Application Form

Name of Candidate Pravin Kumar
911063090004

Student Photo Not Available
Mother's Name Madhuri Devi
Father's Name Ashlok Singh
Date of Birth * 02-Feb-2000
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address vill- Punawan Po+Ps- Wazirganj Dist Gaya
Mobile No. 6299903677
Email Address pravin9631590913@gmai.com

Course Details

Course Name /Code Diploma in Computer Application (DCA)
Course Duration 6 Months

Center Details

Center Code 91106309
Center Name A Global Computer Academy
Center Address Wazirganj
Decleration

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

Place: _______________

Date : _______________
Authorized Signatory