to the Hindu or Sikh religion, adequate evidence, including
a copy of the relevant Gazette Notification and also other documentary evidence should be furnished.

(8) Page 10 may be used (i) to give complete details wherever space is not adequate and (ii) to furnish any
other additional information

Check List of Documents / Certificates to be submitted

1. Belong to SC/ST/OBC : 1) Caste Certificate 2) Declaration form (OBC)

2. Ex-serviceman : 1) Discharge Certificate 2) Clear readable copy of PPO

3. Recruited under Sports Quota : Certificate / Form – I/II/III/IV.

4. Person with Disability : Certificate issued by Medical Board

5. Address Proof : Attested copies of 1. Passport copy 2. Voter ID

3. Ration Card 4. Driving License

6. Educational Qualification Certificate : Copies of all certificates

7. Candidates employed elsewhere before commencement of training under Apprenticeship act at Indian
Bank should submit a copy of relieving certificate in original from the last employer.

8. Date of Birth-Proof (Secondary School Certificate / Birth Certificate)

9. All other documents which are mentioned in the Intimation letter

Name: ________________________ Full Signature:_______________

.

Page 2 of 12
 MASTER DATA COLLECTION

PERSONAL DETAILS

Title – 1: o Mr o Ms o Mrs

Name

ADDITIONAL DETAILS

Marital Status
(Unmarried,
Married,
Gender o Male o Female o Others Widow(er),
Divorcee,
Separated,…)

Date of
No of Children
Birth

Birth Place Of which

& District dependant
State RELIGION:
Mother O Buddhism O Christianity O Hinduism
Tongue O Islam O Sikhism O Zoroastrianism
Nationality O Jainism O Judaism

LANGUAGES KNOWN

LANGUAGES Read Write Speak LANGUAGES Read Write Speak

1. o o o 5. o o o
2. o o o 6. o o o
3. o o o 7. o o o
4. o o o 8. o o o
ADDITIONAL PERSONAL DETAILS

GENERAL DATA

Native Place District State

BOND DATA (if applicable)

Type of Bond Others

Bond Signed Start date of Bond period Bond
No of Bond(s)
Date bond (Years) Amt (Rs.)

Name: ________________________ Full Signature:_______________

Page 3 of 12
 CATEGORY DETAILS

Category
Caste Name Caste Certificate Issued by Date of issue
(SC/ST/OBC/Gen)

Note: Refer Point no : 7 (a, b and c) of Instructions

Ex-serviceman o Yes o No

Rank / Position at
If yes, Army / Air-force / Date of Joining
Date & type of Discharge the time of
Navy Defence Service
discharge

If yes, Pension
PPO Number (enclose copy) Basic
Disbursing Authority
Presently Drawing
Defence Pension
Commuted Basic, if Pension paying Bank & Family Pension –
o Yes o No commutation availed Branch Nominee

Details of Relatives working in Indian Bank

Present
SI No SR Number Name Designation Relationship
Branch
1
2
3

Extra-Curricular Activities

Nature of activity

Achievements, if any

Awards / Certificates, if any

Honorary Post Held Outside:

Nature of the
Nature of the Post
Organisation
PERIOD FROM: PERIOD TO:

Blood Donor: o Yes o No Blood Group with RH factor

Name: ________________________ Full Signature:_______________

Page 4 of 12
Person with Disability: o Yes o No

If Yes, tick o o o
appropriate item
Visually
Impaired
Hearing
Impaired
Orthopaedically o ID & others
Handicapped
Brief Description of
% of Disability
disability
Certified by
Medical Board o Yes o No Cert. Date

Name of the
Ref No
Medical Board
Enclose attested copy of Medical Certificate issued by Medical Board as per “The persons with Disabilites
(Equal Opportunities, Protection of Rights & full Participation) Act, 1995” and amendments thereto

ADDRESS DETAILS

Permanent Address Present Address

Residential Address with State &

PIN Code

PIN: PIN:
Attested copies of any one of the following should be enclosed as Proof of address(es) mentioned
above.
o Passport Copy o Voter ID o Ration Card o Driving License o Aadhar Card

o Postal Identity Card

(related to Permanent Address) (related to Present Address)
Phone Number with STD code

Contact Person:
Address:
In case of Emergency Relationship:
Phone:
Mobile:

DETAILS OF FAMILY MEMBERS

Members Total Out of which, dependant

1. Brothers
2. Sisters
3. Sons
4. Daughters
5. Others (give details)
------------------------------

Name: ________________________ Full Signature:_______________

Page 5 of 12
 Parents Details Father Mother
Name
Date of Birth & Age
Occupation
Details of the Employer
Monthly Income / Pension Rs. Rs.
Family Member Spouse Details Child-1 (dependant)

Gender (Male / Female) o Male o Female o Male o Female

Name (in Capital Letters)
Date of Birth
(dd.mm.yyyy)
Birth Place & State

Nationality Not Applicable

Qualification(s)

Occupation
If PWD,
nature of challenge
Nature of Job o Temporary o Permanent
(Govt/ Public Sector / Others)
Employer’s Name Not Applicable

SR Number : (if working in

Not Applicable
Indian Bank)
Post / Designation / Nature of
Not Applicable
Business
Present Place of posting /
Not Applicable
business
Whether the job is Transferable o Yes o No Not Applicable

Family Member Child-2 (dependant only) Child-3 (dependant only)

Gender (Male / Female) o Male o Female o Male o Female

Name (in Capital Letters)
Date of Birth
(dd.mm.yyyy)
Birth Place & State

Qualification

Occupation
If PWD, furnish
nature of challenge

Name: ________________________ Full Signature:_______________

Page 6 of 12
 EDUCATIONAL QUALIFICATION

(If Grade Point Average or Cumulative Grade Point Average has been awarded, please give details /
formula for conversion)

Particulars SSLC/SSC/X Intermediate/High.Sec/XII Graduation

Name of Course:
Starting from SSC
Name of the Institute /
College / School
Percentage of Marks
Main Subject
Name of University /
Board
No of Attempts
Date of Passing

o Full Time o Full Time o Full Time

Full / Part time OR
Correspondence o Part Time o Part Time o Part Time
Course
o Correspondence o Correspondence o Correspondence

Attested copies should o Final Certificate o Final Certificate o Final Certificate

be enclosed
o Provisional Certificate o Provisional Certificate o Provisional Certificate
Particulars Post Graduation Doctorate Any Other
Name of Course:
Starting from SSC
Name of the Institute /
College / School
Percentage of Marks
Main Subject
Name of University /
Board
No of Attempts
Date of Passing

o Full Time o Full Time o Full Time

Full / Part time OR
Correspondence o Part Time o Part Time o Part Time
Course
o Correspondence o Correspondence o Correspondence

Attested copies should o Final Certificate o Final Certificate o Final Certificate

be enclosed
o Provisional Certificate o Provisional Certificate o Provisional Certificate
Name: ________________________ Full Signature:_______________

Page 7 of 12
 Other Qualifications (Certificate / Short Term Diploma / PG Diploma / Computer related Course) –
Attested Copies of Certificate(s) should be enclosed.
Course - 1 Course - 2
Name of Course

Name of the Institute

No. of Attempts
Date of Passing

o Full Time o Full Time

Full / Part time OR o Part Time o Part Time
Correspondence Course o Correspondence o Correspondence

Attested copies should be o Final Certificate o Final Certificate

enclosed o Provisional Certificate o Provisional Certificate

Course - 3 Course - 4
Name of Course
Name of the Institute
No. of Attempts
Date of Passing

o Full Time o Full Time

Full / Part time OR o Part Time o Part Time
Correspondence Course o Correspondence o Correspondence

Attested copies should be o Final Certificate o Final Certificate

enclosed o Provisional Certificate o Provisional Certificate

In case of any Educational / Professional qualification being pursued at present

Please furnish the details below:
Course - 1 Course - 2
Name of Course

Name of the Institute

Present Status of the Course

Tentative date of completion

o Full Time o Full Time
Full / Part time OR
o Part Time o Part Time
Correspondence Course
o Correspondence o Correspondence
Attested copy of Admission letter
for joining the course

Name: ________________________ Full Signature:_______________

Page 8 of 12
 DETAILS OF PREVIOUS EMPLOYMENT / SELF EMPLOYMENT

(Starting with last employment)

1. o Employment o Self-Employment

Company Name City

o Banking o IT Sector
Country Industry
o Manufacturing o
Others
Designation Specialization of Work
Nature of Employment Last Salary Rs.
From: Drawn in
o Permanent Period of
Employment
(Self)
case of
To:
o Temporary
employment

Date of relieving Letter Remarks on Leaving

2. o Employment o Self-Employment

Company Name City

o Banking o IT Sector
Country Industry
o Manufacturing o
Others
Designation Specialization of Work
Nature of Employment Last Salary Rs.
From: Drawn in
o Permanent Period of
Employment
(Self)
case of
To:
o Temporary
employment

Date of relieving Letter Remarks on Leaving

3. o Employment o Self-Employment

Company Name City

o Banking o IT Sector
Country Industry
o Manufacturing o
Others
Designation Specialization of Work
Nature of Employment Last Salary Rs.
From: Drawn in
o Permanent Period of
Employment
(Self)
case of
To:
o Temporary
employment

Date of relieving Letter Remarks on Leaving

Name: ________________________ Full Signature:_______________

Page 9 of 12
Details of Personal ID

Email ID
Mobile No(s)
Income Tax – PAN No
Date of Issue Place of Issue
Driving License No.
Date of Issue Place of Issue
Voter ID Card No.
Date of Issue Place of Issue
Passport No.

If appointment is on Contractual Basis:

Notice Period for Notice Period for

Initial Period Maximum Period
EMPLOYER EMPLOYEE
(Months / Years) (Months / Years)
(Days / Months) (Days / Months)

Nearest Police Station for Nearest Superintendent of

Permanent Address Police Office for Permanent
(Full address) Address
(Full address)

Details for Police Verification

District: District:
State: State:
Pin: Pin:

UG (Full Address of University/ PG (Full Address of University/

Final Certificate issuing Final Certificate issuing
Institution) Institution)
Course: Course:

Details for Certificate

Verification

District: District:
State: State:
Pin: Pin:

Additional Space for furnishing Data (if any):

Name: ________________________ Full Signature:_______________

Page 10 of 12
OTHER DETAILS:

1. Name of the Place(s) where you have lived in the last 10 Years:

S.No Place From (Year Only) To (Year Only)

1
2
3

2. Have you ever been arrested, prosecuted, kept under detention, or bound down/fined, convicted by
Court of Law. If yes, please furnish full details.

3. Have you ever been debarred / disqualified by any institution from appearing at its examination /
selection or debarred from any examinations, rusticated by any University or any other educational
authority / Institution? If yes, please furnish full details.

4. Is any case pending against you in any Court of Law? If yes, please furnish full details.

5. Is any case pending against you in any University or any other educational authority / Institution at
the time of filling up this form? If yes, please furnish full details.

6. Names, Occupation & Address of two respectable persons, not related to you, should be given as
reference.

Occupation / Full Postal Telephone

S.No Name
Designation Address Numbers

7. Have you been a member of any political party? If yes, please furnish full details.

8. Details of Immovable Property:

Name: ________________________ Full Signature:_______________

Page 11 of 12
 DECLARATION

I hereby declare that the above statements are true and correct to the best of my
knowledge and belief. I understand that if I am selected for apprenticeship, offer of
apprenticeship will be based upon the truthfulness of the statements made herein. I
have no objection to the Bank making enquiries at any time regarding the statement(s)
made by me in the application / bio-data in any manner the Bank decides to do so,
inclusive of police enquiry into my antecedents. It is noted that in the event of any
information being found false or incorrect, my selection as apprentice in the Bank is
liable to be terminated. I agree, if selected, undergo training anywhere in India,
including rural and semi-urban areas in the entities of the Bank.

Date:
Place:
______________________
Signature of the Apprentice

______________________
Name in BLOCK letters

___________________

(To be signed by the Apprentice in the presence of an Officer of the Bank to whom the
Bio-Data is submitted)

For Office Use Only

Not to be filled by the Candidate
I have verified the Bio-Data / Testimonials / Certificates and the apprentice has signed
in my presence.
The basic data pertaining to the apprentice has been entered in the database
(Apprentice portal) and the Apprentice No. generated by the system is
_____________.

Date:
Place:
Name:
SR No:
Designation: _________________________________
Branch / Office: Signature of the Verifying Officer

Page 12 of 12