|
||||
Application Form | ||||
| Name of Candidate | Md Nasrullah Ansari |
911052220365 
|
||
| Mother's Name | Sabira Khatoon | |||
| Father's Name | Rafil Ansari | |||
| Date of Birth * | 04-Jun-1995 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | S/O Rafil Ansari | |||
| Mobile No. | 9852948546 | |||
| Email Address | mdn10770@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91105222 | |||
| Center Name | PDS Computer Education | |||
| Center Address | Motihari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||