Application Form

Name of Candidate Santosh Kumar
911041391286

Student Photo Not Available
Mother's Name Punam Rani
Father's Name Bishnudeo Sharma
Date of Birth * 06-Jan-1994
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Pdholbazza diyara naugachia Bhagalpur Bihar
Mobile No. 9931003220
Email Address

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