Application Form

Name of Candidate Raj Kumar Tanti
911029040006

Student Photo Not Available
Mother's Name Shila Devi
Father's Name Boodhnarayan Tanti
Date of Birth * 01-May-2005
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT+PO DHANOURA PS RASALPUR DISTI BHAGALPUR
Mobile No. 7360956393
Email Address punajsmith@gmail.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91102904
Center Name Computer Training Institute
Center Address Kahalgaon
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory