Application Form

Name of Candidate Pawan Kumar
911012070132

Student Photo Not Available
Mother's Name Radha Devi
Father's Name Krishna Saw
Date of Birth * 18-Aug-1993
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address C O KRISHNA SAW, AMBARI, SHEKHOPUR SARAI, AMARI, DIST SHEIKHPURA, BIHAR 811103
Mobile No. 7654512136
Email Address pawankr18893@gmail.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