|
||||
Application Form | ||||
| Name of Candidate | Pooja Kumari |
911012480566 
|
||
| Mother's Name | Vijaya Raj Laxmi | |||
| Father's Name | Shivkumar Prasad | |||
| Date of Birth * | 05-Jan-2006 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Behind Asia hotel, murarpur, bharaopar, ps- laheri, biharsharif, Nalanda, Bihar-803101 | |||
| Mobile No. | 9835287758 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91101248 | |||
| Center Name | Drishti Computer Institute | |||
| Center Address | Quamruddin Ganj,Bihar Sharif | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||