|
||||
Application Form | ||||
| Name of Candidate | Khushi Anand |
911041571275 
|
||
| Mother's Name | Jay Mala Kumari | |||
| Father's Name | Sanjay Kumar Das | |||
| Date of Birth * | 18-Apr-2006 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | Gandhipur, bariarpur, PO .- Bariarpur dist.- Munger, bihar - 811211 | |||
| Mobile No. | 7488509249 | |||
| Email Address | khushianand433@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 |
|||
|
| ||||