Application Form

Name of Candidate Preetam Kumar
911021110456

Student Photo Not Available
Mother's Name Shiro Devi
Father's Name Satyam Mandal
Date of Birth * 05-Jan-2006
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At-Athaniya, Post-mirjaphari ,p.s-kharik, District-Bhagalpur, pin Code-853202
Mobile No. 9709020102
Email Address

Course Details

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

Center Details

Center Code 91102111
Center Name Aditya Institute of Information Technology
Center Address kharik
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory