Application Form

Name of Candidate Chandan Kumar
911041050619

Student Photo Not Available
Mother's Name Jhaliya Devi
Father's Name Indradev Mandal
Date of Birth * 13-Jun-1999
Gender FEMALE
Enrollment No.
Nationality INDIAN
Present Address AT-GORGAMA, POST- SHAHKUND, PS- SHAHKUND, BHAGALPUR, BIHAR
Mobile No. 6201684905
Email Address ckgorgamaskd@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory