4/11/2019 RECRUITMENT OF STENOGRAPHER & UPPER DIVISION CLERK

EMPLOYEES STATE INSURANCE CORPORATION 380149

RECRUITMENT OF STENOGRAPHER & UPPER DIVISION CLERK

Registration Number : 62298796

Full Name : Latha Deepthi Yerra

Post: : UPPER DIVISION CLERK

Region: : Maharashtra

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

Type of Disability : -

Nature of disability : -

Do you need compensatory time at the time of examination? : -

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 ? : -

Religion to which you belong : Hindu

Do you belong to Religious Minority : NO

Are you ESIC Employee/ Government Servant who have rendered not less than 3 : NO
years regular and continuous service as on closing date for receipt of application : ?

Are you a regular ESIC employee seeking relaxation in fee ? : NO

Are you an Ex-Serviceman : ? : NO

Period of Service ( in months) : : -

Ex-Servicemen who have already secured employment in civil side under Government : -
in Group 'C' & 'D' posts on regular basis after availing of the benefits of reservation
given to ex-servicemen

Are you a person domiciled in the State of Jammu & Kashmir during the period 1-1- : NO
1980 to 31-12-1989 : ?

Any other category for relaxation in age : NO

Mention category for age relaxation : -

Nationality : Indian

State/UT to which centre of Preliminary examination belongs : Andhra Pradesh

Centre of Preliminary Examination : Srikakulam

State/UT to which centre of Main examination belongs : ANDHRA PRADESH

Centre of Main Examination : VISHAKHAPATNAM

Application Fee / Intimation charges

Payment In : ONLINE

Amount : 250.00

Payment Status : PAID

Reference ID : QHMP7427491527

Transaction Date : 11-04-2019

Do you want to receive refund of fees in the same channel by which you are paying : YES
fees ?

Account Number : -

Account Type : -

https://ibpsonline.ibps.in/esicsucmar19/registration_print.php?q=NDEzM2I5MGIxZDhkNzdkODQ2Yzc2MTJmYzZjMTEwMjh8NjIyOTg3OTY= 1/3
4/11/2019 RECRUITMENT OF STENOGRAPHER & UPPER DIVISION CLERK

Bank Name : -

Branch Name : -

IFSC Code : -

Name of the Account Holder : -

Personal Details

Date of Birth : 18-06-1994

Age completed as on 15.04.2019 : 24

Gender : FEMALE

Marital Status : Unmarried

Father's Name : Malleswararao yerra

Mother's Name : Sandhyarani

Spouse's Name : -

Address for Correspondence : Peddaseedhi post andvillage

Address 2 : Patnam mandal

District : Srikakulam

State : ANDHRA PRADESH

Pincode : 532214

Permanent address : peddaseedhi post andvillage

Address 2 : patnam mandal

District : Srikakulam

State : ANDHRA PRADESH

Pincode : 532214

Contact Details
Mobile No : +91 9490990568

Alternative Number : +91 8331980133

(Mobile No/Landline No)

Email ID : lathadeepthiyerra@gmail.com

Educational Qualification (as on 15.04.2019)

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

HSC/12th Others - intermediate 01-04-2011 85.70 First Class

Graduation/Equivalent Others - btech 01-04-2015 70.77 First Class

Do you possess working knowledge of computer : YES

including use of office suites and database

Medium of Computer Skill Test : English

Other Details :

Languages Known Read Write Speak

Telugu YES YES YES

English YES YES YES

Hindi YES YES YES

Uploaded Document Details :

1. Thumb impression

2. Handwritten Declaration

https://ibpsonline.ibps.in/esicsucmar19/registration_print.php?q=NDEzM2I5MGIxZDhkNzdkODQ2Yzc2MTJmYzZjMTEwMjh8NjIyOTg3OTY= 2/3
4/11/2019 RECRUITMENT OF STENOGRAPHER & UPPER DIVISION CLERK

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 false or incorrect at any stage or not satisfying the eligibility criteria according to the requirements, my candidature/appointment is
liable to be cancelled/terminated.

Date: 11-04-2019 Signature of Applicant

Thumb impression

Handwritten Declaration

https://ibpsonline.ibps.in/esicsucmar19/registration_print.php?q=NDEzM2I5MGIxZDhkNzdkODQ2Yzc2MTJmYzZjMTEwMjh8NjIyOTg3OTY= 3/3