General Insurance Corporation of India Recruitment of Scale I Officers

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1/12/24, 1:23 AM RECRUITMENT OF SCALE I OFFICERS

GENERAL INSURANCE CORPORATION OF INDIA


350032
RECRUITMENT OF SCALE I OFFICERS

Registration Number : 323055833

Full Name : SAURABH DILIP


BACCHAV

Name of Disciplines/Streams : GENERAL

Category : OBC
Are you a person with benchmark disability of : NO
40% and above ?
Type of Disability : -

Are you suffering from cerebral palsy and your : -


writing speed is affected : ?
If Yes, Do you need compensatory time at the : -
time of examination?
Whether your dominant (Writing) hand is : -
affected?
If Yes, Do you need compensatory time at the : -
time of examination?

Do you intend to use the services of a scribe ? : -


Are you a person with specified disability : NO
covered under the definition of sec 2(s) of the
RPwD Act, 2016 and not covered under sec
2(r) of the said act and having difficulty in
writing?
If Yes, Do you need compensatory time at the : -
time of examination?
Are you a person with specified disability : -
covered under the definition of sec 2(s) of the
RPwD Act, 2016 and not covered under sec
2(r) of the said act and wish to avail the
services of Scribe?
I certify that, I will produce the certificate from : -
competent medical authority of a Government
healthcare institution as per Ministry of Social
Justice and Empowerment, Department of
Empowerment of Persons with Disabilities
(Divyangjan) circular no F. No. 29-6/2019-DD-
III dated 10.08.2022.

Religion to which you belong : Hindu


Do you belong to Religious Minority ? : NO
Are you seeking relaxation under Widows, : NO
Divorced women and women legally separated

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1/12/24, 1:23 AM RECRUITMENT OF SCALE I OFFICERS
from their husbands who have not remarried ?

Are you Existing Confirmed Employees of : NO


Public Sector General Insurance Companies
(including GIC & Agriculture Insurance
Company of India Ltd.) : ?
Are you an Ex-Serviceman : ? : NO
Are you a Disabled Ex-Serviceman (DISXS) ? : NO
Period of Service ( in months) : -

Nationality : Indian
State to which centre of exam belongs : MAHARASHTRA
Centre of Examination : Nasik

Application Fee / Intimation charges


Payment In : ONLINE

Fees : 1000.00
Tax : 90.00 (CGST) + 90.00
(SGST)
Amount : 1180.00
Payment Status : UNPAID

Personal Details
Date of Birth : 22-03-1999

Age completed as on 01.10.2023 : 24


Gender : MALE
Do you have twin brother / sister ? : NO
Name of the twin : -
Gender of the twin : -
Marital Status : Unmarried
Father's Name : DILIP BACCHAV

Mother's Name : VAISHALI BACCHAV


Spouse's Name : -
Address for Correspondence
Address 1 : N42JA1392 TORNA
NAGER
District : Nashik
State : MAHARASHTRA
Pincode : 422009
Permanent address
Address 1 : N42JA1392 TORNA
NAGER
District : Nashik
State : MAHARASHTRA
Pincode : 422009
State for GST invoicing : Permanent Address
(MAHARASHTRA)

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1/12/24, 1:23 AM RECRUITMENT OF SCALE I OFFICERS

Contact Details
Mobile No : +91 9307679349

Alternative Number : +91 8668786029


(Mobile No/Landline No)
Email ID : [email protected]

Educational Qualification (as on 01.10.2023) :

Exam Passed Degree/ Subject / Date of % of Marks Class / Grade


Stream Passing

Graduation/equivalent Engineering 05-08-2022 75.00 First Class

Do you possess Computer Proficiency : YES


?
Details of computer knowledge : MS WORD INTERNET

Other Details :

Languages Known Read Write Speak

ENGLISH YES YES YES

MARATHI YES YES YES

HINDI YES YES YES

Declaration:
I hereby declare that all the statements made in this application are True, Complete and Correct to the best of my
knowledge and belief. I understand that in the event of any information being found untrue or incorrect at any stage or I
am not satisfying any of the eligibility criteria stipulated, and also in case of creating influence/undue pressure regarding
recruitment shall tantamount to cancellation of my candidature.

Date: 12-01-2024

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