Application Form

Name of Candidate Rishabh Raj
911041390977

Student Photo Not Available
Mother's Name Mamta Sinha
Father's Name Chandrashekhar Sinha
Date of Birth * 26-May-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Mirma chak Bhagalpur Bihar pin code-853201
Mobile No. 7808324581
Email Address rishavrajmilki@gmail.com

Course Details

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

Center Details

Center Code 91104139
Center Name Lord Buddha Computer Training Centre
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory