Application Form

Name of Candidate Satyam Kumar
911041400236

Student Photo Not Available
Mother's Name Chanda Devi
Father's Name Amarjeet Singh
Date of Birth * 05-Feb-2001
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Ankitta, Tarar, amdanda, bhagalpur -813205
Mobile No. 9905470795
Email Address satyamkumarak21@gmail.com

Course Details

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

Center Details

Center Code 91104140
Center Name Computer Institute of Technology
Center Address Mirjanhat
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory