|
||||
Application Form | ||||
| Name of Candidate | Lalan Rajak |
911041050957 
|
||
| Mother's Name | Nagina Devi | |||
| Father's Name | Om Prakash Rajak | |||
| Date of Birth * | 05-Jan-2000 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At + post - Katahara Dist Bhagalpur Bihar 813213 | |||
| Mobile No. | 6200594835 | |||
| Email Address | lalank5012000@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 |
|||
|
| ||||