Application Form

Name of Candidate Rohit Raj
911012480257

Student Photo Not Available
Mother's Name Draupdi Devi
Father's Name Ramprvesh Singh
Date of Birth * 03-Feb-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Gram-Rehua Post-Nimthu, Thana - Nimchak Bathani, Rohua, Gaya, bihar-803116 Bhar-003116
Mobile No. 8051851463
Email Address raj853235@gmail.com

Course Details

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

Center Details

Center Code 91101248
Center Name Drishti Computer Institute
Center Address Quamruddin Ganj,Bihar Sharif
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory