|
||||
Application Form | ||||
| Name of Candidate | Dhruv Raj |
911078770004 
|
||
| Mother's Name | Madhuri Verma | |||
| Father's Name | Sudhakant Verma | |||
| Date of Birth * | 01-Dec-2005 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | s/o - sudhakant verma , at- gautam nagar gangjala ward no - 15 , saharsa , bihar, 852201 | |||
| Mobile No. | 7079862944 | |||
| Email Address | rajdhruv110@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91107877 | |||
| Center Name | Indian Institute of commerce | |||
| Center Address | Shivpuri Bypass Road | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||