For Office Use

Application Received Date : ____/____/2021

Received By : ________________ Signature : ____________ Processing Fee (Non-Refundable) - Rs. 300

Hemchandracharya North Gujarat University,Patan

Application Form for Advertisement No. 11 / 2021

Registration Id : WIN1121018 Affix

your
Research Advisor
Name of the post applied for : passport
size
Name of the Department: Ph.D Facilitation Centre
photo

(1) Name of applicant : SWAMI ASHISHKUMAR HARSHADBHAI

(Surname) (Name) (Father's / Husband's Name)

(2) Correspondence Address (3) Permanent Address :

56, VED TOWNSHIP , PADMANATH 56, VED TOWNSHIP , PADMANATH

CHOWKDI , CHOWKDI ,
PATAN PATAN

PATAN GUJARAT PATAN GUJARAT

Pincode : 384265 Pincode : 384265

Email Id : swamiashish11@gmail.com Aadhaar No. : 675955857093

Mobile No : 9574743374 Gender : Male

Nationality : INDIAN Category : SEBC / OBC

Mother Tongue : Gujarati Sub Category : NONE

Date of Birth : 12-11-1989

(4) Proficiency in language :

Language Writing Reading Speaking
(1) Gujarati YES YES YES

(2) English YES YES YES

(3) Hindi YES YES YES

(5) Proficiency in Computer : YES

(6) Educational Information:

Degree Marks Passing

Name Subject University Obt. Out. Per % Year Result
Bachelor of Sci Chemistry H.N.G.U., PATAN second
624 1050 59.429 % 2011

Master of Scien Organic Chemistry H.N.G.U., PATAN first

1247 2000 62.350 % 2013

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 (7) Other Educational Information: (Ph.D. / M.Phil. / NET / SET / JRF)

Degree Subject Board / University Thesis / Paper Title Per % Year

Chemistry Hemchandracharya North Gujarat A Computer Modelling Approach
Ph.D. % 2021
University Patan for Prediction of
Enantioselectivity of Active
M.Phil %

NET %

SET %

JRF %

(8) Educational Achievements : ( Award, Prize, Medal, etc. )

(9) Experience Information

N Organization Designation Scale Grade Total To From Total

O Pay Pay (Year.Month)
Educate Girls Management
1 12500 12500 25000 01-07-2015 17-07-2016 1.0
Trainee
Department Of Project Fellow
2 16800 01-12-2016 10-10-2020 3.10
Chemistry, HNGU, Patan

(11) Attach Self-attested Xerox copies:

School Leaving Certificate Graduation Marksheets Caste Certificate PHD / MPHIL Marksheet
Degree Certificates Post-Graduation Marksheets Non-Creamy Layer Certificate Appointment Order
Experience Certificates

Declaration:

I, SWAMI ASHISHKUMAR HARSHADBHAI declare that all Information given in the application is true &
correct. I have not given any wrong or incomplete information. I know that in case of any false information is found on my
part after my appointment, my service is liable to be terminated without any notice. I have read the instructions given along
with the application form and understood the same and I am abide by it.

Place:
Date: 19-07-2021 7:07:27PM
Signature of the Applicant

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