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National Insurance Company Ltd.
RECRUITMENT OF ASSISTANTS
Registration Number : 190121146Full Name : Parvinder SinghState/UT (to which centre of exambelongs)
: Delhi- NCR
Centre of Examination : Delhi-NCRCategory : URIf Person with Disability : NOType of Disability : -Percentage of Disability : -Are you suffering from cerebral palsyand your writing speed is affected?
: -
If Yes, Do you need compensatorytime ?
: -
Whether your dominant (Writing)hand affected ?
: -
If Yes, Do you need compensatorytime ?
: -
Do you intend to use the services of ascribe (only for VI or OH Candidates)?
: -
Whether Person domiciled in theState of Jammu & Kashmir during theperiod from 01.01.80 to 31.12.89 ?
: NO
Are you Resident of Assam Stateduring the period from 01.01.1980 to15.08.1985 ?
: NO
Are you Displaced persons from EastPakistan who have migrated to Indiaon or after 1.1.1964 ?
: NO
Are you seeking relaxation underwidow /divorced women / womenjudicially Separated from theirhusbands and who are not re-married
: NO
Recruitment of Assistants in National Insurance... http://ibps.sifyitest.com/nicastjan15/registration_...
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?Religion to which you belong : SikhWhether you belong to ReligiousMinority Community ?
: YES
Do have passed in English as one ofthe subjects at SSC/ HSC/Intermediate/ Graduation level ?
: YES
Do have Knowledge of RegionalLanguage of the State ?
: YES
Are you an Ex-Serviceman ? : NOAre you a Disabled Ex - Serviceman(DISXS) ?
:
Period of Service (in months) : : -Have you joined a Government job onthe civil side after availing of thebenefits given as an ex-serviceman ?
:
Are you a Dependent of Servicemankilled in Action (DXS) ?
: NO
Are you Existing Employees of theCompany ?
: NO
Serial No. : -Office Code No. : -Nationality : : Indian
Application Fee / Intimation Charges Details :Payment In : ONLINEAmount : 500.00Payment Status : PAIDReference ID : BSBJ3648011526Transaction Date : 27-01-2015
Personal DetailsDate of Birth : 30-03-1993Age completed as on 30-11-2014 : 21Gender : MALEMarital Status : UnmarriedFather's Name in Full : Mukhtiar SinghMother's Name in Full : Satnam Kaur
Recruitment of Assistants in National Insurance... http://ibps.sifyitest.com/nicastjan15/registration_...
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Languages Known Read Write
Spouse Name in Full :Address for Correspondence : Wz-71 Ram Nagar
: Tilak Nagar: New Delhi
District : West ZoneState : DELHIPin code : 110018Permanent Address : Wz-71 Ram Nagar
: Tilak Nagar: New Delhi
District : West ZoneState : DELHIPin code : 110018
Contact DetailsPhone No : 011-25995784Mobile No : +91 8826380949Email ID : parvindersingh3009@gmail.com
Educational Qualification Details (as on 30.11.2014) :
Exam Passed Subject /Stream Date ofPassing
% of Marks Class/Grade
HSC/Equivalent (XIIpass)
Science 28-05-2012 65.60 Pass Class
Do you have operating /workingknowledge of computers ?
: YES
Details of computer knowledge : Computer Basics And Programming
Work experience details (Start from present Employer) :
Languages Details :
Recruitment of Assistants in National Insurance... http://ibps.sifyitest.com/nicastjan15/registration_...
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Hindi YES YES YES English YES YES YES Punjabi YES YES YES
Declaration I hereby declare that all statements made in this application are true, complete and correct to the best of my knowledge and belief. I understand that in theevent of any information being found untrue or incorrect at any stage/ in the event any circumstances which may impair my fitness for employment in organization/ Ido not satisfy any of the eligibility criteria stipulated, my candidature is liable to be cancelled.
Date: 27-01-2015 Signature of Applicant
Recruitment of Assistants in National Insurance... http://ibps.sifyitest.com/nicastjan15/registration_...
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