Application Form

Name of Candidate Washim Zafar
911052170014

Student Photo Not Available
Mother's Name Saiboon Nesha
Father's Name Sagir Ansari
Date of Birth * 12-Sep-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT-VRITA TOLA, PO.-NONPHARWA, PS.-PATAHI, EAST CHAMPARAN BIHAR-845427
Mobile No. 9653308056
Email Address washim8454@gmail.com

Course Details

Course Name /Code Advance Diploma in Computer Application (ADCA)
Course Duration 12 Months

Center Details

Center Code 91105217
Center Name Sterlite Computer Education
Center Address Bhawanipur Zirat, Motihari-845401
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: _______________

Date : _______________
Authorized Signatory