Application Form

Name of Candidate Piyush Kumar
911021214155

Student Photo Not Available
Mother's Name Nitu Devi
Father's Name Mukesh Ram
Date of Birth * 06-Sep-2007
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address NAYATOAL, SPEAKER CHOWK ROAD, MUZAFFARPUR
Mobile No. 9229140792
Email Address piyushjackraj@gmail.com

Course Details

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

Center Details

Center Code 91102121
Center Name Vedanta Computer Centre
Center Address Chakkar Chowk
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory