Application Form

Name of Candidate Raushan Kumar
911012560045

Student Photo Not Available
Mother's Name Sushama Kumari
Father's Name Harendra Kumar
Date of Birth * 12-Feb-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address s/o-harendra kumar vill-janaro po-karjara ps-ben dist-nalanda , bihar , 803117
Mobile No. 8539954805
Email Address kumarraushan98266@gmail.com

Course Details

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

Center Details

Center Code 91101256
Center Name BT Vision Computer Institute & Training Centre
Center Address Bhui
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory