Application Form

Name of Candidate Subodh Kumar
911052220134

Student Photo Not Available
Mother's Name Tetri Devi
Father's Name Rajeshwar Ram
Date of Birth * 04-Sep-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address S/O- Rajeshwar Ram, Mirpur, East Champaran Bihar
Mobile No. 8581020513
Email Address subodh492003@gmail.com

Course Details

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

Center Details

Center Code 91105222
Center Name PDS Computer Education
Center Address Motihari
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory