Application Form

Name of Candidate Dharmendra Kumar
911041030120

Student Photo Not Available
Mother's Name Sheela Devi
Father's Name Mukesh Yadav
Date of Birth * 20-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-CHILKAWAR PO-MANJHOUNI PS-RAJAUN DIS-BANKA 813209 BIHAR
Mobile No. 9199665613
Email Address

Course Details

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

Center Details

Center Code 91104103
Center Name Sterliate Training Institute
Center Address Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory