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KARIMNAGAR - Life Insurance Corporation of India

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ENGAGEMENT OF DIRECT SALES EXECUTIVES(FORMAT OF APPLICATION)(DO NOT attach any certificate in Original.)The Sr. Divisional Manager,LIC <strong>of</strong> <strong>India</strong>,_ _ _ _ _ _ _ Division.1. Name <strong>of</strong> Direct Mktg. unit applied for ……………………………….Annexure IIAffix your SelfAttested recent,recognizable,Passport sizephotograph here.2. Name in Full (In English: Capital letters, Surname First)3. Mailing Address (Do NOT repeat your name here)Telephone No. with STD Code: ________________Pin­CodeE Mail i.d.: _______________________________Mobile No: ________________________.4. Category (Indicate by making a cross­mark (Χ) in the appropriate box.)SC ST OBC OTHERS5. Whether Ex­Serviceman. (Make a cross­mark (Χ) in the appropriate box. If “Yes”, give details.)YesNo6. Date <strong>of</strong> Birth: _____________ 6(A). Age in completed years as on 01.05.2010 ________Years7. Particulars <strong>of</strong> Application fee:D.D No.__________Date ______Drawn on _______________Rs. ____________ payable at ___________8. Educational Qualifications:Examination PassedBachelor’s DegreeName <strong>of</strong> the Institution/UniversityYear <strong>of</strong> passingClassMasters Degree/Post Graduate Diploma InMarketingOthers(Specify, including ComputerTraining)­ 4 ­

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