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RECRUITMENT OF ASSISTANT ADMINISTRATIVE OFFICER

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

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Registration # : 1551182

Full Name :

DINESH KUMAR PATEL

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

OBC 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 : Mother's Name : Address for Correspondence : MAHAVIR PRASAD PAT EL NIRMALA DEVI PATEL JAWAHAR NAGAR 08-08-1980 32 MALE Married ONLINE 500.00 MSBI2945450882 16-03-2013 NO Madhya Pradesh SATNA 208 INDIAN NO NO

Address for Correspondence :

JAWAHAR NAGAR LANE NO 7 NEAR SATYA SAI SCHOOL

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District State : Pin : Permanent Address :

SATNA MADHYA PRADESH 485001 JAWAHAR NAGAR LANE NO 7 NEAR SATYA SAI SCHOOL

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 Graduation: Others: ba dca 20-06-2001 15-03-2011 aggregate marks obtained 823.00 637.00

SATNA MADHYA PRADESH 485001

sagarcafesatna@gmail.com +917898855789

maximum marks 1800.00 1000.00

% of Marks Class / Grade

45.72 63.70

Second Class First Class

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

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

Date: 16-03-2013

Signature of Applicant

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