|
||||
Application Form | ||||
| Name of Candidate | Gautam Kumar |
911041571012 
|
||
| Mother's Name | Ritmala Devi | |||
| Father's Name | Sagar Sahani | |||
| Date of Birth * | 15-May-1996 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | V + P - Saurh North ,Satishnagar, P.S - Pasraha Dist-Khagaria Pin -853203 Bihar | |||
| Mobile No. | 8405939304 | |||
| Email Address | ||||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104157 | |||
| Center Name | Vivek Computer Classes | |||
| Center Address | Barari,Near ITI College | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||