Application Form

Name of Candidate Abhishek Kumar
911041390781

Student Photo Not Available
Mother's Name Juli Devi
Father's Name Bikas Poddar
Date of Birth * 10-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Akbarnagar Bhagalpur Bihar pin code-813223
Mobile No. 6203134429
Email Address abhishekkr0789@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