Application Form

Name of Candidate Manish Kumar
911012560039

Student Photo Not Available
Mother's Name Pinki Devi
Father's Name Shailendra Prasad
Date of Birth * 17-Jul-2008
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address s/o-shailendra prasad vill-janaro po-karjara ps-ben
Mobile No. 9709950650
Email Address gopaljanaro@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 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