Application Form

Name of Candidate Jyoti Kumari
911041571102

Student Photo Not Available
Mother's Name Nitu Devi
Father's Name Sanjay Yadav
Date of Birth * 08-May-2004
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address Village jagarnath pur ,post nandal pur thana kahalgaon bhagalpur bihar 813222
Mobile No. 7979991585
Email Address jyotikumari31900@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