Scribd Logo
Importer

Bienvenue sur Scribd !

  • Online Examination Application Form: Course On Computer Concepts (CCC)

    Transféré par

    Amber
    7 vues1 page
    This document is an online examination application form submitted by Abhishek Verma for the Computer Concepts (CCC) examination to be held in July 2015. It provides details of the applicant such as personal information, contact details, address, educational qualifications, declaration of truth of the information provided, and payment details. The form was submitted on May 23, 2015 and the examination fee of 360 rupees was not paid as of the date of submission.

    Description originale:

    Titre original

    Certificate Examination Form

    Copyright

    © © All Rights Reserved

    Formats disponibles

    PDF, TXT ou lisez en ligne sur Scribd

    Avez-vous trouvé ce document utile ?

    Ce contenu est-il inapproprié ?

    Signaler ce document
    This document is an online examination application form submitted by Abhishek Verma for the Computer Concepts (CCC) examination to be held in July 2015. It provides details of the applicant such as personal information, contact details, address, educational qualifications, declaration of truth of the information provided, and payment details. The form was submitted on May 23, 2015 and the examination fee of 360 rupees was not paid as of the date of submission.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    7 vues1 page

    Online Examination Application Form: Course On Computer Concepts (CCC)

    Transféré par

    Amber
    This document is an online examination application form submitted by Abhishek Verma for the Computer Concepts (CCC) examination to be held in July 2015. It provides details of the applicant such as personal information, contact details, address, educational qualifications, declaration of truth of the information provided, and payment details. The form was submitted on May 23, 2015 and the examination fee of 360 rupees was not paid as of the date of submission.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

    5/23/2015

    CertificateExaminationForm

    NationalInstituteofElectronicsandInformationTechnology
    DepartmentofElectronicsandInformationTechnology,MinistryofCommunicationsandInformationTechnology,GovernmentofIndia

    OnlineExaminationApplicationForm:CourseonComputerConcepts(CCC)
    ApplicationNumber

    ApplicationDate&Time

    DLCCC0018925

    ForOfficeUseOnly

    23May201510:43:15PM

    DemandNoteNumber

    612698

    DemandNoteDate

    23May2015

    1.ExaminationDetails/
    AppliedforExamination/

    AppliedAs/

    CCCJuly,2015(EveryMonthExamCycle)
    Direct

    ExaminationCenter1/
    1

    NDLDelhi

    AppearedinPreviousCCCExam/CCC

    No

    ExaminationCenter2/
    2

    LNWLucknow

    2.Applicant'sPersonalDetails/

    Applicant'sfullname/

    Mr.AbhishekVerma

    Father'sName/

    Mr.SurajPrasadVerma

    Mother'sName/

    Mrs.BindeshwariVerma

    Gender/

    Male

    Category/

    OtherBackwardClass/

    10Jul1992

    Occupation/

    Others/

    MobileNumber/

    9599690476

    DateofBirth/
    (dd/mm/yyyy)
    AadharCardNumber/

    434769920840

    3.ContactDetails/

    PhonewithSTDcode/

    EmailAddress/

    abhishek.verma066@gmail.com

    4.AddressDetails/
    AddressLine1/
    1
    AddressLine2/
    2

    56VillMajhigwanPostBanni
    KhrailaThanaManpur

    AddressLine3/
    3

    TehBiswan

    CityName/

    Sitapur

    District/

    Sitapur

    State/

    UttarPradesh

    PinCode/

    261145

    5.Educational/QualificationDetails/
    /
    HighestEducationalQualification/

    YearofPassing/

    GraduationOrHigher
    2014

    6.Declaration/
    IsonofSmtBindeshwariVermaandShriSurajPrasadVermaherebydeclare,that,theparticularssubmittedbymeintheonlineexaminationapplicationformofCCCaretrue
    tothebestofmyknowledgeandbelief.IagreetoabidebytherulesandregulationsofNIELITandalsotothedecisionofNIELITregardingmyadmissionfortheexamination.Ihave
    notedthat,NIELIThastherighttowithholdmyresultevenaftermyappearingintheexaminationinadditiontoanyotheractionasmaybedeemedfitintheeventofanyofthe
    statements/particularsmadeabovebeingfoundincorrect.Ihavenotedthat,Imightberequiredtoappearintheexaminationatanyotherexaminationcentrenotspecifiedunder
    examinationcentrechoicecolumn(1).Ifurtherunderstandthat,intheeventofnonconduction/nonevaluationofmyexaminationduetoanyreasonwhatsoever,Iwillnotheld
    NIELITresponsibleforanydamages.

    , BindeshwariVerma SurajPrasadVerma

    ...
    .
    .

    ...
    .
    .

    ...
    .
    .
    /


    ,


    (1)






    ,





    /

    ,

    ...
    .
    .

    7.PaymentDetail
    FeeDetails:

    ExamFee:360.00[ThreeHundredSixtyRupeesOnly]

    NotPaid
    PaymentTransactionNo./

    NotPaid

    Lastdateoffeepaymentandsubmissionofexaminationformis31May2015afterthisdateyouwillnotbeallowedtosubmittheexaminationform.Pleasepayyourfee
    beforelastdatethroughCSCSPVorOnlinePaymentorNEFT/RTGS/

    ///

    PaymentMode:

    Lefthandthumbimpression/

    SignatureofApplicant/

    Back

    http://student.nielit.in/CAND/CertificatePreview.aspx?qs=tOuoL91aBzHm/BNZHzARqw==

    1/1

    Vous aimerez peut-être aussi