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dQEM/ZjȻkdj[^SjWapzxz{}}zzy Application No
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231600406
BRC/URC CO-ORDINATOR

Personal Details
Full Name Mr. VIKRAMBHAI RATNAJI JADAV

Mother Name MANIBEN

Date of Birth 27/07/1981

Gender Male

Email ID vrjadav1981@gmail.com

Age 42 Year 4 Month 13 Day

Mobile No 9727421036

Landline No

Current Working Place Details

District BANASKANTHA Taluka AMIRGADH

Current Address
State Gujarat District BANASKANTHA

Taluka AMIRGADH City KHUNIYA

Pincode 385130 Address KHUNIYA PRAIMARY SCHOOL

Permanent Address
State Gujarat District SABAR KANTHA

Taluka VIJAYNAGAR City JALETI

Pincode 383462 Address JALETI

Education Details
Passing
Degree Type University Name Obtained Marks No of
Month/ Seat No Percentage
Degree Principal Subject /Total Marks Trials
Year
Std. 10 (SSC) GSSEB
3/1996 D698766 444/700 1 63.43
Standard 10th (SSC) GENRAL
Graduation BAOU AHMEDABAD
12/2015 812100806296 698/1200 1 58.17
B.A. HISTORY
Post Graduation BAOU AHMEDABAD
5/2018 216100806567 465/800 1 58.13
M.A. SOCIOLOGY
Professional Graduation
Not Applicable
PTC SEB
6/2001 3284 757/1100 1 68.82
PTC/PTC Equivalent GENRAL
Std. 12 (HSC) GSEB
3/1998 G208614 433/600 1 72.17
Standard 12th (HSC) GENRAL

Language Details
Language Can Read? Can Write? Can Speak? Can Understand?

English Yes Yes Yes Yes

Gujarati Yes Yes Yes Yes

Hindi Yes Yes Yes Yes

Activity Details
Activity Description
Jpƣ_h}ac½\h5^hK]Dëh?XhOÈȶkƨSD
_pEWd\jëh\sPȾk__pEWȐaj No
bqë‡RD̆ɂmiĂD^°_Jp!

Jpƣ_h}ac½\h5^hK]DëhWjSh_j\Wh
SKìS^ŽD°ȵk5 d5Z5iVSd5ƨTh ȵk5 No
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ibëRia[hFȤkK^hS[h^Sd^Dh^Ws
No
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SpTjaȴkd\]Fh`hWhIh_Sh
No
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Jp!

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No
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Spȵk5̆\hRX́V^hasJs!

OtherDetails
Activity Description
8Xp7Fh;BRC/URC 7TahCRC Co.
S^ŽD°̆iSiWȻkŠƈSTjY^KZĤap_es]
No
7WpxyˆPdpƠZ^zxzzXJŽ
̆iSiWȻkŠƈS^UT]p_Jp!

Experience Details
Employer Name
From Date Job Type
Employer Address Designation Reason for Leaving
To Date Experience Type
Employer Contact Details
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VAGHASAN PRIMARY SCHOOL d^Dh^Ž
AT$PO. VAGHASAN
TA,THARAD 10/06/2002 To ̆hTi\D;ƍI
TEACHER
DIST.BANASKANTHA 18/11/2008 ̆hTi\Dbh`h\h5
9904139439
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KHUNIYA PRIMARY SCHOOL d^Dh^Ž
AT.KHUNIYA TA.AMIRGADH
19/11/2008 To ̆hTi\D;ƍI
DIST,BANASKANTHS PIN.385130 TEACHER
30/11/2023 ̆hTi\Dbh`h\h5
9925543926
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ȺkƉ]ibëDidah] 
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Undertaking:

I hereby declare that all the information provided in this application form are correct to the best of my knowledge and understanding. In case of any
information furnished by me in this application is found incorrect and/or misleading, the samagra shiksha reserves the right to take any action it deems fit,
including the cancellation of the application form and termination of the service.

Date : 09/12/2023 15:27:17 Signature of the Applicant