online application_ esi 2013ckjkj.pdf

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8/2/2014 Online Application: ESI 2013

https://jobapply.in/ESI2013/fill_applicationNext.aspx

Application Form for the post of

Social Security Officer

* Application No.

307742

Examination Centre

*Examination Centre City

selectedChandigarh

* Post Applied for Social Security Officer

Personal Particulars

* Name GURVINDER KAUR

* Date of Birth 29-Oct-1991

* Gender Female

* Address for communicat ion WARD NO.1 NAGAR COUNCIL SIRHAND

CITY, VPO.TALANIAN,

DISTT.FATEHGARH SAHIB.

* City SIRHIND * Pin Code 140406

* State Punjab

* Email-ID [email protected]

Contact No. 0160 -125645 * Mobile No. 9781867875

* Religion SIKH * Category SC

Sub Category, if any Not Applic able

*Are you a ESI permanent

employee?NO *

Are you in Govt. Regular

Service?

NO if yes, No. of year of

Service:

*Are you Resident of State ofJ&K (Domiciled during

01.01.1980 to 31.12.1989)?

NO

*Are you person with

disabilities?NO

If yes, indicate the nature of

disability and Percentage of

disabilty%

* Nationality INDIAN

* Whether Ex-Serviceman? NO

If yes, specify

Joining Date Discharge Date Total Service

* Do you have working knowledge of computer including use of Office Suites & data base YES


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8/2/2014 Online Application: ESI 2013

https://jobapply.in/ESI2013/fill_applicationNext.aspx

Application No.: 307742

Qualification Details

Qualification

Level

Name of the

QualificationMain Subject(s)

Duration

(in

Years/Months)

Month

& Year

of

Passing

Name of the

University/Board

Marking

Scheme

Marks

Obtained

Maximum

Marks

Percen

of Mar

(Upto

decimplace

12th COMMERCE

ACCOUNTANCY,

BUSINESS STUDIES,

BE&QM, E-

COMMERCE, PUNJABI,

ENGLISH

1Yr/0Mar-

2009P.S.E.B Marks 323 450 71.7

Graduation B.Com.

COST ACCOUNTING,

FINANCIAL

ACCOUNTING,

MANAGEMENT

ACCOUNTING,

INDIRECT TAX,

ENTREAPRENEURSHIP,

2Yr/0Apr-

2012

PUNJABI

UNIVERSITY

PATIALA

Marks 1063 2000 53.1

#Note: In case the Marking Scheme is Grade, please enter the equivalent percentage.

Mode of Payment: --> Payment is not required for women candidates, ESIC Employees and candidates belonging to SchedCaste, Scheduled Tribe, Person with Disabilities (PWDs) and Ex-serviceman

I hereby certify and declare that:

1. I am an Indian National.2. I have read the provisions given in the Advertiseme nt.3. All statements ma de and information given by me in this application are true, comple te and correct to the bes t of my knowledge a nd belief. In the eve

any information or part of it being found false or incorrect before or after the exa m/interview or appointment, action can be tak en aga inst me by the ESand my candidature/appointment shall automatically stand cancelled/repatriated/terminated.

4. I further declare that I fulfill all the conditions of e ligibility regarding age, e ducational, professional/technical qualifications, etc. prescribed for the postapplied. The essential qualifications prescribed are possessed by me, the proof of which has been enclosed.

5. I will not lay any claim for refund of non-refundab le application fee from ESI under any circumstances.

Undertaking: I have gone through the advertisement and the General Conditions mentioned therein and fulfil all the conditions/requirements s pecified therein.I hereby Accept and confirm the Unde rtaking.

Signature of the cand

Print Home(Please Print the form for Further Reference)

Important Instruction for Candidates:

Candidates are not required to submit to ESIC either by post or by hand the printouts of their online applications or any o

document.

They will be required to submit printout of online application along with documents in support of their eligibility etc. in cas

they are shortlisted for Part II Examinations.
https://jobapply.in/ESI2013/LoginMenu.aspx


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online application_ esi 2013ckjkj.pdf

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