Application Form

Name of Candidate Raushan Raj
911041020053

Student Photo Not Available
Mother's Name Munni Devi
Father's Name Balmiki Singh
Date of Birth * 17-Feb-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At+po- Surni ps- Meherma dist- godda 814160
Mobile No. 7070503868
Email Address raushanrajsurvi199@gmail.com

Course Details

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

Center Details

Center Code 91104102
Center Name Sterliate Training Institute
Center Address Khanjarpur
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory