|
||||
Application Form | ||||
| Name of Candidate | Pritesh Kumar |
911052220098 
|
||
| Mother's Name | Renu Devi | |||
| Father's Name | Vishwanath Prasad | |||
| Date of Birth * | 04-Mar-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S O vishwanath Prasad, Gandhi Nagar Ramna, Gyan Babu chowk, Motihari, East champaran, Bihar, 845401 | |||
| Mobile No. | 7481033806 | |||
| Email Address | priteshkumar0403@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||