Application Form

Name of Candidate Khushbu Kumari
911012560106

Student Photo Not Available
Mother's Name Kiran Devi
Father's Name Balram Prasad
Date of Birth * 10-Aug-1998
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address C/O-RAVI KUMAR VILL-SIKARIPAR POST-BARA PS-BEN DIST-NALANDA 803117
Mobile No. 8340466205
Email Address kumarikhushbu90302@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