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F O R M A T

Application for Participating in the Fast Track Channel of Promotion for PE :: 2013-14

1. Name of the Applicant ::SANTOKH SINGH SANGA

2. Employee No. of the Applicant :: 22845

3. Scale of the Officer (Scale-I / Scale-II / Scale-III) :: Scale-II

4. Batch in the Scale :: 2008

5. Group of the Applicant ( I / II / BOTH ) :: Group- BOTH

6. Category of the Applicant (SC/ST/GEN) ::GEN

7. Office of Posting ::HAUZ KHAS BRANCH (360902)

8. Name of the Controlling Regional Office :: DRO-II

9. Qualifications: -(a) Academic :: B COM (P)

(b) Professional ::

(c) Insurance (AIII or FIII) ::Membership valid till :: 890312 LIFE MEMBERSHIP

DECLARATION

I do hereby declare that I have completed FOUR / THREE years of continuous service (without any lossof pay) as on 31st March, 2013 in my present scale as mentioned in Point-3 above.

Date ::

Signature of the Applicant

For the use of the Controlling Office of the Applicant:-

Certified that the details provided as above by Mr./Ms.________________________________________.E.No.__________, Scale-____ posted in ________________________BO/DO/RO/HO is correct. She/hehas completed FOUR / THREE years of continuous service (without any loss of pay) as on 31st March,2013.

NOTE : If the applicant is on Loss of Pay in the presence cadre give details:-

Further, the certificates in respect of the qualifications mentioned in Point-9 above of the applicant are dulyverified and the attested copies are kept in the Personal File of the Officer.

Date::Signature ::

Name ::Designation ::

Sl.No. Description Authorised Officer for Certification1 Officers posted in BOs & DOs Branch/Division-in-Charges

2 Branch & Division-in-Charges Controlling DM/SDM & Officer-in-Charge of the Pers. Deptt. Of the RO (respectively)

3 Officers posted in ROs Officer-in Charge / RM / Officer of the Personnel Department of the RO

4 Officers posted in HO & its Wings The Chief Manager(P) of HO & Officer-in-Charges of the Wings (respectively)

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B I O D A T A

(Promotion under Fast Track Channel PE:2013-14 :: Promotion to the Cadre of Scale- III )(Pl. Type in all Capital Letters)

1. Name & Employee No. :: SANTOKH SINGH SANGA

2. Designation :: BRANCH MANAGER

3. Category (SC/ST/GEN) :: GEN

4. Date of Birth :: 06/09/1957

5. Date of Retirement ::30/09/2017

6. Age in years as on 31ST March, 2013 :: 55 YRS.

7. Qualification (Academic) :: B COM (P)

8. Qualification (Insurance) ::

9. Present Place of Posting ::HAUZ KHAS BRANCH (360902)

10. Name of the Controlling RO :: DRO-II

11. Batch :: 2008

12. No. of Completed years of Service

in the cadre as on 31ST March, 2013 :: 4

13. Preferred Choice of Posting

as per Self Appraisal (1ST, 2ND & 3RD) ::DELHI

14. Loss of Pay Details in the Cadre :: NIL

Fromdd/mm/yyyy

Todd/mm/yyyy

No. of Dayson LOP

Remarks

N/A

15. Posting (Experience) Details ::

Fromdd/mm/yyyy

Todd/mm/yyyy

Designation Office of Posting Department/s

15/12/1982 31/12/1983 DEV.OFFICER DO FARIDABAD MARKETING1/1/1984 31/12/1986 DEV.OFFICER GURGAON BR. MARKETING

1/1/1987 11/10/1989 DEV.OFFICER JANAKPURI BR. MARKETING

12/10/1989 26/5/2000 DEV.OFFICER HAUZ KHAS BR. MARKETING

27/5/2000 10/9/2002 A.A.O. ZAMRUDPURBR.

ADMIN.

11/9/2002 23/2/2009 A.O. HAUZ KHAS BR. ADMIN

24/2/2009 31/3/2012 A.M. DO XXIII ADMIN

1/4/2012 TILL DATE BR.MANAGER HAUZ KHAS BR. MARKETING

Performance figures during tenure as Sr. BM / DM is enclosed.

R E M A R K S (For HO use only)

Instructions to the Applicants:-1. Pl. do not change the format (e.g. Margin, Font & Font Size, Deletion & Insertion of any Row/Column etc.) in any

manner.2. If anybody wants to write anything extra, she/he may do so in a separate page (maximum one page)..3. Simply use this File (Ms Word Version 97-2003) and mail it to HO and to Controlling Office as directed in the

Notice.4. Do not send any Hard Copy or Scanned Copy or this file in pdf format to Head Office.5. Hard copy of the Application duly Signed alongwith the copies of the testimonials for Insurance Qualification has

to be submitted to the Controlling Office for their verification and record (to be kept in the Personal File).6. Use Short Forms e.g. ARO for Ahmedabad Regional Office, Departments : Mot. Fire. Misc. A/Cs etc.

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Promotion Exercise 2013-14 (Fast Track Channel)

BUSINESS PERFORMANCE TEMPLATE FOR BRANCH/DIVISIONAL-IN-CHARGES

Name, Designation & Present Place of Posting :: SANTOKH SINGH SANGA BR.MANAGER

Place of Posting as BO/DO-in-Charge::

HAUZ KHAS BO DO XXIII

Parameters 2010-11 2011-12 2012-13

1 Premium Achieved (Rs. in Lakhs)::

653.25

2 Budget (Rs. in Lakhs)::

700

3 %age of Budget Completion ::

93.32%

4Accretion over previous yearsPremium Income (Rs. in Lakhs)

::

132.29

5 Growth in Business (in %)::

25.39%

6 Expenses of Management Ratio (in %)::

13.06%

7Department-wise incurredClaim Ratio (in %)

a. Fire::

49.34%

b. Marine::

-39%

c. Motor OD::

21.92%

d. Motor TP::

39.23%

e. Misc.:

:34%

8 Overall incurred Claims Ratio (in %)::

51.04%

9Operating Results (Rs. in Lakhs)(+ for Surplus, & - for Deficit)

::

+138.81

10 Documents Disposal Ratio (in %)::

100%

11 Claim Settlement Ratio (in %)::

79.25%

Delete this Sheet, If it is not applicable for you.