Application Form

Name of Candidate Nitish Kumar
912036760017

Student Photo Not Available
Mother's Name Pramod Sah
Father's Name Kanchan Devi
Date of Birth * 01-Feb-2009
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address Lakshman bag, kaua koli,nathnagar, Bhagalpur, Bihar,pin-812006
Mobile No. 9931400761
Email Address rajpramod65@gmail.com

Course Details

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

Center Details

Center Code 91203676
Center Name C.T.I
Center Address Mahadev Waran , Mirzacheuki
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory