APPLICATION FOR THE POST OF MEMBER OF

THE CHILD WELFARE COMMITTEE

1. Name of the Applicant : SANJAY YADAV

2. Father’s Name : LALLANBHAI
YADAV
3. Present Postal Address : OFFICE NO. 12,
BHANUDARSHAN COMPLEX,
KOPARLI ROAD, G.I.D.C.,
VAPI – 396 191
4. E-Mail : advocate.yadav.sanjay86@gmail.com
5. Mobile No. : +91 – 96242 37906
6. Nationality : INDIAN
7. Date of Birth : 07/06/1986
(DD/MM/YYYY)
8. Educational Qualification (From SSC Onwards):-

Sr. Year of Percentage

Qualification Board / University
No. Passing (%)
1 SSC GSEB 2002 73.29
2 HSC GSEB 2004 51.38
3 B.Sc. VEER NARMAD SOUTH 2007 65.4
GUJARAT UNIVERSITY
4 MBA VEER NARMAD SOUTH 2009 61.5
GUJARAT UNIVERSITY
5 LL.B. VEER NARMAD SOUTH 2020 57.0
GUJARAT UNIVERSITY
9. List of Previous Employments: -

Name of Organization Designation Period of Service Work

/ Department From To Profile
Attached Alongwith

10.Why you are joining the selected field:

Being an advocate, it my duty & desire to support children & to make

them aware of their rights, and to teach them what is right and what is
not right for them.

11.Any other relevant information:

N/A
Declaration: -

I, declare that I fulfill all the condition of eligibility regarding age limit
and Education Qualification, Experience etc., for the post of Member of The
Child Welfare Committee.

I declare that all statements made in this application form are true,
complete and correct to the best of my knowledge and belief, I understand that
in the event of any information being found suppressed / false or incorrect or
ineligibility being detected before or after the examination, my candidature /
appointment is liable to be cancelled.

(Signature of Candidate)

Dated: -
Place: -