Application Form

Name of Candidate Pawan Kumar
911041020792

Student Photo Not Available
Mother's Name Dulari Devi
Father's Name Ashok Tanti
Date of Birth * 12-Mar-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Village-Sardho, post office-Bishanpur jichho, police station-sabour, District-bhagalpur, State-bihar
Mobile No. 8804067409
Email Address pavan880sardho@gmail.com

Course Details

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

Center Details

Center Code 91104102
Center Name Sterliate Training Institute
Center Address Khanjarpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory