|
||||
Application Form | ||||
| Name of Candidate | Ujala Kumari |
911021110152 
|
||
| Mother's Name | ||||
| Father's Name | Indradev Ray | |||
| Date of Birth * | 01-Jan-1970 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | japteli, jagatpur, naugachia, bhagalpur, bihar, bin code=853204 | |||
| Mobile No. | 8051797906 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91102111 | |||
| Center Name | Aditya Institute of Information Technology | |||
| Center Address | kharik | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||