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7/29/2015

RECRUITMENT OF ASSISTANTS IN THE ORIENTAL INSURANCE COMPANY LTD ­ Application Form Print

7/29/2015 RECRUITMENT OF ASSISTANTS IN THE ORIENTAL INSURANCE COMPANY LTD ­ Application Form Print THE ORIENTAL

THE ORIENTAL INSURANCE COMPANY LTD ­ RECRUITMENT OF ASSISTANTS

Registration Number

:

300062009

Full Name

:

Ashwani Singh

State/UT Applied For:

:

Jammu & Kashmir

: UR

Centre of Examination Category

: Jammu

Are you a Person with Disability

:

NO

Type of Disability

:

­

Percentage of Disability

:

­

Are you suffering from cerebral palsy and your :

­

writing speed is affected?

If Yes, Do you need compensatory time ?

:

­

Whether your dominant (Writing) hand

:

­

affected ? If Yes, Do you need compensatory time ?

:

­

Do you intend to use the services of a scribe (only for VI candidates and the candidates whose writing speed is permanently affected)?

:

­

Whether Person domiciled in the State of Jammu & Kashmir during the period from 01.01.80 to 31.12.89 : ?

: NO

Are you seeking relaxation under widow /divorced women / women judicially Separated from their husbands and who are not re­married ?

: NO

Aadhar Card No

:

­

Religion to which you belong

:

Hindu

Whether you belong to Religious Minority Community ? :

: NO

Have you passed in English as one of the subjects at SSC/ HSC/ Intermediate/ Graduation level : ?

: YES

Have you Knowledge of Regional Language of the State: ?

: YES

7/29/2015 RECRUITMENT OF ASSISTANTS IN THE ORIENTAL INSURANCE COMPANY LTD ­ Application Form Print THE ORIENTAL

7/29/2015

RECRUITMENT OF ASSISTANTS IN THE ORIENTAL INSURANCE COMPANY LTD ­ Application Form Print

Are you an Ex­Serviceman?

:

NO

Are you a Disabled Ex­Serviceman (DISXS)? :

Period of Service (in months):

:

­

Have you joined a Government job on the civil :

side after availing of the benefits given as an ex­serviceman?

Are you a Dependent of Serviceman killed in Action (DXS)?

: NO

Are you Existing Employees of The Oriental Insurance Company Limited. : ?

: NO

Serial No.

:

­

Office Code No.

:

Nationality :

: Indian

Application Fee / Intimation Charges Details :

Payment In

: ONLINE

Amount

: 500.00

Payment Status

: PAID

Reference ID

: DHMP3902846596

Transaction Date

: 14­07­2015

Personal Details

Date of Birth

: 06­06­1994

Age completed as on 01.07.2015

:

21

Gender

: MALE

Marital Status

: Unmarried

Father's Name in Full

:

Jagbir Singh

Mother's Name in Full

: Anita

Spouse Name in Full

:

Address for Correspondence

:

Ward No. 16

:

JAMMU & KASHMIR

District State

: Shiva Nagar : Kathua : Kathua

: 184104

Pin code Permanent Address

Ward No. 16 : Shiva Nagar : Kathua

:

District

: Kathua

:

State

JAMMU & KASHMIR

7/29/2015

Pin code

RECRUITMENT OF ASSISTANTS IN THE ORIENTAL INSURANCE COMPANY LTD ­ Application Form Print

: 184104

Contact Details

Phone No

:

­

Mobile No

:

+91 9643364420

Email ID

: ashwanis78610@gmail.com

Educational Qualification Details (as on 01.07.2015):

 

Exam Passed

Subject /Stream

Date of

% of Marks

Class/Grade

 

Passing

HSC/Equivalent (XII

Others ­ non

23­05­

  • 63.73 First Class

pass):

medical

2011

Graduation:

Management

09­06­

  • 71.71 First Class

 

2015

Do you have operating /working knowledge of computers ?

: YES

Details of Computer Knowledge

: Basic

Language Details :

Languages Known

Read

Write

Speak

English

YES

YES

YES

Hindi

YES

YES

YES

Dogri

NO

NO

YES

DECLARATION

I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my knowledge and belief. I understand that in the event of any information being found untrue or incorrect at any stage or I am not satisfying any of the eligibility criteria stipulated, and also in case of creating influence/undue pressure regarding recruitment shall tantamount to cancellation of my candidature.

7/29/2015

RECRUITMENT OF ASSISTANTS IN THE ORIENTAL INSURANCE COMPANY LTD ­ Application Form Print

7/29/2015 RECRUITMENT OF ASSISTANTS IN THE ORIENTAL INSURANCE COMPANY LTD ­ Application Form Print Date: 14­07­2015

Date: 14­07­2015

Signature of Applicant