1/16/24, 12:55 PM Recruitment of 250 Administrative Officers (Generalist)

United India Insurance Company Limited [UIICL] 120133

Recruitment of 250 Administrative Officers (Generalist)

Registration Number : 391054461

Full Name : SHIVANI MEHRA

Category : SC

Are you a person with benchmark : NO

disability of 40% and above ?
Type of Disability : -

Sub-Type of Disability for MD/IDs’ : -

Sub-Type of Disability : -

Sub-Type of Multiple Disability : -

Do you need compensatory time at the : -
time of examination ?

Are you suffering from cerebral palsy : -

and your writing speed is affected : ?

If Yes, Do you need compensatory time : -

at the time of examination ?

Whether your dominant (Writing) hand is : -

affected ?
If Yes, Do you need compensatory time : -
at the time of examination ?
Do you intend to use the services of a : -
scribe ?

Are you a person with specified disability : NO

covered under the definition of sec 2(s)
of the RPwD Act, 2016 and not covered
under sec 2(r) of the said act and having
difficulty in writing?
If Yes, Do you need compensatory time : -
at the time of examination ?
Are you a person with specified disability : -
covered under the definition of sec 2(s)
of the RPwD Act, 2016 and not covered
under sec 2(r) of the said act and wish to
avail the services of Scribe?

I certify that, I will produce the certificate : -

from competent medical authority of a
Government healthcare institution as per
Ministry of Social Justice and
Empowerment, Department of
Empowerment of Persons with

https://ibpsonline.ibps.in/uiicloct23/registration_print.php?q=YTUyODg1NDJlOTY1YjcxNjAxMTA4OWUxNjA0OWVjYTV8MzkxMDU0NDYx 1/4
1/16/24, 12:55 PM Recruitment of 250 Administrative Officers (Generalist)
Disabilities (Divyangjan) circular no F.
No. 29-6/2019-DD-III dated 10.08.2022.
Religion to which you belong : Hindu
Do you belong to Religious Minority : NO
Community ?
Are you an Ex-Serviceman : NO
Commissioned Officers including
Emergency Commissioned Officers
(ECOs)/Short Service Commissioned
Officers (SSCO) ?
Are you a Defence service personnel : NO
disabled in operation during the
hostilities with any foreign country or in a
disturbed area and released as
consequence thereof ?
Period of Service as an Ex-Serviceman : -
(in months) :

Date of discharge from defence services : -

Have you joined a Government job on : -
the civil side after availing of the benefits
given as an ex-serviceman?
Are you seeking relaxation under : NO
widows / divorced women / women
legally Separated from their husbands
and who have not remarried ?
Are you a Existing Confirmed : NO
Employees of Public Sector General
Insurance Companies (including GIC &
Agriculture Insurance Company of India
Ltd.) . ?
Please enter Name of Company: : -
Employee No. : -
Designation: : -
Place of Work: : -
Nationality / Citizenship : : Indian
Do you hold Aadhaar Card ? : : YES

Aadhaar Card No. : XXXXXXXX7206

State /UT / NCR to which Exam centre : Rajasthan
belong :

Centre of Examination : : Kota

Application Fee / Intimation charges

Payment In : ONLINE
Fees : 250.00
Tax : 45.00 (IGST)

Amount : 295.00
Payment Status : PAID
Reference ID : YHD42206247410
Transaction Date : 16-01-2024

Personal Details
Date of Birth : 01-09-2000

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1/16/24, 12:55 PM Recruitment of 250 Administrative Officers (Generalist)

Age completed as on 31.12.2023 : 23

Gender : FEMALE
Do you have twin brother / sister ? : NO
Name of the twin : -

Gender of the twin : -

Marital Status : Unmarried
Father's Name : NAGENDRA MEHRA
Mother's Name : CHANDRAKALA MEHRA
Spouse's Name : -
Address for Correspondence
Address 1 : B4 801

Address 2 : MAHALAXMI ENCLAVE

Address 3 : BARAN ROAD
District : KOTA
State : RAJASTHAN
Pincode : 324001
Permanent address
Address 1 : B4 801
Address 2 : MAHALAXMI ENCLAVE

Address 3 : BARAN ROAD

District : KOTA
State : RAJASTHAN
Pincode : 324001
State for GST invoicing : Permanent Address
(RAJASTHAN)

Contact Details

Mobile No : +91 7976170729

Alternative Number : -
(Mobile No/Landline No)
Email ID : shivanimehra012000@gmail.com

Educational Qualification (as on 31.12.2023)

Exam Passed Degree/ Subject / Date of % of Marks Class / Grade

Stream Passing

Graduation Commerce 13-11-2021 57.00 Second Class

Post Graduation Commerce 26-07-2023 62.22 First Class

Do you have working knowledge of : YES

Computer ?

Other Details :

https://ibpsonline.ibps.in/uiicloct23/registration_print.php?q=YTUyODg1NDJlOTY1YjcxNjAxMTA4OWUxNjA0OWVjYTV8MzkxMDU0NDYx 3/4
1/16/24, 12:55 PM Recruitment of 250 Administrative Officers (Generalist)

Languages Known Read Write Speak

ENGLISH YES YES YES

HINDI YES YES YES

Uploaded Document Details :

1. Left Thumb Impression

2. Hand Written Declaration

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.

Date: 16-01-2024

Left Thumb Impression

Hand Written Declaration

https://ibpsonline.ibps.in/uiicloct23/registration_print.php?q=YTUyODg1NDJlOTY1YjcxNjAxMTA4OWUxNjA0OWVjYTV8MzkxMDU0NDYx 4/4