Application Form

Name of Candidate Akash Kumar
911041140139

Student Photo Not Available
Mother's Name Urmila Devi
Father's Name Srikant Verma
Date of Birth * 10-Jan-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address panchwati hat sabour, bhagalpur
Mobile No. 8825175218
Email Address alexakash85074@gmail.com

Course Details

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

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, 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