|
||||
Application Form | ||||
| Name of Candidate | Anuj Kumar Jha |
911041190013 
|
||
| Mother's Name | Anita Devi | |||
| Father's Name | Nitya Nand Jha | |||
| Date of Birth * | 03-Apr-2002 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At.-Ratanpura,PO.-Bhawanpura, Kharik,Bhagalpur, Bihar-853202 | |||
| Mobile No. | 8540819432 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104119 | |||
| Center Name | Amar Computer Classes | |||
| Center Address | Barari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||