Application Form

Name of Candidate Suraj Kumar
911031340343

Student Photo Not Available
Mother's Name Mala Devi
Father's Name Shambhu Thakur
Date of Birth * 04-Apr-2008
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Vill.naudhariya po. Bijubigha ps.buniyadganj dist gaya state bihar
Mobile No. 7564091644
Email Address sumanchouhan1581993@gmail.com

Course Details

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

Center Details

Center Code 91103134
Center Name Computer Training Institute MAX
Center Address SadiPur,Manpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory