LIC HOUSING FINANCE LTD - RECRUITMENT OF ASSISTANT

ONLINE APPLICATION FORM FOR THE POST OF ASSISTANT

24030
Registration # : 104559 Please paste your
recent passport size
photograph and sign
Registration Date and Time: 20-08-2010 17:38:03 across it.Please retain
atleast 5 copies with
you for subsequent
Full Name : dilip dhariwal use.

Nationality : indian

Region : Northern Centre of Examination : Jaipur

Transaction Details of Axis Bank :

Transaction ID : m154032

Axis Bank Branch Name : CHOPASNI ROAD Axis Bank Branch 057
JODHPUR Code :

Deposit Date : 20-08-2010 Amount : 350

Personal Details :
Date of Birth : November 12,1987 Age as on 01.07.2010: 22

Gender : MALE

Husband’s Name / Father’s Name : late shri gautam chand

dhariwal

Mother Tongue : shree madhu dhariwal

Marital Status : Single

Email ID : dhariwal_dltf@yahoo.co.in

Address for Correspondence : 37 kha 8 E road sardarpura, jodhpur(raj)

District : -

State : RAJASTHAN Pin : 342001

Contact Details:
Phone : 0291-2617989 Mobile : 9636164817

Qualification Details(as on the date of application) :

Exams Passed Subject/Stream Year of Passing % of Marks
Graduation : B.C.A 2009 55.17

Knowledge of Computers : Yes

Details of Computer Knowledge : C. C++,JAVA, VB,MS WORD,EXCEL, etc

Post Qualification work experience details as on the date of application(Start from present Employer) :

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 Name of employer & Designation and Total Period of Service Nature of duties performed Reason for Leaving Years of
nature of Employment rank, if any Service (yy/mm)
From To
(mm/yyyy) (mm/yyyy)
-- -- -- -- -- -- --
-- -- -- -- -- -- --
-- -- -- -- -- -- --

Languages Known Read Write Speak

ENGLISH Yes Yes Yes
HINDI Yes Yes Yes
MARWARI Yes Yes Yes

DECLARATION:
I hereby solemnly declare and affirm that all the statements made in this Application are true to the best of my knowledge and belief. I understand
that in the event of any information being found false, incorrect or incomplete or if I am found ineligible due to non-fulfillment of any of the
eligibility conditions, my candidature for the applied post is liable to be cancelled/ rejected at any stage of recruitment without assigning any
reasons and after appointment in that event, the company shall have complete rights to dismiss me from the services of the Company.

Place : Signature of Applicant

Date : 20-08-2010

dilip dhariwal
Please retain your Registration No., Password e-mailed to you and copy of print-out carefully for further reference.
NOTE: Please DO NOT SEND application print-out to the LIC Housing Finance Ltd

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