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AGRICULTURE INSURANCE COMPANY OF INDIA LTD.

APPLICATION FORM FOR ENGAGEMENT AS DISTRICT MANAGER ON CONTRACT BASIS


Basic Details


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Vehicle Details


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Employment Details


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DETAILS OF EXPERIENCE IN AGRICULTURE INSURANCE MARKETING AND/OR RISK MANAGEMENT


Employer I
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Employer II








Note :- Documentary evidence in support of requisite experience for the post applied would be called from the candidates after the preliminary round of shortlisting.

Details of Qualifications (From Graduation Onwards & Technical/Computer)


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Note :- Attested photocopies of certificates / mark sheets / degree / diploma etc. in respect of educational qualifications would be called from the candidates after the preliminary round of shortlisting.

Contact Details


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Languages Known



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Details of Reference


Reference I
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Reference II
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PREFERRED DISTRICT TO WORK


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Details of Fees Paid


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Declaration*


I declare that the information furnished above is true and correct to the best of my knowledge and belief. I understand that if at any stage, it is found that any information given in this application is false/ incorrect or that I do not satisfy the eligibility criteria, my candidature/ engagement is liable to be cancelled/ terminated. I have read and understood the stipulations given in the advertisement and I hereby undertake to abide by them.
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