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    The document is an application form containing personal and academic details of an applicant named Rupani Pankaj Hirji. It includes his name, father's name, date of birth, age, gender, address, contact details, and educational qualifications. For academic qualifications, it lists the qualification, name of board/university, subjects, year of passing, and marks/division/percentage obtained. Sections are included for academic and professional qualifications.

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    The document is an application form containing personal and academic details of an applicant named Rupani Pankaj Hirji. It includes his name, father's name, date of birth, age, gender, address, contact details, and educational qualifications. For academic qualifications, it lists the qualification, name of board/university, subjects, year of passing, and marks/division/percentage obtained. Sections are included for academic and professional qualifications.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views4 pages

    File f-1640003057388

    Uploaded by

    light envey
    The document is an application form containing personal and academic details of an applicant named Rupani Pankaj Hirji. It includes his name, father's name, date of birth, age, gender, address, contact details, and educational qualifications. For academic qualifications, it lists the qualification, name of board/university, subjects, year of passing, and marks/division/percentage obtained. Sections are included for academic and professional qualifications.

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    of 4

    Annexure I

    APPLICATION PROFORMA
    A. Personal details :
    1 Applicant’s Name RUPANI PANKAJ HIRJI Affix latest passport
    size photograph duly
    self attested across
    2 Father/Mother/Husband’s RUPANI HIRJIBHAI DADUBHAI
    Name

    3 Date of Birth 01/02/1994


    (DD/MM/YY)
    27 9
    4
    5
    Age as on 10th January 2022
    Gender
    Years- 11
    MALE
    —Months- days
    •

    6 Address for correspondence VILLAGE:NAREDI, ABADASA, DIST: KUTCH, GUJARAT,


    370650

    7 Permanent Address SAME AS ABOVE

    8 Contact No./Mobile No. 63510035552, 9913145154

    9 E-mail erpankajrupani@gmail.com

    B. Academic Qualification ( in reverse order, starting from the latest):

    S. Qualification Name of the Subjects Year of Marks/Division/CGPA


    No Board/ Passing (%age)
    University/ Marks Div. CGPA
    Institute (%age)

    (Attach separate copy if required)


    C. Professional Qualification ( in reverse order, starting from the latest):

    S. Qualification Name of the Board / Subjects Year of Marks/Division/CGPA


    No University/Institute Passing (%age)
    Marks Div. CGPA
    (%age)

    (Attach separate copy if required)

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