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UnitedIndiaInsuranceCompanyLimited

ApplicationformforthepostofAdministrativeofficer(scale1)2012

ApplicationFormUIICL2012

ApplicationNumber
PostApplyingfor QualifyingExamination PercentinQualifyingExam
PersonalDetails

UII6039577
GroupF(Generalist) MasterDegree 55

FullName Father'sName Mother'sName DateofBirth DomicileState/UT

ANUPAMAKAPOOR RAJKAPOOR SHASHIBALA 20Aug1987 UttarPradesh

Gender Category MinorityCategory BelongtoECO/SSROCategory. MaritalStatus AssamResidentbetween1/1/1980 to15/8/1985 No

Female SC NO NA Single No

StayinJ&Kbetween1/1/80 No to31/12/89 PersonwithDisability No ConfirmedEmployeeofGICandotherPublicSectorCompanies


ContactDetails

AddressLine1 AddressLine2 AddressLine3 City PINCode


UnitedIndiaEmployee

96NEWCIVILLINE NEARRAVIDASMANDIR AMBEDKARNAGAR HARDOI 241001

State EmailId. MobileNo. TelephoneNo TestCenter

UttarPradesh anupama_ak20@rediffmail.com 9696127693 85Lucknow

UIICLEmployeeNo
EDUCATIONDETAILS

Qualification B.SC M.SC


PaymentDetails

Subject/Specialization ZOOLOGY,BOTANY,CHEMISTRY PLANTSCIENCE

YearofPassing 2008 2010

Institute/University C.S.J.MUNIVERSITY UniversityofLucknow

Percent 58.14 55.10

ModeofPayment JournalNumber SBIBranchName

Challan 00002273383 HARDOI

SBIBranchCode PaymentDate ApplicationFee

00649 11Apr2012 125

DECLARATION:I,herebydeclarethatallthestatementsmadeinthisapplicationaretrueandcorrecttothebestofmyknowledgeandbelief. Iunderstandthatintheeventofanyinformationbeingfoundfalseorincorrect,mycandidaturefortheappliedpostisliabletobecancelled/rejectedat anystageofRecruitment/duringthecourseofemploymentwithoutanynoticetome. Date:15Apr2012

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