|
||||
Application Form | ||||
| Name of Candidate | Prabhakar Kumar Gupta |
911041010426 
|
||
| Mother's Name | Meena Devi | |||
| Father's Name | Vijay Prasad Gupta | |||
| Date of Birth * | 08-Jul-1996 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at+po shri pathar ps dhoraiya dist banka 813109 | |||
| Mobile No. | 8298763285 | |||
| Email Address | prabhakarkumarg926@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104101 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Adampur chowk | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||