Application Form

Name of Candidate Ashish Kumar
911041390719

Student Photo Not Available
Mother's Name Putul Devi
Father's Name Ashok Mandal
Date of Birth * 05-Dec-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ghuthiya sanjha Rajoun Banka Bihar pin code-813105
Mobile No. 7250543315
Email Address ashishkumar7250543315@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