Application Form

Name of Candidate Zaid Ansari
911041650166

Student Photo Not Available
Mother's Name Bibi Khurshida Perween
Father's Name Abul Gous
Date of Birth * 23-Jul-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Bhairo lal lane champa nagar nath nagar bhagalpur
Mobile No. 9304600141
Email Address cutemdzaid0@gmail.com

Course Details

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

Center Details

Center Code 91104165
Center Name Lord Buddha Educational Centre
Center Address Nathnagar
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory