|
||||
Application Form | ||||
| Name of Candidate | Madhu Roy |
911041011269 
|
||
| Mother's Name | Mrs Geeta Roy | |||
| Father's Name | Mr Arun Kumar Roy | |||
| Date of Birth * | 06-Dec-1999 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Nakul Chandra Lane, Mundichak, Jagdishpur, Bhagalpur, Bihar, 812001 | |||
| Mobile No. | 9430216136 | |||
| Email Address | roy.madhu1402@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104101 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Adampur chowk | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||