Application Form

Name of Candidate Abhishek Anand
911041020645

Student Photo Not Available
Mother's Name Mili Devi
Father's Name Dashrath Prasad Ram
Date of Birth * 10-May-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At-balbadda po+ps-balbadda Dist-godda pin-814160
Mobile No. 8935883926
Email Address abhishekanand149100@gmail.com

Course Details

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

Center Details

Center Code 91104102
Center Name Sterliate Training Institute
Center Address Khanjarpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory