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  • CCC Examination For Government Employee Registration Form

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    VAV PPP
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    This document contains a registration form for the CCC examination for government employees in Gujarat. It includes personal details of the applicant such as name, date of birth, address, contact information, as well as employment details including designation, department, and date of joining government service. It also includes payment and document submission details, and a declaration by the applicant confirming the accuracy of the provided information.

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    ccc - mayur

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    This document contains a registration form for the CCC examination for government employees in Gujarat. It includes personal details of the applicant such as name, date of birth, address, contact information, as well as employment details including designation, department, and date of joining government service. It also includes payment and document submission details, and a declaration by the applicant confirming the accuracy of the provided information.

    Copyright:

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

    CCC Examination For Government Employee Registration Form

    Uploaded by

    VAV PPP
    This document contains a registration form for the CCC examination for government employees in Gujarat. It includes personal details of the applicant such as name, date of birth, address, contact information, as well as employment details including designation, department, and date of joining government service. It also includes payment and document submission details, and a declaration by the applicant confirming the accuracy of the provided information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 3

    12/21/2020 www.gujaratccc.co.in/Gujrat/Reports/RegistrationFormReport.

    aspx

    Page 1 of 2

    CCC EXAMINATION FOR GOVERNMENT EMPLOYEE REGISTRATION FORM

    Exam Seat No : GUB079470


    Application Form No : GUCCC20042806

    Course Name : CCC - EXAMINATION

    Personal Details
    Full Name : PATEL MAYUR KANUBHAI

    Date of Birth : 24/9/1992

    Age : 28Y

    Mobile : 9638027035

    Gender : Male Female Transgender

    Designation : SUPERVISOR INSTRUCTOR

    Aadhaar Card No. : 661224914062 GPF/CPF Account No. :

    Marital Status : MARRIED Caste : EBC

    Present Address : B/29 SHYAMVIHAR-3 BUNGLOWS, OPP. TAHUKO PARTY PLOT, MODHERA ROAD, MEHSANA-384002

    Village Name : MEHSANA

    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 : 20/3/2020

    Date of Joining in Department : 20/3/2020

    Date of Retirement : 30/9/2050

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    Application Form No : GUCCC20042806


    Organizational Details
    Exam Type : THEORY AND PRACTICAL

    Name of Secretariat : DIRECTORATE OF EMPLOYMENT AND TRAINING

    Name of Department : LABOUR AND EMPLOYMENT

    Name of Institute : INDUSTRIAL TRAINING INSTITUTE VAV

    Institute/Of ice Address : OPPOSITE APMC VAV, BHABHAR ROAD, VAV

    Village Name : VAV Taluka : VAV

    District: BANASKANTHA State : GUJARAT

    Pincode : 385575

    Name & Designation of Head of institute/of ice : RASIK R PRAJAPATI

    Contact No. of Head : 9687755158

    Email Id of Head : prlitivav@yahoo.in

    Payment Details
    Date : 05/10/2020 Transaction Number : GUC1234573537
    Amount : 200 Payment Type : Online

    Documents :
    AADHAAR CARD Aadhaar Card No. 661224914062

    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 પરી ા સમયે તેમના િડપાટમે ટ હે ડ ારા સહી કર ેલ અર ફોમની હાડ કૉિપ સબિમટ
    ી
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    ફ
    કરાવવી.

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