Application Form

Name of Candidate Ayush Kumar
911041160134

Student Photo Not Available
Mother's Name Laxmi Devi
Father's Name Binod Gupta
Date of Birth * 09-Jan-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address gola ghat garaiya bhagalpur
Mobile No. 9304212686
Email Address kguptaayush59@gmali.com

Course Details

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

Center Details

Center Code 91104116
Center Name Lord Buddha Educational Centre
Center Address Sarai
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory