Application Form

Name of Candidate Manish Raj
911041390559

Student Photo Not Available
Mother's Name Anita Devi
Father's Name Ajay Pandit
Date of Birth * 10-May-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At+po-kaushalpur,amarpur, Banka Bihar pin code-813101
Mobile No. 7870211021
Email Address manishraj24072017@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