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UnitedIndiaInsuranceCompanyLimited

ApplicationformforthepostofAdministrativeofficer(scale1)2012

ApplicationFormUIICL2012

ApplicationNumber
PostApplyingfor QualifyingExamination
PersonalDetails

UII2113547
GroupB(I.T) MCA(MastersinComputerApplications)

FullName Father'sName Mother'sName DateofBirth DomicileState/UT

VijayKUMAR AnandPrakash sushmadevi 01Jul1986 UttarPradesh

Gender Category MinorityCategory BelongtoECO/SSROCategory. MaritalStatus AssamResidentbetween1/1/1980 to15/8/1985 No

Male UnReserved NO NA Single No

StayinJ&Kbetween1/1/80 No to31/12/89 PersonwithDisability No ConfirmedEmployeeofGICandotherPublicSectorCompanies


ContactDetails

AddressLine1 AddressLine2 AddressLine3 City PINCode


UnitedIndiaEmployee

c/oAmitGautam C9/60FirstFloor YamunaVihar Delhi 110053

State EmailId. MobileNo. TelephoneNo TestCenter

Delhi vijayshrma.mca@gmail.com 8128748382 71Ahmedabad

UIICLEmployeeNo
EDUCATIONDETAILS

Qualification B.Sc MCA


PaymentDetails

Subject/Specialization Science ComputerSciencs

YearofPassing 2006 2011

Institute/University CCUNIVERSITY,MEERUT HindustanInstituteofManagement&ComputerStudies,Mathura

Percent 63.39 73.10

ModeofPayment JournalNumber SBIBranchName

Challan 00016223889 VijayNagar

SBIBranchCode PaymentDate ApplicationFee

01714 25Apr2012 525

DECLARATION:I,herebydeclarethatallthestatementsmadeinthisapplicationaretrueandcorrecttothebestofmyknowledgeandbelief. Iunderstandthatintheeventofanyinformationbeingfoundfalseorincorrect,mycandidaturefortheappliedpostisliabletobecancelled/rejectedat anystageofRecruitment/duringthecourseofemploymentwithoutanynoticetome. Date:30Apr2012

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