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A Vanish

Avanish Yadav has applied for the Summer Training in Electronic Circuits and System Design (In-Campus Mode) course starting August 1, 2023 at NIELIT Gorakhpur. He is an OBC, Hindu, single male from Uttar Pradesh who passed Class 12 in 2021 with 79.6% from the UP Board. He has paid the 1500 rupee course fee on July 19, 2023 and declared that he meets the minimum eligibility criteria and will abide by all rules of NIELIT Gorakhpur.

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23 views2 pages

A Vanish

Avanish Yadav has applied for the Summer Training in Electronic Circuits and System Design (In-Campus Mode) course starting August 1, 2023 at NIELIT Gorakhpur. He is an OBC, Hindu, single male from Uttar Pradesh who passed Class 12 in 2021 with 79.6% from the UP Board. He has paid the 1500 rupee course fee on July 19, 2023 and declared that he meets the minimum eligibility criteria and will abide by all rules of NIELIT Gorakhpur.

Uploaded by

avanishyadavavanishyadav880
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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[In-Campus Course]

Application Form for In-campus Course Reg.No.: Not Alloted


Course Name Summer Training in Electronic Circuits and System Design (In-Campus Mode)
Course Start Date 01-Aug-2023 Course Fee 1500
Candidate's Name Avanish Yadav
Father's Name Harishchandra Yadav
Mother's Name: Ramavati Devi
Date of Birth 03-Apr-2003 Aadhaar 745649548163
Category OBC Gender Male EWS No Ex-Serviceman No
Religion Hindu PH (Divyang) No Marital Status Single
Contact No 1: +91 8726113041 Contact No 2: +91 8577092820
Email ID: [email protected]
Correspondence Address:
Surajpura
District Mau Post Office Siddha Ahilashpur Tehsil/Mandal Maduban
State UTTAR PRADESH Country India Pincode 221603
Highest Qualification Class 12 Status Passed
Name of College / University UP Board
Work Experience Details (If any) Designation: --
Name of the Organization : --
Fees Paid (In Rs.) 1500 Date of Transaction 2023-07-19 00:00:00
Reference No. (NIELIT) NGKP230726103323760 Transaction No.(Challan):20339
Payment Mode Challan Bank Reference No. NA
Remarks
Declaration
I, Avanish Yadav , hereby declare that, the above entries made by me are complete and are true to the best of my knowledge. These informations are based on

my certificates and records.I have read the course brochure carefully and I am fulfilling the minimum eligibility criteria for the course Summer Training in Electronic

Circuits and System Design (In-Campus Mode) .I understand that fees is non-refundable and I will not make any claim for any discount or refund of fee and

security money (if any).I will abide by all the rules and regulations of NIELIT Gorakhpur and shall follow all the pre-requisites for this course.I will not indulge my

self in any Mischievous Activity or in any behavior / act that may be constituted as ragging / harassment.I allow NIELIT Gorakhpur to send the updates on

academic and promotional activities through SMS and E-Mail.

Left Thumb Impression(Optional) Signature


---------------------------------------------------------------------------------------------------------------------------------------------------------------------
For NIELIT Use Only
Payment Verified By Accounts : Application Checked & Verified By Coordinator:

*** This table of records generated on 26-Jul-2023 01:28:42 PM from ORP Portal https://regn.nielitvte.edu.in/ *** Page 1/2
[In-Campus Course]

Application Form for In-campus Course Reg.No.: Not Alloted

Academic Details
PERCENTAGE YEAR OF
S. NO QUALIFICATION SUBJECTS NAME OF INSTITUTE/ UNIVERSITY
(IN %) PASSING
HINDI ENGLISH UP BOARD 70.5
1 CLASS 10 MATHEMATICS SCIENCE [FIRST] 2018
SOCIAL SCIENCE
GENERAL
DRAWING
HINDI ENGLISH UP BOARD 79.6
2 CLASS 12 MATHEMATICS PHYSICS [FIRST] 2021
CHEMISTRY MORAL Y.S P
EDU

---------------------------------------------------------------------------------------------------------------------------------------------------------------------
For NIELIT Use Only
Payment Verified By Accounts : Application Checked & Verified By Coordinator:

*** This table of records generated on 26-Jul-2023 01:28:42 PM from ORP Portal https://regn.nielitvte.edu.in/ *** Page 2/2

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