Application Form

Name of Candidate Robin Kumar
911012070001

Student Photo Not Available
Mother's Name Premlata Devi
Father's Name Jagdish Prasad
Date of Birth * 19-Jun-1994
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address VILL MAHADEV BIGHA PO SAKRAUDHA PS NOORSARAI DIST NALDANDA PIN CODE 803111
Mobile No. 8603551574
Email Address robinkumar2014@gamil.com

Course Details

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

Center Details

Center Code 91101207
Center Name Institute of Computer Technology
Center Address Garh Par,Bihar Sharif-803101
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory