|
||||
Application Form | ||||
| Name of Candidate | Shivani Kumari |
911031340228 
|
||
| Mother's Name | Ranju Devi | |||
| Father's Name | Pawan Kumar Singh | |||
| Date of Birth * | 15-Aug-2005 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | VILL.SADIPUR, PO.SONDHI, PS.BUNIYADGANJ. DIST-GAYA. STATE BIHAR | |||
| Mobile No. | 7033162443 | |||
| Email Address | sumanchouhan1581993@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91103134 | |||
| Center Name | Computer Training Institute MAX | |||
| Center Address | SadiPur,Manpur | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||