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PGVCLPRINTAPPLICATIONFORMFORTHEPOSTOFVIDYUTSAHAYAK(JUNIORENGINEERELECTRICAL)
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PaschimGujaratVijCompanyLimited
AnISO9001:2008CertifiedCompany
APPLICATIONFORMFORTHEPOSTOFVIDYUTSAHAYAK(JUNIORENGINEERELECTRICAL)
ApplicationNo
2107208
ApplicationRegistrationDate
17072016
(RegistrationID)
ApplicantName
DHAVALRAMANBHAIPATEL
MailingAddressandPersonalDetails
Correspondence PlotNo4972,Sector7B,Gandhinagar,382007,
Address
Gujarat
PhoneNo
MobileNo 7698444407
City
Gandhinagar
State
Gujarat
MaritalStatus
Married
PHStatus
PinCode
382007
No
dhaval_career@rediffmail.com
BirthDate
14011983
Gender
MALE
GENERAL
Caste
DependentofRetiredEmployeeoftheCompany No
ExArmedForcePersonnel No
DepartmentalCandidate:
No
EducationalQualification[GRADUATIONDEGREE]TotalofLastTwoSemsMARKS
Nameof
Graduation
Degree
Sr.
No
BTech(Elec)
NameofCollegeandUniversity
Yearof
Passing
GradeSystem
Division/
Grade//%age
Obtained
Nationalinstituteoftechnologyrourkela
2004
PERCENTAGE 68.285
nitrourkeladeemeduniversity
RecruitmentFeesPaymentDetails
PaymentMode
PaymentRefNo.
AmountPaid(Rs.)
PaymentDate
ONLINE
494808
500
17072016
Equivalent
(%)
00.00Format
68.28
DocumentsandUndertaking
Iherebysubmitphotocopiesofthecertificatesasmentionedinadvertisement.
Undertaking:Icertifythatthedetailsmentionedintheapplicationarecompleteandcorrect.Ifurtherundertakethatif
any information given herein above is proved wrong then I am liable for being dismissed from the service of the
Company. I also certify that, no Criminal Proceeding are initiated / Pending against me and I have never been
convictedbyanyCourtofLaw.
ApplicationConfirmationNo
170721072081448
ApplicationConfirmationDate
2016071714:48:15
Date:
Place:
(SignatureofApplicant)
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