APPLICATION

1. Name of Post: Zonal Coordinator

2. Name of Project: GKS
3. Name of Applicant: Raval Bhavinkumar Dasharathlal
4. Sex: MALE
5. Present Address:
77, Sani Banglows, Thalota Road, Nr. Panchashil College,
At. & Po. & Ta. Visnagar, Dist. Mehsana, Pin. 384315
Mobile No: 09429538486
6. Permanent Address: As Above
7. Email Address: ravalbhavin@ymail.com
8. Date of Birth: 22/06/1988 Place of Birth: Sipor (Vadnagar)
9. Mother Tongue: Gujarati
10.Educational Qualification:

Qualification Degree Name of Year Marks Percentage

University/ Board out of
1. SSC S.S.C.E.Board, March 440/ 62.86
Vadodara /2003 700
2. HSC H.S.C.E.Board, March 419/ 69.83
Gandhinagar /2005 600
3. Graduation B.A. H.N.G.University, March 490/ 54.44
(English) Patan /2008 900
4. Post M.B.A. G.T.U., 2009- Pursuing
Graduation (Marketing) Ahmedabad 2011
5. Others, if C.C.C. B.A.O.U., April/ 319/ 80
any Ahmedabad 2007 400
1. Language Known:
Sr Language Speak Read Write
No
1 English √ √ √
2 Hindi √ √ √
3 Gujarati √ √ √

Declaration:
I certify that the statements made by me are true, complete and correct to the
best of my knowledge and belief. I understand that any material
misrepresentation or omission made hereon or any other document requested
by office, renders me liable to termination or dismissal.

Place : Visnagar
Date : 12/11/2010 ______________________
Signature

Enclosed:
1. Leaving Certificate
2. SSC Marksheet
3. HSC Marksheet
4. Graduation Marksheet
5. CCC Marksheet