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Applicant Job and Payment Details:

Confirmation No: UJAS-112323-1983-
09-26
Application No: 112323
Application for the Post: Jr.Assistant
(V.S)
Application DateTime: 10-08-2018 :
21:02:16
Transaction ID: NSBI6576746242 Fees:
250
Payment DateTime: 2018-08-13 :
17:44:52
_________________________________________________________________________________
Applicant Personal Details:
Name: Mr PARMAR SHAILESHKUMAR RATILAL
Father/Husband Name: RATILAL
POONAM DUPLEX ITI CHOWKADI GURUKUL KANSA ROAD
Permanent Address: VISNAGAR
City : VISNAGARState : GUJARATPin Code : 384315
POONAM DUPLEX ITI CHOWKADI GURUKUL KANSA ROAD
Postal Address: VISNAGAR
City : VISNAGAR State : GUJARAT Pin Code : 384315
Date Of Birth: 26-09-1983 Sex : Male Caste : SC Applied Caste: SC
Email:
Mobile: 9727086464 Dependant : No UGVCL Employee : No
shailesh.parmar@yahoo.com
Applicant Educational Details:
No Name of the degree Institution Name University Name Year Per(%)
VIDHYAMANDIR SCHOOL
1 HSC Science GSEB 2001 61.23%
PALANPUR
GUJARAT
2 Bachelor Degree (Regular) GOVT COLLEGE BHUJ 2006 54.55%
UNIVERSITY

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Language Known:
Sr.
Language Read Speak Write
No.
1 Gujarati Yes Yes Yes
2 Hindi Yes Yes Yes
3 English Yes Yes Yes
If selected what period would you require joining: 7 Days
If selected, your preference place: Mehsana : 1 ,Sabarmati :2 ,Palanpur : 3 ,Himatnagar :4
The allotment of place would be subject to merit list, vacancy & roster position at that time.
DECLARATION : I hereby declare that all statements made in this application are true and complete
to the best of my knowledge and belief. In the event of any information being found false or
incorrect or ineligibility being detected before or after the test and interview, my candidature will
stand cancelled and all my claims of the recruitment will stand forfeited.

Date:August 13, 2018, 6:21 PM

Place: VISNAGAR SIGNATURE OF THE CANDIDATE

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