|
||||
Application Form | ||||
| Name of Candidate | Chandan Kumar |
911041050781 
|
||
| Mother's Name | Rukmani Devi | |||
| Father's Name | Dinesh Prasad Yadav | |||
| Date of Birth * | 06-Jun-1997 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT-GOpAL ROAD ,BISHARI asATHAN SULTANGANJ, PO+PS-SULTANGANJ DIST-BHAGALPUR | |||
| Mobile No. | 7634016950 | |||
| Email Address | JK.5174@REDIFFMAIL.COM | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104105 | |||
| Center Name | Lord Buddha Computer Institute | |||
| Center Address | Sultanganj | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||