Application Form

Name of Candidate Amandeep Kumar
911041050942

Student Photo Not Available
Mother's Name Lalita Devi
Father's Name Arun Kumar Das
Date of Birth * 28-Aug-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT+PO- GANGAPUR, VILL-GANGAPUR THANA-SULTANGANJ, DIST- BHAGALPUR PIN CODE - 813213
Mobile No. 7292991848
Email Address amandeepkumar99181@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory