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    CCC Examination For Government Employee Registration Form

    Uploaded by

    VAV PPP
    Dhavalbhai Patel has submitted a registration form for the CCC examination. The form provides his personal details like name, age, address, contact information, as well as organizational details of his employer, the Labour and Employment Department. It also includes documents submitted, payment details, and a declaration signed by Patel confirming the accuracy of the information. The head of Patel's institute has also certified the form and details provided in it.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CCC Examination For Government Employee Registration Form

    Uploaded by

    VAV PPP
    199 views3 pages
    Dhavalbhai Patel has submitted a registration form for the CCC examination. The form provides his personal details like name, age, address, contact information, as well as organizational details of his employer, the Labour and Employment Department. It also includes documents submitted, payment details, and a declaration signed by Patel confirming the accuracy of the information. The head of Patel's institute has also certified the form and details provided in it.

    Original Title

    DMP RegistrationFormReport

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    Dhavalbhai Patel has submitted a registration form for the CCC examination. The form provides his personal details like name, age, address, contact information, as well as organizational details of his employer, the Labour and Employment Department. It also includes documents submitted, payment details, and a declaration signed by Patel confirming the accuracy of the information. The head of Patel's institute has also certified the form and details provided in it.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    199 views3 pages

    CCC Examination For Government Employee Registration Form

    Uploaded by

    VAV PPP
    Dhavalbhai Patel has submitted a registration form for the CCC examination. The form provides his personal details like name, age, address, contact information, as well as organizational details of his employer, the Labour and Employment Department. It also includes documents submitted, payment details, and a declaration signed by Patel confirming the accuracy of the information. The head of Patel's institute has also certified the form and details provided in it.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    10/5/2020 www.gujaratccc.co.in/Gujrat/Reports/RegistrationFormReport.

    aspx

    Page 1 of 2

    CCC EXAMINATION FOR GOVERNMENT EMPLOYEE REGISTRATION FORM

    Exam Seat No :

    Application Form No : GUCCC20042809

    Course Name : CCC - EXAMINATION

    Personal Details
    Full Name : PATEL DHAVALBHAI MAHENDRABHAI

    Date of Birth : 20/3/1988

    Age : 32Y

    Mobile : 8154894496

    Gender : Male Female Transgender

    Designation : SUPERVISOR INSTRUCTOR

    Aadhaar Card No. : 875273516391 GPF/CPF Account No. :

    Marital Status : MARRIED Caste : GENERAL

    Present Address : 42 SUCITY BUNGLOWS NAGALPUR MEHSANA

    Village Name : NAGALPUR

    District : MEHSANA Taluka : MEHSANA

    State : GUJARAT Pincode : 384002

    Whether Physically Handicapped? : Yes No

    Are You Blind? : Yes No

    Whether Ex-Servicemen? : Yes No

    Are you GOVT. employee ? : Yes No

    Whether Likely to be promoted higher scales within months? : NO

    Date of Joining GOVT. Services : 17/3/2020

    Date of Joining in Department : 17/3/2020

    Date of Retirement : 31/3/2046

    Page 1 of 2

    05/10/2020 2:57 PM

    www.gujaratccc.co.in/Gujrat/Reports/RegistrationFormReport.aspx 1/3
    10/5/2020 www.gujaratccc.co.in/Gujrat/Reports/RegistrationFormReport.aspx

    Application Form No : GUCCC20042809


    Organizational Details
    Exam Type : THEORY AND PRACTICAL

    Name of Secretariat : DIRECTORATE EMPLOYMENT AND TRAINING

    Name of Department : LABOUR AND EMPLOYMENT DEPARTMENT

    Name of Institute : INDUSTRIAL TRAINING INSTITUTE VAV

    Institute/Of ice Address : ITI VAV


    OPP MARKET YARD BHABHAR ROAD
    AT POST VAV TALUKA VAV
    Village Name : BANASKANTHA Taluka : VAV

    District: BANASKANTHA State : GUJARAT

    Pincode : 385575

    Name & Designation of Head of institute/of ice : RASHIK R PRAJAPATI PRINCIPAL ITI VAV

    Contact No. of Head : 9687755158

    Email Id of Head : prlitivav@yahoo.in

    Payment Details
    Date : 05/10/2020 Transaction Number : GUC1234573646
    Amount : 200 Payment Type : Online

    Documents :
    AADHAAR CARD Aadhaar Card No. 875273516391

    PAN CARD

    VOTER ID

    DRIVING LICENSE NO

    Declaration
    I declare that I have illed the application form after thoroughly understanding rules and the information illed by
    me in the application form is correct and true to the best of my knowledge and belief.
    I also understand that my application will be rejected if any of the information submitted in this form is found to
    be incorrect / false.

    TO WHOMSOEVER IT MAY CONCERN


    This is to certify that the information given in this registration form for CCC examination is
    veri ied and found to be correct as per the of ice records.

    Signature of the Of icial Designation:


    Name of the Of icial : Please paste your latest photo duly stamped
    Email address: by your department head

    Note:- ઉમેદવારએ તેમના પર ા સમયે તેમના ડપાટમે ટ હડ ારા સહ કરલ અર ફોમની હાડ કૉિપ સબિમટ
    www.gujaratccc.co.in/Gujrat/Reports/RegistrationFormReport.aspx 2/3
    10/5/2020 www.gujaratccc.co.in/Gujrat/Reports/RegistrationFormReport.aspx
    Note: ઉમદવારએ તમના પર ા સમય તમના ડપાટમ ટ હડ ારા સહ કરલ અર ફોમની હાડ કૉિપ સબિમટ
    કરાવવી.

    Page 2 of 2
    05/10/2020 2:57 PM

    www.gujaratccc.co.in/Gujrat/Reports/RegistrationFormReport.aspx 3/3

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