Application Form

Name of Candidate Trishna Priya
911041571099

Student Photo Not Available
Mother's Name Soni Jha
Father's Name Uttam Jha
Date of Birth * 15-Jan-2007
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Birju Pathak lane , Barari bhagalpur bihar - 812003
Mobile No. 9263088870
Email Address trishnapriya75@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