Detailed Advertisement Application Format

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Detailed Advertisement Application Format

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> Annexure A The Chief General Manager (CDO & CLO) Indian Bank HRM Department, Corporate Office Recruitment Cell, ‘B’ Wing, 2nd Floor Chennai - 600014 IBRECRUITMENT@indianbank.bank.in Recent Passport Size Colour Photograph to be pasted here & signed across Sub: Application for engagement as Deputy Internal Ombudsman on Contractual Basis - 2026 With reference to your advertisement dated 28.01.2026 on Bank’s website, I submit my application for engagement as Deputy Internal Ombudsman on Contractual Basis. 1. Full Name : \[In capital letters\] 2. Father’s Name: 3. Address: Correspondence Address Permanent Address 4. Phone No. With STD Code: 5. Mobile No(s): 6. Email: 7. Date of Birth (As per SSC/SSLC): (Please enclose copy of SSC / Birth Certificate) D D M M Y Y Y Y 8. Age (as on 01.01.2026): Years Months Days 9. a. Category (SC/ST/OBC/EWS/General) b. Gender: 10. a. Marital Status: b. Religion: 11. a. Nationality: b. Mother Tongue: 12. Languages Known: Read Write Speak 13. Details of Application Fee / Intimation Charges: (Please refer Advertisement) Bank / Branch / IFSC Code Name of Account Account Number Amount Date of

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