|
||||
Application Form | ||||
| Name of Candidate | Mahira Naj |
911041190046 
|
||
| Mother's Name | Bibi Shakina Khatoon | |||
| Father's Name | Md Firoj | |||
| Date of Birth * | 13-Dec-2005 | |||
| Gender | FEMALE | |||
| Enrollment No. | ||||
| Nationality | INDIAN | |||
| Present Address | At. - Grihast tola barari po+ps. - Barari Bhagalpur Bihar. - 812003 | |||
| Mobile No. | 9939215837 | |||
| Email Address | mahiranaj588@gmail.com | |||
Course Details |
||||
| Course Name /Code | Diploma in Computer Application (DCA) | |||
| Course Duration | 6 Months | |||
Center Details |
||||
| Center Code | 91104119 | |||
| Center Name | Amar Computer Classes | |||
| Center Address | Barari | |||
| Decleration I hereby declared that all the informations are correct and true to the best of my knowledge and belief. |
||||
|
Place: _______________ Date : _______________ |
Authorized Signatory |
|||
|
| ||||