1. No category

Regd.No.2302/2-169892
COURSE NAME
UPCI
Please Affix
Recent
Passport Size
Photograph here.
COMPUTER EDUCATION
(Approved By U.P Government)
NAME (MR./MISS/MRS.)
PRESENT ADDRESS.
PERMANENT ADDRESS.
DATE OF BIRTH.
PARTICULARS
MO.NO
NAME
AGE OCCUPATION A. SALARY
PARENT/GUARDIAN
DEGREE/
CERTIFICATE
COURSE
PERIOD
FROM
SCHOOL/COLLEGE
BOARD/
YEAR
INSTITUTE
UNIVERSITY PASSING
OCCUP- ANNUAL
ATION
SALARY
TO
CATEGORY [GENERAL/BC/OBC/SC/ST]:
Date: ……………… Place: ……………….. Batch Time: ……………………
Regd.No.2302/1-169892
UPCI
Name:
Computer Education
The sum of Rupees:
(Approved By U.P.
Government)
Rs.:
Mo.No.9918323863
Date………………..
Sign. of Student
On A/C of:
Drawn On:
By cash/Cheque No.:
Payable at Sign..: