|
||||
Application Form | ||||
| Name of Candidate | Shams Tabrez Shah |
911021211667 
|
||
| Mother's Name | Robeena Khatoon | |||
| Father's Name | Abdul Qaiyum Shah | |||
| Date of Birth * | 06-Apr-1998 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | WARD NO. 01, GODHAUL SHRIF, BHAWAR, SITAMARHI, BUDHNAGAR DEORHI- 843318 | |||
| Mobile No. | 8709924291 | |||
| Email Address | shamstabrez974@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91102121 | |||
| Center Name | Vedanta Computer Centre | |||
| Center Address | Chakkar Chowk | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||