VIVEKANAND COMPUTER EDUCATION SOCIETY

ADMISSION FROM

SESSION 2018-2019

NANSA BAZAR, FAIZABAD

STUDENT INFORMATION (TO BEFILLED ONLY IN CAPITAL LATTER)

(STIUDET FULL NAME)

S H A H I N
FATHER’S FULL NAME

A K R A M
MOTHER’S FULL NAME

N A J R E E N
DATE OF BIRTH

18 06 2003
DATE MONTH YEAR

CITY\VILLEGE POST

MUGEESHPUR CHANDRIKAGANJ
MO.NO. TAHSIL

9794094540 BIKAPUR
(DISTRICT) (STATE) ( PIN CODE)

FAIZABAD U.P. 224141

(CLASS) ( COURSE) ( MONTH)

10TH

I/WE CERTIFY THAT THE INFORMATION PROVIDED HEREIN IS CORRENT TO THE BEST OF MY/OUR
KNOWLEDGE.

I/WE CERTIFY THAT I/HAVE READ, UNDERSTOOD AGREED WHITE THE TERMS AND CONDITION
MENTIONED OVERLEAF.

DATE-----------------------------SIGNATURE OF STUDENT-----------------------------SIGNATURE OF

GUARDIAN.