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Apprentices 001 Application Form

The document is an application form for an apprenticeship program with LIC Housing Finance Limited. It requests personal details like name, address, contact information, education history, employment history, and references from the applicant.

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premkumars0902
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45 views2 pages

Apprentices 001 Application Form

The document is an application form for an apprenticeship program with LIC Housing Finance Limited. It requests personal details like name, address, contact information, education history, employment history, and references from the applicant.

Uploaded by

premkumars0902
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LIC HOUSING FINANCE LIMITED

APPLICATION FORM Affix recent


passport size
LICHFL Apprenticeship Program-001 self attested
photograph
here

1. NAME IN FULL (IN ENGLISH, CAPITALS WITH SURNAME FIRST)

2. CORRESPONDENCE ADDRESS WITH PIN CODE

PINCODE

TELEPHONE NO. WITH STD CODE: _______________________________________________________

MOBILE NO. AND ALTERNATE MOBILE NUMBER _________________________________________

EMAIL ID: ________________________________ AADHAAR NO: ___________________________________

3. PERMANENT ADDRESS WITH PINCODE

PINCODE

4. DATE OF BIRTH:

DD MM YYYY

AGE AS ON 01.01.2024 : _____ YRS ______ MONTHS

5. NATIONALITY: ___________________

6. SEX: MALE / FEMALE (Strike out whichever is not applicable)

7. MARITAL STATUS: MARRIED / UNMARRIED/ DIVORCEE (Strike out whichever is not applicable)

8. FATHER’S/ HUSBAND’S NAME: ____________________________


CONTACT NO: ___________________________

9. WHETHER ANY RELATIVE IS EMPLOYED IN LIC/LIC HFL – YES/NO


IF YES: NAME:
DESIGNATION & OFFICE:

10. MOTHER TONGUE: _____________ OTHER LANGUAGES KNOWN


(i) SPEAK ___________________________
(ii) READ ___________________________
(iii)WRITE ____________________________
11. HOME TOWN: __________________

12. BIRTH PLACE: __________________


13. EDUCATIONAL QUALIFICATION:

EXAMINATION FACULTY NAME OF THE MONTH & YEAR PERCENTAGE OF


CLASS /
PASSED BOARD/ UNIV. OF PASSING OF MARKS DIVISION
GRADUATION

POST GRADUATION

OTHERS

14. COMPUTER QUALIFICATION:

NAME OF THE COURSE NAME OF THE YEAR OF DURATION OF


INSTITUTION/ PASSING THE COURSE
UNIVERSITY

15. PRESENT / PREVIOUS EMPLOYMENT DETAILS:


NAME OF THE ORGANISATION TENURE OF POSITION HELD EMOLUMENTS
EMPLOYMENT DRAWN
FROM-----TO--------

16. PLEASE FURNISH ADDRESS OF TWO PROFESSIONAL REFERENCES:

(1) NAME: ____________________________________________ CONTACT NO: __________________________

ADDRESS: _______________________________________________________________________________________

COMPANY: _____________________________________ DESIGNATION: _________________________________

(2) NAME: ____________________________________________ CONTACT NO: __________________________


‘
ADDRESS: _______________________________________________________________________________________

COMPANY: _____________________________________ DESIGNATION: _________________________________

17. ANY OTHER INFORMATION: _______________________________________________________________

DECLARATION:

I hereby solemnly declare and affirm that all the statements made in this Application are true to the best of
my knowledge and belief. I understand that in the event of any information being found false, incorrect, or incomplete
or if I am found ineligible due to non-fulfillment of any of the eligibility conditions, my candidature for the applied
post is liable to be cancelled/rejected without assigning any reasons at any stage of recruitment and after appointment
in that event, the Company shall have complete rights to dismiss me from the services of the Company.

Date: ____________

Place: ____________ Signature of the Applicant

Encls: Attested copies of certificates

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