|
||||
Application Form | ||||
| Name of Candidate | Pankaj Kumar |
911041010794 
|
||
| Mother's Name | Nirmala Devi | |||
| Father's Name | Ramesh Pandit | |||
| Date of Birth * | 17-Nov-1996 | |||
| Gender | MALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | at+po+ps-beldour,dist-khagaria,pin-852161 | |||
| Mobile No. | 7050109962 | |||
| Email Address | pankaj852161@gmail.com | |||
Course Details |
||||
| Course Name /Code | Advance Diploma in Computer Application (ADCA) | |||
| Course Duration | 12 Months | |||
Center Details |
||||
| Center Code | 91104101 | |||
| Center Name | Sterliate Training Institute | |||
| Center Address | Adampur chowk | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||