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. 170420403 Please paste here one
S VENKATESH
S/O R.SAKKARAPANI, Category recent recognizable
MIDDLE STREET,NAVALUR(PO) passport size photograph
ATTUR(TK) Date of Birth 06/04/1989 sign it across and get it
SALEM duly attested by a
Reg. No. 101085760 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 Paper - I College
OCF Avadi (Near Krishna Temple)
Chennai 600054 Paper - II

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