|
||||
Application Form | ||||
| Name of Candidate | Abhishek Kumar Roy |
911041390514 
|
||
| Mother's Name | Vinita Roy | |||
| Father's Name | Sanjay Kumar Roy | |||
| Date of Birth * | 28-Feb-2005 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Navin ganguli road, near Bishan asthan khanjarpur Bhagalpur Bihar pin code-812001 | |||
| Mobile No. | 8603539436 | |||
| Email Address | aroy54625@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104139 | |||
| Center Name | Lord Buddha Computer Training Centre | |||
| Center Address | Adampur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||