LIFE INSURANCE CORPORATION OF INDIA

CENTRAL OFFICE, “YOGAKSHEMA”, JEEVAN BIMA MARG, MUMBAI 400 021

Admit Card for the Written Examination for Recruitment of Assistant Administrative Officer (Generalists)
Name and address of Candidate Roll No. 120110095 Please paste here one
ALPESH F PUROHIT
46, DEVKUTIR BUNGLOWS, OPP AMBLI GAM, AMBLI BOPAL Category recent recognizable
ROAD, AHMEDABAD - 380058 passport size photograph
Date of Birth 26/10/1988 sign it across and get it
AHMEDABAD duly attested by a
Reg. No. 101136273 Gazetted Officer or
officer of a Public Sector
27th February 2011 Undertaking or a
Name and address of Examination Centre Examination Date
[Sunday] Principal of recognized
Kendriya Vidyalaya No. 1 Paper - I College
Near Police Commissioner's Office
Shahibagh Paper - II
Ahmedabad 380004

Signature of the Candidate ( to be Signed in the presence of Invigilator )

Question Booklet No. Q. B. Set No. (A,B,C,D) OMR Answer Sheet No. Question-cum-Answer Booklet No.

DECLARATION BY INVIGILATOR : I/We have carefully checked the identity of each candidate appearing in the
examination from the photograph and also the particulars of candidate have been checked thoroughly and verified.

Name of the Invigilator (s) Signature of the Invigilator (s)

IMPORTANT INSTRUCTIONS

1. Please bring 02 (Two) copies of this Admit Card affixing your 02 (Two) recent recognizable passport photographs duly signed by you and
attested