DECLARATION
I the Undersigned confirm that I am a regular/permanent employee of the Bank/Institution as per the
details given below. This declaration is given as required by the Indian Institute of Banking & Finance for
the purpose of enrolling as Member of the Institute.
Full Name : VALLELA JAGAN MOHAN REDDY
Date of Birth : 01 / 07 / 1984 (DD/MM/YYYY)
Name of the Employer : _________________________________ APPLICANT
PHOTO
Employee No: ____________________________
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Applicant's Signature
Br. Manager/HOD Name Br. Manager/HOD Designation Br. Manager/HOD Sign
___________________ ___________________ ___________________
Branch Name Declaration Date Stamp
___________________ ___________________ ___________________
(Pl Keep the Size of this Declaration format appropriate
so as to make it clear and readable/verifiable after uploading)