Application Form

Name of Candidate Naveen
911041570576

Student Photo Not Available
Mother's Name Kaushly Devi
Father's Name Aanandi Sharma
Date of Birth * 26-Dec-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ward no - 7 pirpainti near shiv mandir bakharpur purvi ogairah bhagalpur bihar - 813209
Mobile No. 8810298940
Email Address navern281999@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