Part 1 : Applicant details 
                                
                                
                                    1. Do you have any immediate relatives i.e. Father,
                                        Mother, Brother, Sister, Husband, Wife, Children who are currently in
                                        employment with ICICI Bank or any of its group company?  
                                
                                
                                
                                    2. Do you have any immediate relatives i.e. Father,
                                        Mother, Brother, Sister, Husband, Wife, Children who are currently being
                                        interviewed or already selected (but not yet joined) for a job in ICICI Bank
                                        or any of its group company?
                                     
                                
                                
                                
                                    3. Do you have any immediate relatives l.e. Father,
                                        Mother. Brother, Sister, Husband, Wife. Children who are currently pursuing
                                        the ICICI Bank Post Graduate Program in Relationship Management?
                                     
                                
                                
                                
                                    4. Do you have any immediate relatives i.e. Father,
                                        Mother. Brother, Sister. Husband, Wife, Children who are currently being
                                        interviewed or already selected (but not yet joined) for ICICI Bank Post
                                        Graduate Program in Relationship Management? 
                                
                                
                                
                                    If answer to any of the above questions is Yes, then
                                        please share details like name, mobile number, employee number etc 
                                
                                
                                    
                                
                                    5. Have you been interviewed by ICICI Bank or any of
                                        its group company in the last 1 year? If yes, please enter the details (year
                                        /location) in the text field.  
                                
                                
                                
                                    
                                
                                    6. Have you been employed in the past by ICICI Bank or
                                        or any of its group company or service providers like IProcess? If yes,
                                        please enter your ICICI employee ID.  
                                
                                
                                
                                    
                                
                                    
                                
                                    7. Whether any investigations/disciplinary proceedings
                                        now closed or still ongoing/ pending or any other similar processes related
                                        to suspected or alleged misconduct or unsatisfactory performance have been
                                        initiated by your current/former employer(s) against you ?If Yes, please
                                        share details below & outcome for the same.  
                                
                                
                                
                                    
                                
                                    8. Do you have any criminal case/charges pending
                                        against you in any Court of Law/Police station or from any other law
                                        enforcement agency? Was there any FIR/Investigation/Arrest/Conviction
                                        against you from any other law enforcement agency in the past for any
                                        criminal offence in India or abroad? If Yes, please mention the
                                        details 
                                
                                
                                
                                    
                                
                                    9. Are you related to any of the Directors of ICICI
                                        Bank/ICICI Group Company?  
                                
                                
                                
                                    
                                
                                    Applicable for fresher applicants (only for no. 10)
                                     
                                
                                
                                    10. I declare that I do not have any carry forward of
                                        Allowed to Keep Terms (ATKT)/Backlog papers of previous semesters. If No,
                                        please mention the ATKT details in the table.  
                                
                                
                                
                                    I have carry forward of Allowed to Keep Terms
                                        (ATKT)/Backlog papers of previous semesters and have not cleared all/some
                                        papers of previous. The details of the ATKT papers are as follows:  
                                
                                
                                    
                                
                                    
                                
                                    Semester 1 
                                
                                
                                    
                                
                                    
                                        Status 
                                        Cleared 
                                        Not Cleared 
                                        Result Awaited 
                                     
                                
                                
                                    Semester 2 
                                
                                
                                    
                                
                                    
                                        Status 
                                        Cleared 
                                        Not Cleared 
                                        Result Awaited 
                                     
                                
                                
                                    Semester 3 
                                
                                
                                    
                                
                                    
                                        Status 
                                        Cleared 
                                        Not Cleared 
                                        Result Awaited 
                                     
                                
                                
                                    Semester 4 
                                
                                
                                    
                                
                                    
                                        Status 
                                        Cleared 
                                        Not Cleared 
                                        Result Awaited 
                                     
                                
                                
                                    11. Are you infected with any communicable/contagious
                                        disease (An infectious disease transmissible by direct contact with an
                                        affected individual) as on date?  
                                
                                
                                
                                    12. Do you have any injury/medical condition that can
                                        get aggravated by tasks and responsibilities assigned during the course of
                                        employment?  
                                
                                
                                
                                    13. Do you require assistance from any person or
                                        device to stand, walk, hear, see, write or speak?  
                                
                                
                                
                                    14. Do you have any medical condition that may hinder you from doing any field/sales/marketing job?  
                                
                                
                                
                                    If answer to any of the above questions is Yes, then
                                        please share details like name, mobile number, employee number etc 
                                
                                
                                    
                                
                                
                                    PART-2: DECLARATION & AUTHORIZATION                                         
                                    
                                        Declaration: 
                                        
                                            I declare that the information in this declaration and in any other documents completed by me and/or other statements made by me in support of my application for the ICICI Post Graduate Program in Relationship Management or employment with ICICI Bank, including my previous employment(s), compensation, and qualification, is true and correct in every detail. 
                                            I further declare that I am and was never a member of any banned outfits declared by the Government. 
                                            I understand that if an offer for joining the ICICI Post Graduate Program in Relationship Management or employment with ICICI Bank is made, it has been made based on the information I have provided in my application. My appointment/employment is subject to the successful completion of my graduation/post-graduation, as applicable, and submission of relevant certificates and mark sheets before joining the Bank. 
                                            I understand that if I am selected for the ICICI Post Graduate Program in Relationship Management, my job posting may be at any location within India based on ICICI Bank’s requirements. 
                                            I acknowledge that my role at ICICI Bank will involve sales & relationship management, and I may be required to travel extensively as per job requirements or bank exigencies. 
                                            I understand that failure to join at my designated job location within the stipulated time may lead to disciplinary action by the respective Academy and ICICI Bank, including expulsion from the program or termination of employment. 
                                            I acknowledge that the fees paid to the respective academy are non-refundable. 
                                            I understand that my services at the Bank are transferable to any location and profile across the country as per organizational requirements. 
                                            I am aware that any misrepresentation, false statements, or discrepancies found at a later date may amount to misconduct and result in disciplinary action, including cancellation of my candidature or termination of employment at any time without prior notice. 
                                            I understand that employment at ICICI Bank or its affiliated companies is subject to positive references, compliance with ICICI Bank policies, applicable rules and regulations, and satisfactory job performance. I consent to pre or post-employment examinations as required by ICICI Bank and release the Bank from any liability arising from such examinations. 
                                         
                                        I shall abide by the above terms of my employment. 
                                     
                                    
                                    
                                        Authorization: 
                                        
                                            I authorize ICICI Bank to procure my credit information from TransUnion CIBIL Ltd. or any other recognized credit information company. 
                                            I consent to pre-employment checks as deemed necessary and authorize ICICI Bank, its agents, representatives, consultants, and service providers to conduct such checks, including inquiries into all information provided in this application, former employment records, educational credentials, and self-declared addresses. 
                                            I authorize ICICI Bank to verify disciplinary/compliance-related issues from my current and former employers.