Application Form

Name of Candidate Gaurav Kumar Paswan
911041140022

Student Photo Not Available
Mother's Name Mira Devi
Father's Name Domi Paswan
Date of Birth * 17-Mar-1999
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address AT- HARCHANDPUR,PO- BARAINI, PS- KAHALGAON DIST-BHAGALPUR, PIN CODE-813222
Mobile No. 8757481675
Email Address gaurav780bgp@gmail.com

Course Details

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

Center Details

Center Code 91104114
Center Name CTI
Center Address NH-80, Opp.Tata Motors, Sabour
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory