Scribd
Upload
12 views

Complete Application: Post Applied For: Administrative Officers (Scale-I) Applicant's Registration No: NIC400002142

This document contains Ashish Sharma's application for the post of Administrative Officers (Scale-I) at National Insurance Company. It includes his personal details like name, date of birth, father's name, qualifications and contact information. Ashish declares that he fulfills the eligibility criteria for the role and that his candidature may be cancelled if any information provided is found to be false.

Uploaded by

wert21
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
12 views

Complete Application: Post Applied For: Administrative Officers (Scale-I) Applicant's Registration No: NIC400002142

This document contains Ashish Sharma's application for the post of Administrative Officers (Scale-I) at National Insurance Company. It includes his personal details like name, date of birth, father's name, qualifications and contact information. Ashish declares that he fulfills the eligibility criteria for the role and that his candidature may be cancelled if any information provided is found to be false.

Uploaded by

wert21
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

Welcome ASHISH SHARMA!

[ Log Out ]

Complete Application
Your Personal Details:

Print

Back

Post Applied for : Applicant's Registration No :


Salutation: MR. Gender: MALE Applicant's Name Date of Birth Father's Name Mother's Name Marital Status

ADMINISTRATIVE OFFICERS (SCALE-I) NIC400002142


ASHISH SHARMA 3/8/1990 HARI OM HARINDER KUMARI SINGLE Photo

You have ordinarily been domiciled in Kashmir Division of J & K State during the period from 01.1.1980 to 31.12.1989 Are you Resident of Assam State during the period from 01.01.1980 to 15.08.1985? Are you an Existing Confirmed Employees of Public Sector General Insurance Companies (including GIC & Agriculture Insurance Company of India Ltd.)? Are you an Ex-Serviceman Category Person With Disabilities (PWD) Citizenship Choice of State for Examination Choice of Examination Centre Journal No. of Challan Deposit Date of Challan Qualification Details: Qualifying Discipline Qualifying Degree Your Communication Details: Permanent Address: Address Line 1 # LV 331 ST NO 6 SHAHEED BHAGAT SINGH NAGAR Village/City State Postal Address: Address Line 1 # LV 331 ST NO 6 SHAHEED BHAGAT SINGH NAGAR Village/City State Mobile No Email Id Declaration PHAGWARA PUNJAB 919041569464 [email protected] PHAGWARA PUNJAB ENGINEERING B.TECH/B.E IN ANY ENGINEERING BRANCH NO GENERAL NO INDIAN PUNJAB LUDHIANA 016960483 12/08/2013

NO NO NO

Address Line 2 KHOTHRAN ROAD Pin Code 144401

Address Line 2 KHOTHRAN ROAD Pin Code Landline No 144401

I hereby declare that the information given above are true and I fulfil the eligibility conditions for appearing at the pre-recruitment test conducted by National Insurance Company for the post of Administrative Officers (Scale-I). I further declare that in case of my statements are found to be false/incorrect or any ineligibility being detected before or after the Test, my candidature for the post of Administrative Officers (Scale-I) is liable to be cancelled.

_________________________ (Applicant's Signature)


This site is best viewable in IE8.0, Chrome26 and Firefox10

You might also like