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Welcome to Life Insurance Corporation of India - Application Form Print

RECRUITMENT OF ASSISTANT ADMINISTRATIVE OFFICER

ON-LINE APPLICATION FOR Life Insurance Corporation of India - RECRUITMENT OF ASSISTANT ADMINISTRATIVE OFFICER

33038
Registration # : 1382955

Full Name :

DONIKELA PRAVEEN KUMAR

Category : If Person with Disability : Type of Disability : Percentage of Disability :

GENERAL NO -

Do you intend to use the services of a scribe NA ( only for VH and OH candidates whose writing speed is affected by cerebral palsy)?: Are you an ECO/SSRCO ? : Are you a Confirmed Employee of LIC ?: SR No.: Designation: Place of Posting: Whether you belong to Religious Minority Community ? : Minority Religion : State/ UT which the Centre of Examination Belongs: Centre of Examination : Centre Code : Nationality : Application Fee / Postal Charges Details : payment in: Amount : Reference ID : Transaction Date : Personal Details : Date of Birth : Age completed as on 01.03.2013 : Gender : Marital Status : Husband's Name : Father's Name :
ibpsreg.sifyitest.com/licaao_feb13/registration_print1.php?regno=MTM4Mjk1NQ==&prnsrc=prn

NO NO

NO Andhra Pradesh WARANGAL 123 Indian

ONLINE 500.00 MSPD2939576046 09-03-2013

19-08-1991 21 MALE Unmarried

DONIKELA BHASKAR
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3/9/13

Welcome to Life Insurance Corporation of India - Application Form Print

Mother's Name : Address for Correspondence :

DONIKELA KALAVATHI T2 197 KRISHNA COLONY BHUPALPALLY

District State : Pin : Permanent Address :

WARANGAL ANDHRA PRADESH 506169 T2 197 KRISHNA COLONY BHUPALPALLY

District State : Pin : Contact Details : Email ID : Phone No : Mobile No : Qualification Details (as on 01.03.2012): Exam Passed Subject/Stream Date of Passing 11-04-2012 11-04-2012 aggregate marks obtained 3507.00 3507.00

WARANGAL ANDHRA PRADESH 506169

donikula.praveen@gmail.com +919701396102

maximum marks 5475.00 5475.00

% of Marks

Class / Grade First Class First Class

Graduation: Professional Qualification :

BTECH BTECH

64.05 64.05

Post Qualification work experience details (Start from present Employer): Name of the Employer & Nature of Employment Designation From(mm/yyyy) To(mm/yyyy) and Rank if any Nature of duties performed Remark(Reason for Leaving) Years of Service (YY/MM)

Total Relevant Experience : Languages Known TELUGU HINDI ENGLISH Read YES YES YES Write YES YES YES Speak YES YES YES

DECLARATION:
I hereby confirm and declare that all the statements made and information provided by me in this Application are true, correct and complete to the best of my knowledge and belief. In the event of any information or the part of it being found false or incorrect before or after the recruitment process, action can be taken against me by the competent authority and my candidature/appointment will automatically be cancelled/terminated.

Place:
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3/9/13

Welcome to Life Insurance Corporation of India - Application Form Print

Date: 09-03-2013 Please retain your Registration No. and Password emailed to you carefully for further reference

Signature of Applicant

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