Application Form

Name of Candidate Suraj Kumar
911041180026

Student Photo Not Available
Mother's Name Sabita Devi
Father's Name Sugriv Chouhan
Date of Birth * 21-Jan-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address at-sidhoun po-sandhia babhangama,barahat,banka
Mobile No. 8051350396
Email Address surajkumar8677@gmail.com

Course Details

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

Center Details

Center Code 91104118
Center Name Sterliate Training Institute
Center Address Adampur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory