Application Form

Name of Candidate Khushi Kumari
911041390657

Student Photo Not Available
Mother's Name Sangita Devi
Father's Name Vinod Singh
Date of Birth * 01-Jan-2003
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Kokrakhas, balbadda,kurkraha godda, Jharkhand pin code-814160
Mobile No. 6207542998
Email Address ks0919358@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