Application Form

Name of Candidate Manjeet Kumar
911045621117

Student Photo Not Available
Mother's Name Anju Devi
Father's Name Anil Kumar
Date of Birth * 18-Oct-1995
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL ALIGANJ PO ALIGANJ PS CHANDRADEEP DIST JAMUI
Mobile No. 9572630872
Email Address manjeet092arya@gmail.com

Course Details

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

Center Details

Center Code 91104562
Center Name ICT COMPUTER EDUCATION
Center Address Aliganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory