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Application Form JE

Application format

Uploaded by

Manish Raval
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0% found this document useful (0 votes)
21 views1 page

Application Form JE

Application format

Uploaded by

Manish Raval
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application ID MG110000029656

Post
Post Applied For Vidyut Sahayak(Junior Engineer- Electrical)

Personal and Contact


Prefix Mr.
Applicant Name RAVAL MANISH DOLATBHAI
Father's Name RAVAL DOLATBHAI DAGDUBHAI
Mother's Name RAVAL
Gender Male
Category SC
Domicile of Gujarat Yes
Marital Status Single
Re-married NA
Nationality Indian
Other Nationality NA
Permanent Address POLTRY FARM ROAD NARAYAN
NI CHAWL, SHIVE HANUMANJI TEMPLE
ATUL FIRST GATE, VALSAD

State / Union TerritoryGujarat Pincode 396020


City / Town VALSAD
Tel No. ( Landline) NA NA
Address for Correspondence POLTRY FARM ROAD NARAYAN
NI CHAWL, SHIVE HANUMANJI TEMPLE
ATUL FIRST GATE, VALSAD

State / Union Territory Gujarat


City / Town VALSAD Pincode 396020
Tel No. ( Landline) NA NA
Mobile No. 7405369881
Email ID [email protected]

Eligibility Details
PH No
PH Type -
PH Percentage NA
Dependent of Retired Employee of the No
Company
Ex Armed Force Personnel No
Date of Birth 11-APR-1995
Posting Preference
Post Preference 1 MGVCL
Post Preference 2 PGVCL
Post Preference 3 DGVCL
Post Preference 4 UGVCL
Academic Details

SSC Details
Qualification Institution/School Passed From Name of Board / University Year of Passing Pass/Fail
SSC SHAH KHIMCHAND MULJI GSHSEB GANDHINAGAR 2010 Pass
HSC Diploma
Qualification Institution/School Passed From Name of Board / University Year of Passing Pass/Fail
HSC KALYANI SCHOOL ATUL GSHSEB GANDHINAGAR 2012 Pass

Graduation Degree
Name of Board / Year of Grade Division/Grade/% Equivalent(%),0 Pass/Fail
Institution/School University Passing System Obtained 0.00 Format
Qualification
Passed From

BE - Electrical GEC VALSAD GUJARAT 2016 CGPA 8.18 76.8 Pass


TECHNOLOGICAL

Payment Information
Payment Online
Bank Name NA
Online Reference/Challan/Journal Number JSP25775129861
Online/Challan Date 31-Oct-2017
Branch Code NA
Branch Name NA
Application Fee (INR) 250.00
Deposited Fee Amount 250.00
Declaration : 1) I certify that the statements made by me in the application are complete and correct to the best of my knowledge and belief . I further
undertake that if any information given herein above is proved wrong then my services are liable to be terminated from the company, if
appointed. I also certify that, no Criminal Proceedings are initiated / Pending against me and I have never been convicted by any Court of
Law.
2) I understand that after executing "Final Submit and Confirm" Task, I will not be allowed to edit/update data in any task.
3) By Final Submitting and Confirming the Application, I agree that all information entered was done accurately & truthfully.
4) I also understand that If I submit the Online Application, but do not forward the Hard Copy of the application with requisite documents
and Fee Challan within prescribed time limit, then my candidature will be considered as invalid.
Place :
Date :

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