Application Form
Content
LIFE INSURANCE CORPORATION OF INDIA
CENTRAL OFFICE, "YOGAKSHEMA", JEEVAN BIMA MARG, MUMBAI 400 021 Recruitment for the Post of ASSISTANT ADMINISTRATIVE OFFICER (Generalists / Chartered Accountants / Company Secretary/ Legal)
Unique Application Registration Number :
Post Applied Post Code Category
(GENERAL/ OBC/SC/ST) GENERAL
101142391
Nationality Gender
Age as on 01/11/2010
YEAR MONTH DAYS
DOB
(DD/MM/YYYY) 19/07/1986
ASSISTANT ADMINISTRATIVE OFFICER(GENERALISTS)
101
INDIAN
FEMALE
24
3
13
1 . Candidate Name 2 . Father's/Husband's Name 3 . Mother's Name
ANUSHI JINDAL SH.SATISH JINDAL SMT. PARVEEN JINDAL
4. Choice of Examination City :
Name of City City Code
5. Sub-Category
PH Please write : Yes/No, if ECO/SSRCO required Scribe LIC Employee
VH
OH
No CHANDIGARH 06 No No
No
6. Are you a member of Institute of Chartered Accountants of India ?
Are you a member of ICAI Membership No. Membership Date
No 7. Are you a member of Institute of Company Secretaries of India ?
Are you a member of ICSI Membership No. Membership Date
No 8. Candidate Address
Name Father's/Husband's Address
: : :
ANUSHI JINDAL SH.SATISH JINDAL 521/2 HOUSEFED COMPLEX PAKHOWAL ROAD
SPACE FOR PHOTOGRAPH
District State
: :
LUDHIANA PUNJAB
Pin Code : Tel. No. Email ID. 2563629
141013
STD Code 0161 Contact Details : Mobile No. 8054924416
[email protected] Signature of Candidate
9. Details of Fee :
LIC Branch Code A/C Code No. Transaction Date Transaction No. Miscellaneous Collection Amount (Rs.)
336 10. Educational Qualification
114033
01/12/2010
92585
1563
400
Name of Examination 12th
Name of Examination Passed COMMERCE WITH MATHS
Name of University / Institute CENTRAL BOARD SCHOOL OF EDUCATION
Year of Passing % age of marks 2003 73.6
Graduation
B.COM
PUNJAB UNIVERSITY CHANDIGARH
2006
68.72
Post Graduation
Professional
C.A INTER
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
2007
52.12
Other Examination
APPEARED IN C.A FINAL
2010
11. Post Qualification Experience :
*********************************************************************************************** DECLARATION
I hereby declare that all statements made in this application are true and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect or not satisfying the prescribed eligibility criteria for the post applied for, my candidature is liable to be cancelled / rejected at any stage of selection.
Place : Date :
Signature of the Applicant
CENTRAL OFFICE, "YOGAKSHEMA", JEEVAN BIMA MARG, MUMBAI 400 021 Recruitment for the Post of ASSISTANT ADMINISTRATIVE OFFICER (Generalists / Chartered Accountants / Company Secretary/ Legal)
Unique Application Registration Number :
Post Applied Post Code Category
(GENERAL/ OBC/SC/ST) GENERAL
101142391
Nationality Gender
Age as on 01/11/2010
YEAR MONTH DAYS
DOB
(DD/MM/YYYY) 19/07/1986
ASSISTANT ADMINISTRATIVE OFFICER(GENERALISTS)
101
INDIAN
FEMALE
24
3
13
1 . Candidate Name 2 . Father's/Husband's Name 3 . Mother's Name
ANUSHI JINDAL SH.SATISH JINDAL SMT. PARVEEN JINDAL
4. Choice of Examination City :
Name of City City Code
5. Sub-Category
PH Please write : Yes/No, if ECO/SSRCO required Scribe LIC Employee
VH
OH
No CHANDIGARH 06 No No
No
6. Are you a member of Institute of Chartered Accountants of India ?
Are you a member of ICAI Membership No. Membership Date
No 7. Are you a member of Institute of Company Secretaries of India ?
Are you a member of ICSI Membership No. Membership Date
No 8. Candidate Address
Name Father's/Husband's Address
: : :
ANUSHI JINDAL SH.SATISH JINDAL 521/2 HOUSEFED COMPLEX PAKHOWAL ROAD
SPACE FOR PHOTOGRAPH
District State
: :
LUDHIANA PUNJAB
Pin Code : Tel. No. Email ID. 2563629
141013
STD Code 0161 Contact Details : Mobile No. 8054924416
[email protected] Signature of Candidate
9. Details of Fee :
LIC Branch Code A/C Code No. Transaction Date Transaction No. Miscellaneous Collection Amount (Rs.)
336 10. Educational Qualification
114033
01/12/2010
92585
1563
400
Name of Examination 12th
Name of Examination Passed COMMERCE WITH MATHS
Name of University / Institute CENTRAL BOARD SCHOOL OF EDUCATION
Year of Passing % age of marks 2003 73.6
Graduation
B.COM
PUNJAB UNIVERSITY CHANDIGARH
2006
68.72
Post Graduation
Professional
C.A INTER
THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA THE INSTITUTE OF CHARTERED ACCOUNTANTS OF INDIA
2007
52.12
Other Examination
APPEARED IN C.A FINAL
2010
11. Post Qualification Experience :
*********************************************************************************************** DECLARATION
I hereby declare that all statements made in this application are true and correct to the best of my knowledge and belief. I understand that in the event of any information being found false or incorrect or not satisfying the prescribed eligibility criteria for the post applied for, my candidature is liable to be cancelled / rejected at any stage of selection.
Place : Date :
Signature of the Applicant
