Professional Documents
Culture Documents
(Please fill the form in “BLOCK letters” and ensure NO field is left blank)
Personal Information
First Name (as in Aadhaar Card) LIMRA Please affix your passport size
photograph here
Middle Name, (as in Aadhaar Card)
(b
) OCI – OCI No. Issue Date Valid till
(c)
India Employment Visa –
Issue Date Valid till
Visa reference No.
(d
Others, if any – Please
)
give more details
Educational Qualification
Full /
Qualification Degree & School/ Part Document
Specialization College University Name Time % or From (MM/YY) Available
To (MM/YY)
Name CGPA (Yes/No)
MERRY MOUNT KARNATAKA FULL TIME 60% APRIL/2013 YES
10th / Equivalent ENGLISH SCHOOL SECONDARY
EDUCATION
EXAMINATION
BOARD
ST. CHARLES DEPARTMENT OF FULL TIME 76% JUNE/2013 MARCH/2015 YES
12th / Equivalent WOMENS PU PRE-UNIVERSITY
COLLEGE EDUCATION
DR. BR AMBEDKAR RAJIV GANDHI FULL TIME 71% OCTOBER/2015 JUNE/2019 YES
UG MEDICAL COLLEGE UNIVERSITY OF
HEALTH SCIENCES,
KARNATAKA
PG
Other
Qualification
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Employment History
Current Organization
Previous Organizations
For HR Use Only (to be filled by Infra Services & BPS candidates only)
Please confirm if you have understood the following Signature of the Candidate
1. Compensation break discussed during the HR Discussion LIMRA ALAM
2. The Transport boundary details and have understood it
3. Willingness to work in night shifts
4. Willingness to work in 24/7 shifts (For CIS only)
Compensation Details
Current Compensation Expected Compensation
Other Information
Last Promotion (MM / YY) Last Salary Revision (MM / YY)
Please mention your Notice Period [or] the date by which you can join us [whichever is earlier]
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