Application Form

Name of Candidate Aman Mansoor
911052220055

Student Photo Not Available
Mother's Name Sabina Khatoon
Father's Name Md Yasin
Date of Birth * 01-Jul-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address S o md Yasin, ward no.5, kanana Katrina, raxual, east champaran, Bahar 845305
Mobile No. 9431637110
Email Address mdyasinpatna201@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91105222
Center Name PDS Computer Education
Center Address Motihari
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory