|
||||
Application Form | ||||
| Name of Candidate | Anjali Patel |
911012070145 
|
||
| Mother's Name | Kiran Kumari | |||
| Father's Name | Ramanuj Patel | |||
| Date of Birth * | 19-Aug-2003 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL-DANIAWAN, PO-DANIAWAN, DIST-PATNA, BIHAR, PIN CODE 801304 | |||
| Mobile No. | 6299956950 | |||
| Email Address | chhotianjalipatel@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91101207 | |||
| Center Name | Institute of Computer Technology | |||
| Center Address | Garh Par,Bihar Sharif-803101 | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||