Application Form

Name of Candidate Sintu Kumar
911045621013

Student Photo Not Available
Mother's Name Fulva Devi
Father's Name Krishan Saw
Date of Birth * 01-Jan-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL+PO HILSA PS CHANDRADEEP DIST JAMUI PIN CODE 811301
Mobile No. 9341489948
Email Address SANDEEP811301@GMAIL.COM

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory