|
||||
Application Form | ||||
| Name of Candidate | Piyush Priyanshu |
911041570387 
|
||
| Mother's Name | Sarita Kumari | |||
| Father's Name | Manoj Kumar Mandal | |||
| Date of Birth * | 26-Oct-2001 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Shahpur Ghogha bhagalpur Bihar 813205 | |||
| Mobile No. | 6200565163 | |||
| Email Address | priyanshupiyush764@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104157 | |||
| Center Name | Vivek Computer Classes | |||
| Center Address | Barari,Near ITI College | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||