|
||||
Application Form | ||||
| Name of Candidate | Sushmita Verma |
911041650193 
|
||
| Mother's Name | Mira Verma | |||
| Father's Name | Krishna Kumar Verma | |||
| Date of Birth * | 15-Jan-2001 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Rampur khurd Nathnagar Bhagalpur | |||
| Mobile No. | 8936822323 | |||
| Email Address | sushmitaverma88@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104165 | |||
| Center Name | Lord Buddha Educational Centre | |||
| Center Address | Nathnagar | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||