Application Form

Name of Candidate Md Sharik
911041050764

Student Photo Not Available
Mother's Name Majda Khatoon
Father's Name Md Riyajul
Date of Birth * 09-Oct-2002
Gender MALE
Enrollment No.
Nationality INDIAN
Present Address at - kolgama, post - tilakpur, ps - sultanganj, dist - bhagalpur, bihar, 813213
Mobile No. 9128070361
Email Address mdshariksgg2001@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