Application Form

Name of Candidate Dhiraj Kumar
911021110076

Student Photo Not Available
Mother's Name Shobha Devi
Father's Name Vijay Poddar
Date of Birth * 05-Mar-1994
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ishakchak, jagdishpur , bhagalpur , 812001
Mobile No. 8083688279
Email Address kumardhirajbgp@gmail.com

Course Details

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

Center Details

Center Code 91102111
Center Name Aditya Institute of Information Technology
Center Address kharik
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory