|
||||
Application Form | ||||
| Name of Candidate | Priy Ranjan Kumar |
911029040300 
|
||
| Mother's Name | Laxmi Devi | |||
| Father's Name | Shambhu Yadav | |||
| Date of Birth * | 01-May-1987 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Athania, pirpainti,parasarmpur,bhagalpur,bihar,pin-813209 | |||
| Mobile No. | 8441863941 | |||
| Email Address | punajsmith@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91102904 | |||
| Center Name | Computer Training Institute | |||
| Center Address | Kahalgaon | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||