Application Form

Name of Candidate Niraj Kumar
911045621118

Student Photo Not Available
Mother's Name Samundri Devi
Father's Name Bhasho Yadav
Date of Birth * 04-Apr-2003
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL ALIGANJ PO ALIGANJ PS CHANDRADEEP DIST JAMUI
Mobile No. 9006712703
Email Address nirajkumar04042003@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