© GICRe General Insurance Corporation Ltd. Allindia REGISTRATION SLIP Application No: 13025511668 Applicant IP: seg1arai7 Name of the Post: Assistant Manager Insurance Jan, 23, 2015, Personal Details Haninder Singh Father's Name: Bhupinder Singh Date of Birth: 15.08.1991 (Gender Male Marital Status: Single Nationality: Thain Physically Handicapped: No (category: se #13848 Stine. 4b, Near Rama Permanent Address: Charitable Hospital, Parbhat Nagar, Dhalewal Cnowe Districtici Ludhiana stateut: Punjab Pin Code: 141003 Is Your Correspondence Address same as Permanent address: Five Correspondence Address: “#13868 St no, 40, Near Rama Chartable Hospital, Parbhat Nagar, Dhalewal Chowk DistrictiCity-Correspondence Address lushiana Pin Code-Corraspondence Address: 141003 ‘Mobil 09914380097 Email: harvinderleo@gmallcom Ex Serviceman No. ’Are You ordinarily domiciled in the Kashmir Division of the State of Jammu & Kashmir No during the period 1-1-80 to 31-12-8 ‘re You Confirmed Employees of Public Sector General insurance Companies (including ||, GIC & Agriculture Insurance Company of india Ltd.) (Choice of Center for Written Exam: Delhi Educational Qualification- Matric /LOth Subject studied: English, Punjabi, Hind, Maths, Science, Social studies,camputer Education, Heath and PhysicalJ [Eaucation Name of Board/University: Punjab School Education Board Year of Passing 2007 ‘Marks Obtained: 592 Total Marks: 250 Percentag 69.64 Educational Qua! ication- Sr.Secondary /12th Subject studied: General Punlabl, General Englsh Physies, chemistry, Maths, [Name of Board/University: Punjab School Education Board Year of Passing: 7008 Marks obtained: 3a Totat Mark 150 Percentage: 76.00 Educational Qualification- Graduation Degr Graduation Subject Studied: Bachelor of Engineering in BioTECHNOLOGY [Name of Board/University: PANIAB UNKVERSITY, CHANDIGARH Year of Passing zor ‘Marks obtained: 205 "otal Marks 3000 Percentag 20.50 Educational Qualification- Post Graduation Educational Qualification- Others Work Experience Please send your acknowledgement Registration Slips with other supportive documents by ORDINARY POST so as to reach latest by 30th January, 2015 to. Post Box no 10737, Sector 7, Rohini, Delhi 210085, Superseribing the Envelope as “APPLICATION FOR THE POST OF ASSISTANT MANAGER IN GIC Re”. (Please Indicate the Stream /Discipline for which you have applied also) List of following Documents (copy) to be attached with the Application: a IHsc Certificate showing Date of Birth, » [pegree / PG Certificates and Mark Sheets m Icertincate regarding prescribed professional raining | Qualification ”) lcaste cereincate in case of SC/ST /OBC |candidates ” [pisabilty certificate wherever applicable “) lec-Servicemen Release Order wherever applicable wi) levidence of Domicile for the period from 1.1.1980 to li5.8.1985 in the case of Assam State Residents (for lage relaxation purpose)