7/29/2015

RECRUITMENTOFASSISTANTSINTHEORIENTALINSURANCECOMPANYLTDApplicationFormPrint

THEORIENTALINSURANCECOMPANYLTD
RECRUITMENTOFASSISTANTS

RegistrationNumber

: 300062009

FullName

: AshwaniSingh

State/UTAppliedFor:

: Jammu&Kashmir

CentreofExamination

: Jammu

Category

: UR

AreyouaPersonwithDisability

: NO

TypeofDisability

PercentageofDisability

Areyousufferingfromcerebralpalsyandyour :
writingspeedisaffected?
IfYes,Doyouneedcompensatorytime?

Whetheryourdominant(Writing)hand
affected?

IfYes,Doyouneedcompensatorytime?

Doyouintendtousetheservicesofascribe
(onlyforVIcandidatesandthecandidates
whosewritingspeedispermanently
affected)?

WhetherPersondomiciledintheStateof
Jammu&Kashmirduringtheperiodfrom
01.01.80to31.12.89:?

: NO

Areyouseekingrelaxationunderwidow
/divorcedwomen/womenjudicially
Separatedfromtheirhusbandsandwhoare
notremarried?

: NO

AadharCardNo

Religiontowhichyoubelong

: Hindu

WhetheryoubelongtoReligiousMinority
Community?:

: NO

HaveyoupassedinEnglishasoneofthe
subjectsatSSC/HSC/Intermediate/
Graduationlevel:?

: YES

HaveyouKnowledgeofRegionalLanguage
oftheState:?

: YES

http://ibps.sifyitest.com/oiclrajun15/registration_print.php?q=NTVmYTkxYTQxZmJiNTE1MTcyZWVkOTAxNjk4MzdlOGJ8MzAwMDYyMDA5

1/4

7/29/2015

RECRUITMENTOFASSISTANTSINTHEORIENTALINSURANCECOMPANYLTDApplicationFormPrint

AreyouanExServiceman?

: NO

AreyouaDisabledExServiceman(DISXS)?

PeriodofService(inmonths):

HaveyoujoinedaGovernmentjobonthecivil :
sideafteravailingofthebenefitsgivenasan
exserviceman?
AreyouaDependentofServicemankilledin
Action(DXS)?

: NO

AreyouExistingEmployeesofTheOriental
InsuranceCompanyLimited.:?

: NO

SerialNo.

OfficeCodeNo.

Nationality:

: Indian

ApplicationFee/IntimationChargesDetails:
PaymentIn

: ONLINE

Amount

: 500.00

PaymentStatus

: PAID

ReferenceID

: DHMP3902846596

TransactionDate

: 14072015

PersonalDetails
DateofBirth

: 06061994

Agecompletedason01.07.2015

: 21

Gender

: MALE

MaritalStatus

: Unmarried

Father'sNameinFull

: JagbirSingh

Mother'sNameinFull

: Anita

SpouseNameinFull

AddressforCorrespondence

: WardNo.16
: ShivaNagar
: Kathua

District

: Kathua

State

: JAMMU&KASHMIR

Pincode

: 184104

PermanentAddress

: WardNo.16
: ShivaNagar
: Kathua

District

: Kathua

State

: JAMMU&KASHMIR

http://ibps.sifyitest.com/oiclrajun15/registration_print.php?q=NTVmYTkxYTQxZmJiNTE1MTcyZWVkOTAxNjk4MzdlOGJ8MzAwMDYyMDA5

2/4

7/29/2015

RECRUITMENTOFASSISTANTSINTHEORIENTALINSURANCECOMPANYLTDApplicationFormPrint

Pincode

: 184104

ContactDetails
PhoneNo

MobileNo

: +919643364420

EmailID

: ashwanis78610@gmail.com

EducationalQualificationDetails(ason01.07.2015):
ExamPassed

Subject/Stream

Dateof
Passing

%ofMarks

Class/Grade

HSC/Equivalent(XII
pass):

Othersnon
medical

2305
2011

63.73

FirstClass

Graduation:

Management

0906
2015

71.71

FirstClass

Doyouhaveoperating/working
knowledgeofcomputers?

: YES

DetailsofComputerKnowledge

: Basic

LanguageDetails:
LanguagesKnown

Read

Write

Speak

English

YES

YES

YES

Hindi

YES

YES

YES

Dogri

NO

NO

YES

DECLARATION
IherebydeclarethatallthestatementsmadeinthisapplicationareTrue,CompleteandCorrecttothebestof
myknowledgeandbelief.Iunderstandthatintheeventofanyinformationbeingfounduntrueorincorrectatany
stageorIamnotsatisfyinganyoftheeligibilitycriteriastipulated,andalsoincaseofcreatinginfluence/undue
pressureregardingrecruitmentshalltantamounttocancellationofmycandidature.

http://ibps.sifyitest.com/oiclrajun15/registration_print.php?q=NTVmYTkxYTQxZmJiNTE1MTcyZWVkOTAxNjk4MzdlOGJ8MzAwMDYyMDA5

3/4

7/29/2015

RECRUITMENTOFASSISTANTSINTHEORIENTALINSURANCECOMPANYLTDApplicationFormPrint

Date:14072015

SignatureofApplicant

http://ibps.sifyitest.com/oiclrajun15/registration_print.php?q=NTVmYTkxYTQxZmJiNTE1MTcyZWVkOTAxNjk4MzdlOGJ8MzAwMDYyMDA5

4/4