LIFE INSURANCE CORPORATION OF INDIA

CENTRAL OFFICE, "YOGAKSHEMA", JEEVAN BIMA MARG, MUMBAI 400 021

Recruitment for the Post of ASSISTANT ADMINISTRATIVE OFFICER
(Generalists / Chartered Accountants / Company Secretary/ Legal)

Unique Application Registration Number : 101139600

Post Applied Post Code Category DOB Nationality Gender Age as on 01/11/2010
(GENERAL/
(DD/MM/YYYY) YEAR MONTH DAYS
OBC/SC/ST)
ASSISTANT 101 SC 26/02/1985 INDIAN MALE 25 8 6
ADMINISTRATIVE
OFFICER(GENERALISTS)

1 . Candidate Name VIPIN ALRIYA

2 . Father's/Husband's Name RAMESH ALRIYA

3 . Mother's Name KAILASH DEVI

4. Choice of Examination City : 5. Sub-Category

Name of City City Code PH Please write : Yes/No, if ECO/SSRCO LIC Employee
required Scribe

VH OH
No No
NEW DELHI 27 No No

6. Are you a member of Institute of Chartered Accountants of India ?

Are you a member of ICAI Membership No. Membership Date

No

7. Are you a member of Institute of Company Secretaries of India ?

Are you a member of ICSI Membership No. Membership Date

No

8. Candidate Address

Name : VIPIN ALRIYA

Father's/Husband's : RAMESH ALRIYA

Address : HOUSE NO. 1655

SECTOR 3 SPACE FOR

PHOTOGRAPH
ROHTAK

District : ROHTAK

State : HARYANA Pin Code : 124001

Contact STD Code 01262 Tel. No. 272287

Details :
Mobile No. 9467717299 Email ID. classyvipin@gmail.com
Signature of Candidate
9. Details of Fee :

LIC Branch Code A/C Code No. Transaction Date Transaction No. Miscellaneous Collection Amount (Rs.)

10. Educational Qualification

Year of Passing % age of marks

Name of Examination Name of Examination Passed Name of University / Institute
12th NON MEDICAL CBSE, NEW DELHI 2002 59.0

Graduation ENGINEERING, BE MAHARSHI DAYANAND UNIVERSITY, ROHTAK 2009 57.75

Post Graduation

Professional

Other Examination

11. Post Qualification Experience :

***********************************************************************************************
DECLARATION

I hereby declare that all statements made in this application are true and correct to the best of my knowledge and belief. I understand that
in the event of any information being found false or incorrect or not satisfying the prescribed eligibility criteria for the post applied for,
my candidature is liable to be cancelled / rejected at any stage of selection.

Place :

Date :
Signature of the Applicant