Application Form

Name of Candidate Rupesh Kumar
911041050717

Student Photo Not Available
Mother's Name Heera Devi
Father's Name Shankar Tanti
Date of Birth * 25-Jul-1998
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address At- piyarpur post Bhagalpura., PS Tarapur Dist-Munger, Bihar 813221
Mobile No. 6203966583
Email Address rrupeshkumar4@gmail.com

Course Details

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

Center Details

Center Code 91104105
Center Name Lord Buddha Computer Institute
Center Address Sultanganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory