|
||||
Application Form | ||||
| Name of Candidate | Puja Kumari |
911041571042 
|
||
| Mother's Name | Fuliya Devi | |||
| Father's Name | Harkishor Ram | |||
| Date of Birth * | 12-Aug-1998 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Vill - baghwa post - Simultala ps - chandramandi tola baghwa dist.- jamui bihar - 811316 | |||
| Mobile No. | 9142809907 | |||
| Email Address | pujakumari809907@gmail.com | |||
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 |
|||
|
| ||||