Application Form

Name of Candidate Jitendra Kumar
911012480152

Student Photo Not Available
Mother's Name Asha Devi
Father's Name Lal Bahadur Tanti
Date of Birth * 10-Sep-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address CHAINPUR, NALANDA, SARTHA, NALANDA, BIHAR-803110
Mobile No. 7739393903
Email Address Jitendrakumar5522@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory