Application Form

Name of Candidate Gaurav Kumar
911041011990

Student Photo Not Available
Mother's Name Sushama Devi
Father's Name Kailash Mandal
Date of Birth * 07-Jun-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At+ps- abhiya Bazar ps- gopalpur Bhagalpur bihar
Mobile No. 8582063318
Email Address gaurav.kumarbgp2000@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