|
||||
Application Form | ||||
| Name of Candidate | Gulnaz Bano |
911041190068 
|
||
| Mother's Name | Rukhsana Begum | |||
| Father's Name | Md. Salim | |||
| Date of Birth * | 04-Feb-2004 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At. -Gram Barari Feri road po + ps - barari bhagalpur Bihar 812003 | |||
| Mobile No. | 8709905501 | |||
| Email Address | gulmazbano5454@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104119 | |||
| Center Name | Amar Computer Classes | |||
| Center Address | Barari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||