|
||||
Application Form | ||||
| Name of Candidate | Raja Ram Kumar Das |
911041140027 
|
||
| Mother's Name | Gangiya Devi | |||
| Father's Name | Kangali Das | |||
| Date of Birth * | 30-Dec-1994 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | AT- RAJANDIPUR,P.O+P.S-SABOUR,DIST-BHAGALPUR,PIN N. - 813210 | |||
| Mobile No. | 8409458289 | |||
| Email Address | rajakrdass@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104114 | |||
| Center Name | CTI | |||
| Center Address | NH-80, Opp.Tata Motors, Sabour | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||