Application Form

Name of Candidate Pratham Kumar
911012560101

Student Photo Not Available
Mother's Name Mamta Devi
Father's Name Bipin Kumar
Date of Birth * 21-Nov-2004
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address S/O-Bipin Kumar VILL-SAURAI POST-LAHUAR PS-RAJGIR 803116
Mobile No. 7667305730
Email Address prathamkumarnrd12@gmail.com

Course Details

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

Center Details

Center Code 91101256
Center Name BT Vision Computer Institute & Training Centre
Center Address Bhui
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory