Application Form

Name of Candidate Rupesh Kumar
911041570401

Student Photo Not Available
Mother's Name Beby Devi
Father's Name Suresh Sah
Date of Birth * 10-Jun-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Jankinagar, Munger Bihar -811211
Mobile No. 7667400197
Email Address rkmgr895@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